The story of the memoir is a story of me creating certain narratives so that I could live with my own experience and with the uneasy relationship between what I was doing and what I believed in - or what I saw as an uneasy relationship between those two things.

I could not kick heroin to save my life, literally, until I started telling my secrets. It was some of the clearest evidence I've ever found of anything. It was the only immediate change in behavior I've ever undergone. I told the most frightening truths, and I was free.

The other reason I didn't want to fictionalize it is because one of the main points of publishing a memoir in nonfiction was that I wanted to write about what had been a very lonely experience. The books that most saved my life as a kid were the ones that articulated lonely experiences that I had thought were mine alone.

When I was in college I started writing prose, because a very smart professor asked me what I like to read and I said, "Novels," and she said, "You should be writing them then." Memoir never even occurred to me. I think I was afraid of nonfiction and I was afraid of navel-gazing, and of being seen.

Most of the smart things I've ever thought or written came vis-a-vis my body.

I made a conscious decision when I was writing that book to depict in real time how I treated it, and how I thought about it, and how I portrayed it to other people, because I wanted the story to be one of change from that to a more honest appraisal, a more accepting appraisal of myself and other people in that world.

Desperation precludes reflection. That is one of the reasons why smart people can get involved in very obviously unworkable relationships. Like addiction, that deep, Imago attachment is more powerful than logic, and in fact disables logic. So, any explanation or analysis or reflection on such a feeling is already many steps removed from the experience.