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As for Bowen and Valuam they murmured at me cordially and passed by. There was no apparent reason for contact and Busner remained absent. I suspected that his juniors were prejudiced against me because of my father and all the sentimental crap Busner mouthed when I arrived on the ward, but I didn’t particularly care. And at lunch I talked to auxiliaries or nurses.

Every night Mimi rendezvoused with me in another cupboard. I never knew which one it would be but somehow she always knew where to catch me just when I was about to finish clearing away the art materials and leave the ward for the night. Our couplings remained brief and stylised. She resisted my unspoken pressure towards some intimacy with offers of more green pills, which I took, hoping they might bring us together. On Friday she gave me four more after I had taken my normal two and told me to administer them myself over the weekend.

On Saturday night I went to see a film with a friend. We normally met up every month or so and at least half our time was, naturally enough, taken up with relaying a cursory outline of what we had been doing in the intervening period. On this occasion I was more circumspect than usual. I had the suspicion that what had been happening to me on the ward, especially my relationship with Mimi, was something that I shouldn’t talk about to outsiders. It wasn’t that it was wrong exactly — it was rather that the experience so clearly didn’t apply.

I was also very conscious of the green pills that lay in the soft mess of lint at the bottom of my pockets. My finger sought them out as we talked, and to the probing digit they felt preposterously large and tactile, the way objects in the mouth feel to the tongue.

We were sitting in the cinema. I was idly watching the film, when I felt for the first time what must have been an effect of the drug. It was remarkably similar to the sensation I had had on the ward, when I was standing up on the chair looking for the first time at the patients’ artworks on the top shelf of the materials cupboard. It was a feeling of detachment, but not from the external world; this was an internal detachment, a membraneous tearing away, inside of me.

After the film we went to get something to eat in a kebab joint. As we entered the eatery through an arch, band-sawn out of chipboard, I felt the rending inside me, again. For some reason I found myself unable to discuss the film. Abstracted, I started to casually shred the flesh from my splayed baby chicken with my hands. I had amassed quite a pile before my friend reacted with concerned disgust. I shrugged the episode off.

At the end of the evening I said goodbye to my friend and returned to my house. Sitting in the yellow light from the road, coiling and uncoiling my sock, I resolved, quietly and with no emotional fuss, never to see him again.

It’s funny. It’s funny — but after that it became easy to dismantle the emotional and spiritual framework of my life. Relatives, friends, ex-lovers; it became apparent that their relationships with me had always been as contingent as I had suspected. It only took an instance of irregularity, one, or at most two phone calls unreturned by me, an engagement not attended, for whole swathes of human contact to lie down, to fall into short stooks.

After a few weeks on Ward 9, and a generous handful of mutant M&Ms, everything began to resolve itself into the patterns I had always dimly thought I apprehended. The violet swirls, purple beams and glowing coils that lie within the world of the pressed eyelid — the distressed retina. I seemed to have acquired an air-cushioned soul. I felt no resistance to doing things that would have plagued my conscience in the past, at least that is what I felt. I had no precise examples of these things other than taking Parstelin itself. My liaisons with Mimi? But they were just knee-jerk experiences.

Why have I isolated myself like this? My only human contact now comes within working hours and mostly with the patients on the ward. I have no idea. I can make no claim to being depressed or alienated. Indeed I seem to have suffered from less disaffection in my life than most of my contemporaries, perhaps because of my father’s death. Yet I felt more at home on the ward than I ever felt … at home.

The patients have thrown themselves into the worksheets with a vengeance. There was something about the size and complexity of the job that really appealed to them. The method also gave them the opportunity to blend together all their different styles. When they were working quietly on the sheets in the late afternoon one could almost be in a normal working situation. All their idiosyncrasies and psychic tics seemed smoothed out by their absorption. Clive no longer rocked at all. Hilary, having integrated her miniatures into Simon’s new swirl of encrusted mâché, was content to work on backgrounds. Her bag-on-a-stand swished around her, a fixed point which delineated the circumference of her enterprise.

There was one thing missing in all of this: Busner. Despite the fact that I now seemed to get on with all and sundry on the ward; despite the fact that I felt accepted; despite the fact that when the lift door rolled back and I found myself at the head of the familiar, short corridor that led to the association area, I no longer felt the atmosphere as oppressive; on the contrary it was cosy, from beneath the covers. Despite all this there was Busner’s profound absence. An absence towards which I felt a surprising ambivalence.

Busner is the Hierophant. He oversees the auguries, decocts potions, presides over rituals that piddle the everyday into a teastrainer reality. And he is a reminder of everything I wish to bury with my childhood. A world of complacency, of theory in the face of real distress. My father and Busner would sit together for hours at the head of the dining-room table and set the world to rights. Their conversation — I realised later — loaded with the slop of banality and sentimentality that was the direct result of their own sense of failure. Their wives would repair to another room and there do things that had to be done, while they carried on and on, eliding their adolescence still further into middle age. The awful oatmeal carpets of my childhood and the shame of having been a part of it all. When I think of Busner now he is a ghastly throwback, threatening to drag me into a conspiracy to evade reality.

Where is he? Valuam told me over bourbons and tea that he was in Helsinki, reading a paper to a conference. Valuam dunked his biscuits and sucked on them noisily, which is something I wouldn’t have expected from this little scrap of anal retention. We talked a little about my art therapy work, but really he had no time for it and pointed instead to the success he was having with a new anti-depressant. ‘Seemingly intractable states, verging on total withdrawal, now with noticeable effect.’ He was referring to Lionel, who now no longer sat by the windows staring blankly down on to the chronics’ balcony, but instead paced the men’s ward like a caged lion, desperate to get back into business. Where was Busner? I didn’t believe Valuam; I kept expecting the door to the utilities cupboard to swing open and to find crouching there, sweaty pills in pudgy palm, the discredited guru, waiting with affectionate arm to jerk me off, for old times’ sake.