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“Well, gents, what have you been discussing?” I said, having been absent for ten or twenty minutes. Only the secretary looked straight at me. The rest seemed too embarrassed to look at anything but the table before them, then they looked furtively at the works supervisor. He was the youngest, the one I most liked and trusted because I had promoted him from being a site foreman. He cleared his throat then explained that, though he did not wholly agree with the rest of the board, there was a general feeling that I should leave the firm’s steering wheel and become more of a back-seat driver; my great experience would always be valuable but blah blah blah blah et cetera. I grinned as I heard all this and when he fell silent was about to quell the mutiny — could easily have done it — but was suddenly overtaken by weariness with the whole business. It occurred to me also that someone had sampled the clear liquid in the tumbler beside my notepad and found it was not water but Polish vodka. I sipped from it, shrugged and said, “Have it your own way gents.”

All but the works supervisor at once cheered up, congratulated me on my wise decision, said I would gain rather than lose financially because blah blah blah blah blah. So the paperish arm left me with nothing to enjoy but my skin game.

The nature of other crusts (Lace, Fishscale, Snakeskin, Shell, Biscuit, Straw and Pads) I leave to the imagination of my readers, but some cannot be classified by a simple name. From the shallow valley above the caudal vertebrae I have removed three discs of the same size but different textures: beewing, parchment and paper, joined at a point where they overlapped by a little dark purple oval cake. I have also detached something like a tiny withered leaf, intricately mottled with black and grey, glossily smooth on the underside but with a knap like Lilliputian velvet on the upper. Anything often thought about enters our dreams and I sometimes dream of more extravagant growths. One is like a thin slab of soft, colourless cheese, slightly wrinkled: it peels off with no physical sensation at all. Another lies under it and another under that. At last I uncover what I know is the lowest layer which I fear to remove, knowing that underneath lies nothing but bone wrapped in a network of naked veins, arteries, tendons and nerves, yet intense curiosity is driving me to expose what I dread to see when I fortunately awaken.

I reduced the bouts of wild scratching to once a week and between them carefully removed the crusts I have listed and the others I have not. The pleasure of this harvesting is twofold: sensual because the raw skin beneath feels briefly relieved, perhaps because it can perspire and breathe more freely; emotional because I like separating the dead from the quick, removing what is not the living me from what is. After each session I apply ointment then sweep up the dust, flakes and crusts with a hand-held vacuum cleaner of the sort used on car upholstery. Yet I do so with a kind of regret, feeling these former growths of mine should be used for something. I considered gathering the biggest in a porcelain jar as Victorian ladies gathered flower petals, but the scent would not have been sweet. So instead of that —

I switch a plate of the electric cooker to maximum heat and with the tweezers lay on it a little pagoda-like tower of the largest crusts. They catch fire, each glowing red-hot before, with a faint sizzle, darkening and merging with the rest in a small black wart or bubble that heaves as if trying to rise off the plate, then collapses into a smear of white ash while releasing a wisp of smoke. This wisp, inhaled, has a tiny but definite odour of roasted meat. Surely this sight, sound and smell are as near as I can get to enjoying my cremation while alive? The ceremony is performed, of course, when my wife is away from home, but it once engrossed me so completely that I did not notice she had returned and was watching.

“What are you doing?”

Lacking the strength to stay silent and the energy to lie, I told her.

“But why?”

“Because I enjoy it.”

She arranged for me to see a psychotherapist.

He is a grave person not much younger than me. The following short summary of five politely laborious conversations makes them seem like comedy cross-talk with him the straight man, me the joker. A first person narrative makes such distortions inevitable.

I began by saying I had only come to please my wife and doubted if he could help me, as the skin game was a harmless way of getting fun out of an incurable illness. “But was the disease not caused by huge financial loss and the deaths of your sons? And have you not since become something of an alcoholic?”

I admitted that my illness had a psychological element. We then conversed as if it was the only element, because of course I was paying him to do that. He asked about my sex life. I said that like most faithful married men of my age and class and nation I had outgrown it.

“But has your wife? And do you not see that these obsessive scratchings and pickings are a regression to pre-adolescent infantilism?”

I agreed that I had reverted to infantilism but said I preferred the older name of second childhood, a condition to be expected in a man over sixty. My childish skin game perhaps blended narcissism, pre-masturbatory sadomasochism and a form of transferred coprophilia (I enjoyed coming back at him with big words) but it harmed nobody. I was sorry that my wife could not sleep with a man in my state but would not complain if she began visiting massage parlours or took up with a healthier lover, though in a woman of her age, class and nation this was improbable.

“Does it not occur to you that this narcissistic sadomasochism (as you agree to call it), this fast or slow flaying of your own epidermis — is a kind of self-punishment? What do you punish yourself for? Where lies your subconscious guilt?” I could not tell him so he told me.

At first he suggested I was subconsciously glad my sons had died, so felt subconsciously guilty of murdering them. I admitted that since their boarding-school days I had never felt at ease with the boys because (though they tried to hide it) they seemed to find my voice and manners too plebeian, but I was glad — not angry — that they felt happier with their mother than with me. Their deaths were surely depressing enough without making me a subconscious murderer.

Then he tackled me from the Marxist angle. I had once been nearly a millionaire and surely nobody innocently grows as rich as that? He was right, in a way. In the building trade a lot of contracts are won by private deals that bypass the advertised requests for tenders. Not many such deals involve the transfer of banknotes in plain envelopes. What outsiders call corruption is more a matter of people above a certain income level exchanging useful social favours, and certainly my father got business that way. I avoided these deals, which was not easy at first. A noted Lord Provost felt personally insulted when I ignored his hints that my bids for contracts would be accepted if submitted in particular terms on particular mornings. That was why I did not become a millionaire. I may have inherited some ill-gotten gains but had never resented paying income tax, and when that was reduced by Thatcher’s government I more than made up for what I owed the human race in standing orders of money steadily paid to Oxfam, Amnesty International, Greenpeace and Scottish Wildlife. Despite a reduced income I still pay several of these orders. It is conscience money so I am at peace with my conscience.