“The person often experiences this instability of self-image as chronic feelings of emptiness or boredom.” My chronic feelings of emptiness and boredom came from the fact that I was living a life based on my incapacities, which were numerous. A partial list follows. I could not and did not want to: ski, play tennis, or go to gym class; attend to any subject in school other than English and biology; write papers on any assigned topics (I wrote poems instead of papers for English; I got F’s); plan to go or apply to college; give any reasonable explanation for these refusals.
American writer
Susanna Kaysen (born 11 November 1948) is an American author.
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“A writer,” I said, when my social worker asked me what I planned to do when I got out of the hospital. “I’m going to be a writer.” “That’s a nice hobby, but how are you going to earn a living?” My social worker and I did not like each other. I didn’t like her because she didn’t understand that this was me, and I was going to be a writer; I was not going to type term bills or sell au gratin bowls or do any other stupid things.
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People ask, How did you get in there? What they really want to know is if they are likely to end up in there as well. I can't answer the real question. All I can tell them is, It's easy. Most people pass over incrementally, making a series of perforations in the membrane between here and there until an opening exists. And who can resist an opening?
Naked, we needed protection, and the hospital protected us. Of course, the hospital had stripped us naked in the first place—but that just underscored its obligation to shelter us. And the hospital fulfilled its obligation. Somebody in our families had to pay a good deal of money for that: sixty dollars (1967 dollars) a day just for the room; therapy, drugs, and consultations were extra. Ninety days was the usual length of mental-hospital insurance coverage, but ninety days was barely enough to get started on a visit to McLean. My workup alone took ninety days. The price of several of those college educations I didn’t want was spent on my hospitalization.
And the college business: My parents wanted me to go, I didn’t want to go, and I didn’t go. I got what I wanted. Those who don’t go to college have to get jobs. I agreed with all this. I told myself all this over and over. I even got a job—my job breaking au gratin dishes. But the fact that I couldn’t hold my job was worrisome. I was probably crazy. I’d been skirting the idea of craziness for a year or two; now I was closing in on it.
The world didn’t stop because we weren’t in it anymore; far from it. Night after night tiny bodies fell to the ground on our TV screen: black people, young people, Vietnamese people, poor people—some dead, some only bashed up for the moment. There were always more of them to replace the fallen and join them the next night. Then came the period when people we knew—not knew personally, but knew of—started falling to the ground: Martin Luther King, Robert Kennedy. Was that more alarming? Lisa said it was natural. “They gotta kill them,” she explained. “Otherwise it’ll never settle down.”
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Borderline Personality Disorder* An essential feature of this disorder is a pervasive pattern of instability of self-image, interpersonal relationships, and mood, beginning in early adulthood and present in a variety of contexts. A marked and persistent identity disturbance is almost invariably present. This is often pervasive, and is manifested by uncertainty about several life issues, such as self-image, sexual orientation, long-term goals or career choice, types of friends or lovers to have, and which values to adopt.
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