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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“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.

I got better and Daisy didn't and I can't explain why. Maybe I was just flirting with madness the way I flirted with my teachers and classmates. I wasn't convinced I was crazy, though I feared I was. Some people say that having any conscious opinion on the matter is a mark of sanity, but I'm not sure that's true. I still think about it. I'll always have to think about it.

Most of us saw our therapists every day. Cynthia didn’t; she had therapy twice a week and shock therapy once a week. And Lisa didn’t go to therapy. She had a therapist, but he used her hour to take a nap. If she was extremely bored, she’d demand to be taken to his office, where she’d find him snoozing in his chair. “Gotcha!” she’d say. Then she’d come back to the ward. The rest of us traipsed off day after day to exhume the past.

When she’d been with us a month or so, Lisa Cody got a diagnosis. She was a sociopath too. She was happy, because she wanted to be like Lisa in all things. Lisa was not so happy, because she had been the only sociopath among us. “We are very rare,” she told me once, “and mostly we are men.”

Suicide is a form of murder—premeditated murder. It isn’t something you do the first time you think of doing it. It takes getting used to. And you need the means, the opportunity, the motive. A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.

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Light like this does not exist, but we wish it did. We wish the sun could make us young and beautiful, we wish our clothes could glisten and ripple against our skins, most of all, we wish that everyone we knew could be brightened simply by our looking at them.

It’s important to cultivate detachment. One way to do this is to practice imagining yourself dead, or in the process of dying. If there’s a window, you must imagine your body falling out the window. If there’s a knife, you must imagine the knife piercing your skin. If there’s a train coming, you must imagine your torso flattened under its wheels. These exercises are necessary to achieving the proper distance. The motive is paramount. Without a strong motive, you’re sunk. My motives were weak: an American-history paper I didn’t want to write and the question I’d asked months earlier, Why not kill myself? Dead, I wouldn’t have to write the paper. Nor would I have to keep debating the question.

“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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Jerry was willowy and worried. He had one good trick. Now and then, someone with a lot of privileges was allowed to leave the hospital in a taxi. That person would say, “Jerry, call me a cab.” Jerry would say, “You’re a cab.” We loved this.

Often an entire family is crazy, but since an entire family can’t go into the hospital, one person is designated as crazy and goes inside. Then, depending on how the rest of the family is feeling, that person is kept inside or snatched out, to prove something about the family’s mental health.

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?