Our hospital was famous and housed many great poets and singers. Did the hospital specialize in poets and singers or was it that poets and singers specialized in madness?

Scar tissue has no character. It's not like skin. It doesn't show age or illness or pallor or tan. It has no pores, no hair, no wrinkles. It's like a slip cover. It shields and disguises what's beneath. That's why we grow it; we have something to hide.

This clarity made me able to behave normally, which posed some interesting questions. Was everybody seeing this stuff and acting as though they weren't? Was insanity just a matter of dropping the act? If some people didn't see these things, what was the matter with them? Were they blind or something? These questions had me unsettled.

By the time we hit the streets they were silent and closed in on us, and they had assumed the Nonchalant Look, an expression that said, I am not a nurse escorting six lunatics to the ice cream parlor. But they were, and we were their six lunatics, so we behaved like lunatics.

It's important to cultivate detachment. One way to do this is to practice imagining yourself dead, or in the process of dying. If there's a window, you must imagine your body falling out the window. If there's a knife, you must imagine the knife piercing your skin. If there's a train coming, you must imagine your torso flattened under its wheels. These exercises are necessary to achieving the proper distance.

I think many people kill themselves simply to stop the debate about whether they will or they won't.

Insanity comes in two basic varieties: slow and fast. I'm not talking about onset or duration. I mean the quality of the insanity, the day-to-day business of being nuts.