This story by Adam Haslett explores the frustrations of a young government psychiatrist as he makes a house call to evaluate a remote patient. The woman, living with guilt, depression and fear after the death of her methamphetamine-addicted eldest son, wants to renew her prescriptions. The doctor strongly believes she is also in need of therapy, but faces two problems in providing it: distance (a five-hour round-trip to see her), and the woman’s refusal to participate. Themes include social change, rural poverty and lack of opportunity, shattered dreams, disillusionment, substance abuse, guilt, PTSD, alienation, biological psychiatry vs. clinical psychology. More…
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Notes to My Biographer
The narrator of this dark comedy by Adam Haslett is a mentally ill seventy-three-year-old. The proud, delusional man won’t acknowledge the problem, refuses to take his medication, and is in severe financial difficulty. After a road trip to visit his son Graham, the only family member who will see him, he comes up with an idea for a revolutionary new bicycle that will make both of them rich. Graham, who is secretly battling the same illness as his father, is left shattered by the visit. Themes include mental illness, pride, estrangement, loneliness, obsession, paranoia, sexuality, embarrassment, fear. More…