"The helmet?"
"I call it the appliance. But it doesn't send out an electric charge. It uses magnets." She turned the device over. "As you can see, the inside of the appliance is lined with about fifty figure-eight electromagnetic coils. Each coil produces a fluctuating magnetic field that can pulse at speeds ranging from one cycle per second to sixty cycles per second. Low frequencies work best, so in our session the fields will be running at one hertz, one cycle per second. These magnetic fields produce local electrical currents in the brain tissue. PTSD is characterized by increased blood flow in the right frontal and paralimbic structures, so that's where the fields will be activated. With me so far?"
"I guess so. Not all of the coils will be on?"
"Only the ones targeting the relevant brain structures. There will be about fifteen superposed fields generated by the coil array."
"Sounds like a lot of juice. I'm not too keen on getting brain cancer."
"The overall field strength will be lower than that of an MRI scanner. There's no danger. You may feel a slight contraction of your facial muscles, sort of like your forehead is being pulled taut. While the procedure is going on, you may experience blind spots in your vision, owing to inhibition of the occipital area."
"Great. You're making me blind."
"Afterward, you may experience a mild headache. And that's it."
"Come on, Doctor. Nothing's that safe. Even aspirin bottles have all kinds of warnings on them."
"The process is safe, Alan. The only possible complication is the risk of seizure."
"Seizure?"
She held up her hand. "A risk that will be minimized by maintaining a maximum field intensity of only eighty percent motor threshold."
"Say again?"
"If the magnetic field were at one hundred percent of motor threshold, there's a chance that your motor cortex would induce involuntary muscle movements. As long as the field is below that threshold, you'll be fine. I've used this therapeutic technique repeatedly over the past year without any complications."
She didn't add that she kept anticonvulsants on hand for emergencies. Some patients took comfort in that thought. She was sure Brand wouldn't be one of them.
"This technique of yours," Brand said. "Has it got a name?"
"I call it MBI, short for Magnetic Bilateral Inhibition. The magnetic part you already understand. Bilateral means that the fields will fluctuate from one side of the brain to the other. This enhances communication between the left and right hemispheres of the brain. It gets the two sides in sync. So that's what bilateral means. Which leaves inhibition."
"I thought inhibitions were supposed to be bad."
"It's a technical term. The magnetic fields are of such low frequency that, instead of stimulating neural activity, they'll selectively block it by disrupting neuronal firing."
"You're shutting off my brain?"
"The MBI appliance will temporarily inhibit some of your higher brain activities."
"Jesus amp;"
"It's no different from undergoing hypnosis. The higher brain structures responsible for critical thinking and self-censorship will be sidelined for the time being."
He seemed considerably more uneasy. "I don't think I want to be hypnotized."
"That's only an analogy." Men like Brand were always leery of any loss of control.
"Gotta be honest with you, Doctor. This isn't sounding like something I'm gonna do."
"You think heading back to the dogfights is the answer?"
"It's better than having some kind of magnetic lobotomy. Save that for the cons. Use them as lab rats, not me."
"You're here because the results I've obtained with convicts are good enough to offer hope for other people suffering the aftereffects of trauma."
"I'm not suffering any goddamned aftereffects."
"That's not what Dr. Alvin says. He tells me you've been experiencing chronic stress, nightmares, irritability, hyper-vigilance, and flashbacks."
"Look, I'm a cop. Every cop has nightmares. Irritable? Shit, you try working these streets, dealing with the hookers and the homeboys, and see if you don't get irritable."
"And the flashbacks?"
"They're getting better."
"The chronic stress? The back pain, neck pain?"
"Gives me an excuse for a massage. Believe me, Doctor, everybody should have my problems. I can show myself out."
He made a move to stand up. Her voice stopped him.
"Alan, I don't want to be confrontational. But the fact is, you have been directed by your superiors to come here because they are concerned about your psychological welfare. And so am I. You're clearly in denial about your problems. You skipped our appointment, and you've been skipping work. Your career is in jeopardy. You need help, whether or not you want it. And you're going to get my helpwhether or not you want it."
Brand stared at her for the space of several heartbeats, and she stared back, refusing to turn away from his gaze. Then with a resigned wave of his hand, he settled back on the couch.
"So you use magnets to bilaterally, uh, inhibit my brain. That about the size of it?"
"Close enough. Once you're in a relaxed state, you'll be asked to process the target incident."
"You talk like a goddamned bureaucrat, you know that?"
"Sorry. You're right; it's jargon. I just mean you'll relive the experience."
"The shooting?"
She nodded. "You'll go through it step by step and narrate it to me."
"Under hypnosis amp;"
"In a related state. I know it can be difficult reexperiencing the trauma. But by doing it, you'll gain a new perspective on the event. Its emotional colorations will be minimized. You'll be able to reevaluate what happened from a noncritical standpoint. And I believe the flashbacks, the stress, and the other problems will be dramatically reduced."
He was silent, fidgeting.
"Alan?"
"You're not giving me any choice, are you? I mean, you want me to be informed so I can sign these papers, but I have to sign. If I don't, I'm going against the department."
"I'm sorry if you feel pressured"
"Cornered is more like it. And you don't give a shit, as long as you can do your precious research."
Even the prisoners she'd worked witheven Justin Grayhad not been so openly hostile. "I honestly do want to help you, Alan."
"Great. Let's get started then." He scrawled his signature on the waiver documents. "Come on, rewire my brain and make me healthy."
Normally she would use the initial session to take a detailed history, run some baseline medical and psychological tests, and determine if there were any physical problems that might complicate the procedure. But Dr. Alvin had already acquired that information, which she had reviewed, and she didn't want to postpone the use of MBI until the second session. She was well aware that if Brand remained uncooperative, there might not be a second session. Her best chance of winning him over was to show him how painless the technique really was.
At her request, he moved to the straight-back chairthe MBI chair, as she called it. Two plastic straps with metal buckles dangled from the armrests. "You going to strap me in?" he asked warily.
"Those are for some of my patients from County. Since I don't like having the deputies in the room when I work, the patient has to be restrained."
She began attaching small adhesive electrodes to his exposed skin. The electrodes would allow her to monitor his brain function, heart rate, and muscular tension on parallel readouts on the computer screen.
"You work with some badass characters, I hear."
She smiled. "They're not as badass as they used to be."
"Yeah? Even Justin Gray?"
"I didn't think his participation in the program was public knowledge."