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In Brewer around Eighth and Elm the buildings cut down on the wind somewhat. It's an older area, where commercial meets residential. A former hat factory stands empty but for one little photocopy-and-offset-printing establishment named PRINTSMART in a lower corner. The treatment center occupies the basement floor of what used to be a three-story elementary school, grades K through six. The parking lot consists of a strip of diagonal places at the side of the building where the neighborhood residents stick their rusty heaps at night, right across two spaces, neglecting to wake up in time to take them away. The neighborhood is shabby but not dangerous, like most of the clients.

As Nelson gets out of his Corolla he sees a sky darkly bruised in patches above the brick cornices, the clouds layered and shredding as they slide swiftly sideways, but the rain appears to be stopping and the air brightens as if to clear. People on the sidewalks, especially the young women who work in the glass courthouse annex a block away, hugging themselves in short sleeves and not even carrying umbrellas, don't appear to know they're almost in a hurricane. Across Eighth Street a cheap big orange facade saying DISCOUNT OFFICE SUPPLIES has been attached above the doorway to an old stationery store that Nelson remembers still smelling of gum erasers and ink eradicator before everything was bubble-wrapped and packaged for bulk sales; the sign makes a shivery noise as a spatter of bright raindrops sweeps by. Farther down Eighth an old-timey, routed, gold-lettered Tavern sign swings back and forth. Maybe he should have suggested that as the place to eat-a little racier and more cavelike, with a liquor license -but he obscurely wanted to keep his meeting with his sister sober and pure: a solemn occasion.

The radio said Governor Ridge was considering declaring an emergency and sending all state and local workers home, but inside the Center the staff has shown up, all but Andrea the art therapist, who lives beyond Pottstown, almost on the Main Line.

She commutes up to Brewer because funds for art therapists are drying up nationwide and the job she had in Philly was eliminated. To snotty, pouty, twice-divorced Andrea, a henna-tinged brunette with big rings she makes herself on nearly every finger, Brewer is a hick town with too many religious cranks and dumb Dutchmen.

As the morning wears on, the rain with renewed vigor whips at the basement windows so hard that water begins to dribble across the wooden sills. Years ago, before Nelson was hired, the floor was gutted and partitioned into suitable spaces-tiny offices for the staff, larger group rooms for the clients, a reception space, a kitchen where the clients make their lunch and a dining area, with six round tables, adjacent to the sofas and upholstered chairs of the milieu. In the milieu the clients not doing a group or having a consultation can read, knit, play games, and hopefully interact. When this was a kindergarten the five-year-olds learned to tie their shoelaces and fit pegs into holes but social interaction, socialization, sitting in a circle and learning to share, was the main lesson; for these dysfunctional adults it still is. There are thirty of them, theoretically present from nine to four, and a staff of eight, headed by Esther, a doctor of psychology. Nelson has resisted suggestions that he go after an advanced license or degree; he doesn't want a private practice or, after the mess he made running the Toyota agency, any administrative responsibility. He learned his limits.

Some clients straggle in, drenched and exhilarated about a hardship they are sharing with all the residents of Brewer, and others have chosen to stay at home with their delusions, anxieties, and television sets. Because of low attendance Nelson's three-times-a-week group on Relationships is absorbed into Katie Shirk's group on Goals and Priorities. Nelson uses his downtime to catch up on paperwork-progress notes, intake forms-and goes around mopping up windowsills with paper towels. Left wet, the paint peels. The rain has intensified again.

The DiLorenzos show up, though, all three of them, hurricane or not, at eleven sharp. They are desperate. Their world has come crashing down because of a few misfiring neurons. In the waiting area they give off a powerful damp odor of bafflement-graying patriarch, swag-bellied but still powerful in the arms and shoulders; mother, a touch of peasant drab still in her plain dark suit though money talks in her shoes and the silk scarf at her throat; and son, twenty, slim and good-looking, with an almost feminine delicacy, bright-eyed, wavy-haired, but going soft and pasty with inactivity, and the fear of his own strangeness giving his dark eyes an anxious bulge. His eyes fascinate Nelson with their helpless beauty-dark but not black, paler than his thick brows, an ale color, or like the dark jelly bees feed to their queen, freckled with light, life in them like a squirt of poison. He decides to take the boy first, and asks the parents to wait.

"Well, Michael. How are you feeling?" he asks when the door is closed and he is settled at his desk. His desk is of minimum size and with a fake-wood-grain top. The young man folds himself into the one-piece molded-plastic chair, orange in color, opposite. He wants to slouch to show how lightly he takes all this but the chair in its flimsy, scientifically determined form does not permit much of a slouch.

"O.K. Good. The same."

"Voices quiet?"

Michael licks his lips as if abruptly aware of a dryness. "Yes."

He is lying, Nelson knows, but he keeps his eyes down on the young man's folder, opened six months ago. "Taking your Trilafon consistently?"

"Absolutely, sir." This is another lie, Nelson can tell from a certain retraction in the young voice, a telltale flattening, but Michael wants to believe it, he wants to be cured, of an illness that seems to be nothing less than himself, a rot of his most intimate ego, that voice within, where it was nestled supposedly safe in his skull.

"Any side effects from the Trilafon you want to take up with Dr. Wu?" Howard Wu is the Center's M.D., here three half-days a week. Golden in color, stocky in form, he is much beloved, for his hearty Chinese pragmatism and large convex teeth. He is their jolly Buddha.

The boy readjusts his position, perching on the chair's edge and jerking forward. "I feel plugged up. At both ends. It's like a cold in my nose all the time. I feel sleepy all day, and then I can't sleep at night. I feel shitty," he says, and titters, as if to disown his feeling. A fission, a scatter, in his young face makes him hard for Nelson to look at.

"Do you want me to write down, 'No voices'? If I do that, Dr. Wu will see no reason to adjust the medication."

Nelson's deliberate gaze elicits from Michael a flutter of avoidance, a batting of lashes under the shapely black brows, which have that touch of a built-in frown Italian men have, a thickening toward the bridge of the nose. He must have cut a tidy swath at Brewer High, not to mention summers cruising among his peers in the convertible his parents had bought him, proud they could afford it. He peaked too early, like Dad in a way. There is still a little bravado, mannerly but dangerous, in the boy's smile, and in the slick way his bouncy black hair was tamed by the comb. The grooming is a positive sign. Or did his mother comb his hair for him today, for this appointment, and see to it that he shaved? "There were some voices," he admits, huskily, then smirks as if to dare the world to make much of it.

"What did they say, do you remember?"

No answer.

"What did the voices say?"

"Nasty stuff."

Nelson waits.

"They tell me what a miserable fuck-up I am. They tell me to kill myself. Or maybe I think of that myself, to shut them up. It might be worth it."

"Michael," Nelson said, loud and urgent enough to make the boy, whose eyes sidle and flutter, look at him. "If you ever, for a moment, think you might follow through on these impulses, you must do what?"

A long pause. "I don't know."

"You must get in touch with the Center. At any hour."