Authors: David Foster Wallace
It is a level of psychic pain wholly incompatible with human life as we know it. It is a sense of radical and thoroughgoing evil not just as a feature but as the essence of conscious existence. It is a sense of poisoning that pervades the self at the self's most elementary levels. It is a nausea of the cells and soul. It is an unnumb intuition in which the world is fully rich and animate and un-map-like and also thoroughly painful and malignant and antagonistic to the self, which depressed self It billows on and coagulates around and wraps in Its black folds and absorbs into Itself, so that an almost mystical unity is achieved with a world every constituent of which means painful harm to the self. Its emotional character, the feeling Gompert describes It as, is probably mostly indescribable except as a sort of double bind in which any/all of the alternatives we associate with human agency — sitting or standing, doing or resting, speaking or keeping silent, living or dying — are not just unpleasant but literally horrible.
It is also lonely on a level that cannot be conveyed. There is no way Kate Gompert could ever even begin to make someone else understand what clinical depression feels like, not even another person who is herself clinically depressed, because a person in such a state is incapable of empathy with any other living thing. This anhedonic Inability To Identify is also an integral part of It. If a person in physical pain has a hard time attending to anything except that pain,
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a clinically depressed person cannot even perceive any other person or thing as independent of the universal pain that is digesting her cell by cell. Everything is part of the problem, and there is no solution. It is a hell for one.
The authoritative term psychotic depression makes Kate Gompert feel especially lonely. Specifically the psychotic part. Think of it this way. Two people are screaming in pain. One of them is being tortured with electric current. The other is not. The screamer who's being tortured with electric current is not psychotic: her screams are circumstantially appropriate. The screaming person who's not being tortured, however, is psychotic, since the outside parties making the diagnoses can see no electrodes or measurable amperage. One of the least pleasant things about being psychotically depressed on a ward full of psychotically depressed patients is coming to see that none of them is really psychotic, that their screams are entirely appropriate to certain circumstances part of whose special charm is that they are undetectable by any outside party. Thus the loneliness: it's a closed circuit: the current is both applied and received from within.
The so-called 'psychotically depressed' person who tries to kill herself doesn't do so out of quote 'hopelessness' or any abstract conviction that life's assets and debits do not square. And surely not because death seems suddenly appealing. The person in whom Its invisible agony reaches a certain unendurable level will kill herself the same way a trapped person will eventually jump from the window of a burning high-rise. Make no mistake about people who leap from burning windows. Their terror of falling from a great height is still just as great as it would be for you or me standing spec-ulatively at the same window just checking out the view; i.e. the fear of falling remains a constant. The variable here is the other terror, the fire's flames: when the flames get close enough, falling to death becomes the slightly less terrible of two terrors. It's not desiring the fall; it's terror of the flames. And yet nobody down on the sidewalk, looking up and yelling 'Don't!' and 'Hang on!', can understand the jump. Not really. You'd have to have personally been trapped and felt flames to really understand a terror way beyond falling.
But and so the idea of a person in the grip of It being bound by a 'Suicide Contract' some well-meaning Substance-abuse halfway house makes her sign is simply absurd. Because such a contract will constrain such a person only until the exact psychic circumstances that made the contract necessary in the first place assert themselves, invisibly and indescribably. That the well-meaning halfway-house Staff does not understand Its overriding terror will only make the depressed resident feel more alone.
One fellow psychotically depressed patient Kate Gompert came to know at Newton-Wellesley Hospital in Newton two years ago was a man in his fifties. He was a civil engineer whose hobby was model trains — like from Lionel Trains Inc., etc. — for which he erected incredibly intricate systems of switching and track that filled his basement recreation room. His wife brought photographs of the trains and networks of trellis and track into the locked ward, to help remind him. The man said he had been suffering from psychotic depression for seventeen straight years, and Kate Gompert had had no reason to disbelieve him. He was stocky and swart with thinning hair and hands that he held very still in his lap as he sat. Twenty years ago he had slipped on a patch of 3-In-l-brand oil from his model-train tracks and bonked his head on the cement floor of his basement rec room in Wellesley Hills, and when he woke up in the E.R. he was depressed beyond all human endurance, and stayed that way. He'd never once tried suicide, though he confessed that he yearned for unconsciousness without end. His wife was very devoted and loving. She went to Catholic Mass every day. She was very devout. The psychotically depressed man, too, went to daily Mass when he was not institutionalized. He prayed for relief. He still had his job and his hobby. He went to work regularly, taking medical leaves only when the invisible torment got too bad for him to trust himself, or when there was some radical new treatment the psychiatrists wanted him to try. They'd tried Tricyciics, M.A.O.I.s, insulin-comas, Selective-Serotonin-Reuptake Inhibitors,
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the new and side-effect-laden Quadracyclics. They'd scanned his lobes and affective matrices for lesions and scars. Nothing worked. Not even high-amperage E.C.T. relieved It. This happens sometimes. Some cases of depression are beyond human aid. The man's case gave Kate Gompert the howling fantods. The idea of this man going to work and to Mass and building miniaturized railroad networks day after day after day while feeling anything like what Kate Gompert felt in that ward was simply beyond her ability to imagine. The rationo-spintual part of her knew this man and his wife must be possessed of a courage way off any sort of known courage-chart. But in her toxified soul Kate Gompert felt only a paralyzing horror at the idea of the squat dead-eyed man laying toy track slowly and carefully in the silence of his wood-panelled rec room, the silence total except for the sounds of the track being oiled and snapped together and laid into place, the man's head full of poison and worms and every cell in his body screaming for relief from flames no one else could help with or even feel.
The permanently psychotically depressed man was finally transferred to a place on Long Island to be evaluated for a radical new type of psychosurg-ery where they supposedly went in and yanked out your whole limbic system, which is the part of the brain that causes all sentiment and feeling. The man's fondest dream was anhedonia, complete psychic numbing. I.e. death in life. The prospect of radical psychosurgery was the dangled carrot that Kate guessed still gave the man's life enough meaning for him to hang onto the windowsill by his fingernails, which were probably black and gnarled from the flames. That and his wife: he seemed genuinely to love his wife, and she him. He went to bed every night at home holding her, weeping for it to be over, while she prayed or did that devout thing with beads.
The couple had gotten Kate Gompert's mother's address and had sent Kate an Xmas card the last two years, Mr. and Mrs. Ernest Feaster of Wellesley Hills MA, stating that she was in their prayers and wishing her all available joy. Kate Gompert doesn't know whether Mr. Ernest Feaster's limbic system got yanked out or not. Whether he achieved anhedonia. The Xmas cards had had excruciating little watercolor pictures of locomotives on them. She could barely stand to think about them, even at the best of times, which the present was not.
14 NOVEMBER YEAR OF THE DEPEND ADULT UNDERGARMENT
Ms. Ruth van Cleve's first day off new residents' three-day House Restriction. Allowed now to hit meetings outside Enfield if accompanied by some more senior resident the Staff judges safe. Ruth van Cleve in spike heels walking alongside a psychotically depressed Kate Gompert on Prospect just south of Inman Square, Cambridge, a little after 2200h., yammering nonstop.
Ruth van Cleve is shaping up to be excruciating for Kate Gompert to be around. Ruth van Cleve hails from Braintree on the South Shore, is many kilos underweight, wears brass-colored lipstick, and has dry hair teased out in the big-hair fashion of decades past. Her face has the late-stage Ice
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-addict's concave long-jawed insectile look. Her hair is a dry tangled cloud, with tiny little eyes and bones and projecting beak underneath. Joelle v.D.'d said it almost looked like Ruth van Cleve's hair grew her head instead of the other way around. Kate Gompert's hair is butcher-block cut and has recognizable color, at least.
Kate Gompert hasn't slept in four nights, and her slumped progress up the Prospect sidewalk resembles the lazy tack of a boat in no rush. Ruth van Cleve talks nonstop into her right ear. It's around 22OOh. on Saturday and the sodium streetlights keep going off and then on again with a stuttered hum, some connection in them loose somewhere. Foot-traffic is dense, and the undead and drunks who live in the streets around Inman Square also crowd the sidewalk's edges, and if Kate G. looks at the images of passersby in the darkened shop windows they become (pedestrians and undead stem-artists) just heads that seem to float across each window unconnected to anything. As in disconnected floating heads. In doorways by shops are incomplete persons in wheelchairs with creative receptacles where limbs should be and hand-lettered invitations to help them.
An oral narrative begins to emerge. Ms. Ruth v.C. has been remanded to Ennet House by D.S.S. and Family Court after her newborn baby was discovered in a Braintree MA alley swaddled in WalMart advertising circulars whose Harvest Moon Value Specials had expired 11/01, a Sunday. Ruth van Cleve had rather unshrewdly left the hospital I.D. bracelet with its D.O.B. and her own name and Health Card # on the discarded infant's wrist. The infant is apparently now in a South Shore hospital incubator, attached to machines and tapering off the Clonidine
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it received for in-utero addictions to substances Kate Gompert can only speculate about.
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The father of Ruth van Cleve's child, she reports, is under the protection and care of the Norfolk County Correctional Authority, awaiting sentencing for what Ruth van Cleve describes several times as operating a pharmaceutical company without a license.
What's remarkable to Kate Gompert is that she seems to be able to move forward without any sort of conscious moving-forward-type volitions. She puts her left foot in front of her right foot and then her right foot in front of her left foot, and she's moving forward, her whole self, when all she's capable of concentrating on is one foot and then the other foot. Heads glide by in the darkened windows. Some of the Latino males in the vicinity do a kind of sexual checking-out as they pass — even though underweight and dry-haired and kind of haggish, Ruth van Cleve's manner and attire and big hair broadcast that she's all about sexuality and sex.
A negative thing about opting for recovery in NA instead of AA is availability and location of meetings. In other words fewer NA meetings. On a Saturday night you could stand on the roof of Ennet House in Enfield and be hard-pressed to spit in any direction without hitting some AA venue nearby. Whereas the closest Saturday-P.M. NA meeting is N. Cambridge's Clean and Serene Group, infamous for cross-talk and chair-throwing, and the thing's Beginner's Mtng. goes from 2000 to 2l00h. and the regular from 2100 to 2200h., purposely late, to offset the Saturday-night jones so many drug addicts suffer weekly, Saturday still being the week's special mythic Party-Night even for persons who long ago ceased to be able to do anything but Party 24/7/365. But from Inman Square back to Ennet House is a ghastly hike — hoof up Prospect to Central Sq. and take the Red Line all the way to Park Street station and then the maddening Green Line B Train forever west on Comm. Ave. — and it's now after 22l5h., meaning Kate Gompert has 75 minutes to get herself and this hideous, despair-producing, slutty and yammering newcomer beside her back for Curfew. Ruth van Cleve's chatter is as listener-interest-independent as anything Kate Gom-pert's heard since Randy Lenz got invited to ingest Substances and abuse animals elsewhere, and left, which was who knows how many days or weeks ago.
The two move in and out of cones of epileptic light from fluttering street-lamps. Kate Gompert is trying not to shudder as Ruth van Cleve asks her if she knows someplace you can pick up a good toothbrush cheap. Kate Gom-pert's entire spiritual energy and attention are focused on first her left foot and then her right foot. One of the heads she does not see, floating in the windows with her own unrecognizable head and Ruth van Cleve's cloud of hair, is the gaunt and spectral hollow-eyed head of Poor Tony Krause, who's several steps behind them and matching their slightly serpentine course step for step, eyeing string purses he imagines contain more than just train-fare and NA Newcomers' keychains.
The vaporizer chugs and seethes and makes the room's windows weep as Jim Troeltsch inserts a pro-wrestling cartridge in the little TP's viewer and dons his tackiest sportcoat and wet-combs his hair down smooth so it looks toupeeish and settles back on his bunk, surrounded by Seldane-bottles and two-ply facial tissue, preparing to call the action. His roommates have long since seen what was coming, and screwed.