Eastern Standard Tribe

"Interesting. Can we try a little thought experiment, Doctor? Say that your coworkers really were seeking to harm you-this is not without historical precedent, right? They're seeking to sabotage you because you've discovered some terrible treachery on their part, and they want to hush you up. So they provoke a reaction from you and use it as the basis for an involuntary committal. How would you, as a medical professional, distinguish that scenario from one in which the patient is genuinely paranoid and delusional?"

The doctor looked away. "It's in the protocol-we find it there."

"I see," I said, moving in for the kill. "I see. Where would I get more information on the protocol? I'd like to research it before my hearing."

"I'm sorry," the doctor said, "we don't provide access to medical texts to our patients."

"Why not? How can I defend myself against a charge if I'm not made aware of the means by which my defense is judged? That hardly seems fair."

The doctor stood and smoothed his coat, turned his badge's lanyard so that his picture faced outwards. "Art, you're not here to defend yourself. You're here so that we can take a look at you and understand what's going on. If you have been set up, we'll discover it-"

"What's the ratio of real paranoids to people who've been set up, in your experience?"

"I don't keep stats on that sort of thing-"

"How many paranoids have been released because they were vindicated?"

"I'd have to go through my case histories-"

"Is it more than ten?"

"No, I wouldn't think so-"

"More than five?"

"Art, I don't think-"

"Have any

paranoids ever been vindicated? Is this observation period anything more than a formality en route to committal? Come on, Doctor, just let me know where I stand."

"Art, we're on your side here. If you want to make this easy on yourself, then you should understand that. The nurse will be in with your lunch and your meds in a few minutes, then you'll be allowed out on the ward. I'll speak to you there more, if you want."

"Doctor, it's a simple question: Has anyone ever been admitted to this facility because it was believed he had paranoid delusions, and later released because he was indeed the center of a plot?"

"Art, it's not appropriate for me to discuss other patients' histories-"

"Don't you publish case studies? Don't those contain confidential information disguised with pseudonyms?"

"That's not the point-"

"What is the point? It seems to me that my optimal strategy here is to repudiate my belief that Fede and Linda are plotting against me-even if I still believe this to be true, even if it

is true-and profess a belief that they are my good and concerned friends. In other words, if they are indeed plotting against me, I must profess to a delusional belief that they aren't, in order to prove that I am not delusional."

"I read Catch-22 too, Art. That's not what this is about, but your attitude isn't going to help you any here." The doctor scribbled on his comm briefly, tapped at some menus. I leaned across and stared at the screen.

"That looks like a prescription, Doctor."

"It is. I'm giving you a mild sedative. We can't help you until you're calmer and ready to listen."

"I'm perfectly calm. I just disagree with you. I am the sort of person who learns through debate. Medication won't stop that."

"We'll see," the doctor said, and left, before I could muster a riposte.

I was finally allowed onto the ward, dressed in what the nurses called "day clothes"-the civilian duds that I'd packed before leaving the hotel, which an orderly retrieved for me from a locked closet in my room. The clustered nuts were watching slackjaw TV, or staring out the windows, or rocking in place, fidgeting and muttering. I found myself a seat next to a birdy woman whose long oily hair was parted down the middle, leaving a furrow in her scalp lined with twin rows of dandruff. She was young, maybe twenty-five, and seemed the least stuporous of the lot.

"Hello," I said to her.

She smiled shyly, then pitched forward and vomited copiously and noisily between her knees. I shrank back and struggled to keep my face neutral. A nurse hastened to her side and dropped a plastic bucket in the stream of puke, which was still gushing out of her mouth, her thin chest heaving.

"Here, Sarah, in here," the nurse said, with an air of irritation.

"Can I help?" I said, ridiculously.

She looked sharply at me. "Art, isn't it? Why aren't you in Group? It's after one!"

"Group?" I asked.

"Group. In that corner, there." She gestured at a collection of sagging sofas underneath one of the ward's grilled-in windows. "You're late, and they've started without you."

There were four other people there, two women and a young boy, and a doctor in mufti, identifiable by his shoes-not slippers-and his staff of office, the almighty badge-on-a-lanyard.