The floor of ice cream parlor bothered me. It was black-and-white checkboard tile, bigger than supermarket checkboard. If I looked only at a white square, I would be all right, but it was hard to ignore the black squares that surrounded the white ones. The contrast got under my skin. The floor meant yes, no, this, that, up, down, day, night -all the indecisions and opposites that were bad enough in life without having them spelled out for you on the floor.

Are you crazy? It's a common phrase, I know. But it means something particular to me: the tunnels, the security screens, the plastic forks, the shimmering, ever-shifting borderline that like all boundaries beckons and asks to be crossed. I do not want to cross it again.

An observer can't tell if a person is silent and still because inner life has stalled or because inner life is transfixingly busy.

A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.

Twenty aspirin, a little slit alongside the veins of the arm, maybe even a bad half hour standing on a roof: We've all had those. And somewhat more dangerous things, like putting a gun in your mouth. But you put it there, you taste it, it's cold and greasy, your finger is on the trigger, and you find that a whole world lies between this moment and the moment you've been planning, when you'll pull the trigger. That world defeats you. You put the gun back in the drawer. You'll have to find another way.

It is easy to slip into a parallel universe. There are so many of them: worlds of the insane, the criminal, the crippled, the dying, perhaps of the dead as well. These worlds exist alongside this world and resemble it, but are not in it.

Disease [is] as one of our languages. Doctors understand what disease has to say about itself. It's up to the person with the disease to understand what the disease has to say to her.