The man is old enough to be my father.
He dresses well—and I don’t mean in that glossy Esquire Magazine sort of way. His clothes are simple and understated: Jeans, polo shirt, and leather jacket. Khakis, cotton shirt with buttons over a tee shirt, and a windbreaker. His hands, with those neatly trimmed nails, reveal his age.
When he smiles, his cheeks squish up against his eyes. He looks like he’s squinting. His smile is big and toothy and bright—it’s like his mouth is a sun-lit window and his cheeks are heavy curtains that have been drawn apart.
“How have you been?” I ask. He flashes that illuminating smile at me and holds it steady like a flashlight beam.
“Good, good! Good!” he answers. “Sun is out… weather is good… air smells good… good!”
He starts to laugh. I can’t help but smile back at him.
“What have you been doing?”
“Oh, same thing. Eating… sleeping… sleeping good! No problems with sleep! Smoking. Smoking.” He begins to mimic the motion of smoking, taking a drag from the invisible cigarette poised between his fingers. “Same thing, same thing all the time.”
He knows the questions I must ask; I know the answers he provides. We run through the script and neither one of us misses a line.
“I think about my family,” he says, the light disappearing entirely from his face. He only frowns this way when he thinks about his family. They literally ran away from him. He wonders where his wife took his children. He wishes that he could see them again—what does his son look like now? how is his daughter doing in school? does his wife think about him?
“I know,” I reply, wishing that things were different. Although we can never be sure, the clinical history we have pieced together suggests that shortly after the manifestation of his symptoms, his family abandoned him. Maybe something else happened—maybe he threatened them? maybe he destroyed something and frightened them? maybe he had threatened himself? That’s not the way he tells the story, though.
He now avoids people—not to the point that he isolates himself in his studio apartment with the balcony from where he smokes his pack of cigarettes a day. Maybe it’s more accurate to say that he ignores people.
“Why?” I ask him.
His face hardens and his eyes focus on the square of carpet in the far corner.
“Because people are not good to me. I walk along the street and the people who use drugs—drug users, people who drink alcohol, lots of alcohol—they ask me for money, but they never give me money. They say they want money for food, but then they go buy alcohol and drugs. At night, they drink alcohol and are loud, yelling. They don’t buy food, they buy alcohol and drugs.”
His sister had been encouraging him to join the local church.
“Why not?” I ask him.
“Because they ask too many questions.”
“What do you mean?”
“I go to church and they ask, What is your name? What is your age? What is your work?”
He pauses—not for dramatic effect, but because the pause reflects his answer: Nothing.
“They ask, Where do you work? Where is your family?”
He pauses again. Sadness softens his features.
“Are you married? How many kids? How come they are not with you?”
He stops, his right thumb tracing the border of his lower lip. He doesn’t cry—not because he’s holding tears back; his eyes are completely dry. Maybe it’s because he doesn’t remember how—his family left him a long time ago. I don’t ask him. The moment isn’t there.
We sit together in silence.
“That’s why I don’t like people,” he finally says. “Being alone is better.”
Suddenly, he smiles at me, big, bright, and toothy. He’s squinting at the brightness of his own smile.
“I’m sorry,” I murmur, unable to look at the sun of his face.
(Part of the ongoing Relationship Series.)
12 Jun 2007 |
My one wish today is to be able to write like you. You are a talented writer and a compassionate doctor.
Comment by bp_hockey_chick | 13 Jun 2007 @ 10:12am
He might be schizophrenic, but to me, the only sane reaction to repeated abandonment is to avoid. Being alone *is* better; being with others requires too much work. I’m not certain why that would make you “unable to look at the sun of his face.” As far as I’m concerned, he’s figured it out.
Comment by Jude | 14 Jun 2007 @ 6:39pm
This post left an ache in my heart, for my father is schizophrenic. He developed it after my parents were married, around the time I was born. Unlike what happened to this man, my mother stayed with him through it all, and they are still married. Sometimes when growing up, when things would get too chaotic and frightening, I would wish she’d left him (she almost did a couple times when he’d go off meds, but he has mostly been very good about taking his medication, which makes a big difference). However, then (and now) I would think of what his life would be, and there is no way he could survive alone, at least not without perhaps homelessness. And such a thing is cruel. And I would regret wishing he was not a part of my life. As horrible and annoying as schizophrenia is, he is a human being.
Comment by Orange | 14 Jun 2007 @ 7:22pm
re:schizophrenia
People who have schizophrenia have a better long term recovery if they stop taking the (magical) medication for a non-biological disorder.
http://www.apa.org/monitor/feb00/schizophrenia.html
My clinical assessors and I were quite skeptical about finding any kind of recovery,” she says, “because we’d all been trained in the old model. As a former psychiatric nurse on an inpatient unit, it sure didn’t look like to me that anyone could get better.”
Her methodology included a recalibration of the original diagnosis of each patient, using the current (1980) volume of the DSM-III. Its definition of schizophrenia was more restrictive than the volume published by the American Psychiatric Association in 1952. Those who interviewed the patients for Harding were blind to everything in the records, and the record abstracter was blind as to current outcome.
Not only did the rediagnoses of schizophrenia hold to the narrower definitions, Harding’s study in The American Journal of Psychiatry (Vol. 144, No. 6, p. 718-735) showed that 62 percent to 68 percent of those former back ward patients showed no signs at all of schizophrenia.
Comment by Mark (p.s.) | 25 Jun 2007 @ 9:58pm