The Silent Patient (2 page)

During the trial, Jean-Felix Martin, who managed the small Soho gallery that represented Alicia, made the controversial decision, decried by many as sensationalist and macabre, to exhibit the
Alcestis.
The fact that the artist was currently in the dock for killing her husband meant, for the first time in the gallery’s long history, queues formed outside the entrance.

I stood in line with the other prurient art-lovers, waiting my turn by the neon-red lights of a sex shop next door. One by one, we shuffled inside. Once in the gallery, we were herded toward the painting, like an excitable crowd at a fairground making its way through a haunted house. Eventually, I found myself at the front of the line—and was confronted with the
Alcestis.

I stared at the painting, staring into Alicia’s face, trying to interpret the look in her eyes, trying to understand—but the portrait defied me. Alicia stared back at me—a blank mask—unreadable, impenetrable. I could divine neither innocence nor guilt in her expression.

Other people found her easier to read.

“Pure evil,” whispered the woman behind me.

“Isn’t she?” her companion agreed. “Cold-blooded bitch.”

A little unfair, I thought—considering Alicia’s guilt had yet to be proven. But in truth it was a foregone conclusion. The tabloids had cast her as a villain from the start: a femme fatale, a black widow. A monster.

The facts, such as they were, were simple: Alicia was found alone with Gabriel’s body; only her fingerprints were on the gun. There was never any doubt she killed Gabriel.
Why
she killed him, on the other hand, remained a mystery.

The murder was debated in the media, and different theories were espoused in print and on the radio and on morning chat shows. Experts were brought in to explain, condemn, justify Alicia’s actions. She must have been a victim of domestic abuse, surely, pushed too far, before finally exploding? Another theory proposed a sex game gone wrong—the husband was found tied up, wasn’t he? Some suspected it was old-fashioned jealousy that drove Alicia to murder—another woman, probably? But at the trial Gabriel was described by his brother as a devoted husband, deeply in love with his wife. Well, what about money? Alicia didn’t stand to gain much by his death; she was the one who had money, inherited from her father.

And so it went on, endless speculation—no answers, only more questions—about Alicia’s motives and her subsequent silence. Why did she refuse to speak? What did it mean? Was she hiding something? Protecting someone? If so, who? And why?

At the time, I remember thinking that while everyone was talking, writing, arguing, about Alicia, at the heart of this frantic, noisy activity there was a void—a silence. A sphinx.

During the trial, the judge took a dim view of Alicia’s persistent refusal to speak. Innocent people, Mr. Justice Alverstone pointed out, tended to proclaim their innocence loudly—and often. Alicia not only remained silent, but she showed no visible signs of remorse. She didn’t cry once throughout the trial—a fact made much of in the press—her face remaining unmoved, cold. Frozen.

The defense had little choice but to enter a plea of diminished responsibility: Alicia had a long history of mental health problems, it was claimed, dating back to her childhood. The judge dismissed a lot of this as hearsay—but in the end he allowed himself to be swayed by Lazarus Diomedes, professor of forensic psychiatry at Imperial College, and clinical director of the Grove, a secure forensic unit in North London. Professor Diomedes argued that Alicia’s refusal to speak was in itself evidence of profound psychological distress—and she should be sentenced accordingly.

This was a rather roundabout way of saying something that psychiatrists don’t like putting bluntly:

Diomedes was saying Alicia was mad.

It was the only explanation that made any sense: Why else tie up the man you loved to a chair and shoot him in the face at close range? And then express no remorse, give no explanation, not even speak? She must be mad.

She had to be.

In the end, Mr. Justice Alverstone accepted the plea of diminished responsibility and advised the jury to follow suit. Alicia was subsequently admitted to the Grove—under the supervision of the same Professor Diomedes whose testimony had been so influential with the judge.

If Alicia wasn’t mad—that is, if her silence was merely an act, a performance for the benefit of the jury—then it had worked. She was spared a lengthy prison sentence—and if she made a full recovery, she might well be discharged in a few years. Surely now was the time to begin faking that recovery? To utter a few words here and there, then a few more; to slowly communicate some kind of remorse? But no. Week followed week, month followed month, then the years passed—and still Alicia didn’t speak.

There was simply silence.

And so, with no further revelation forthcoming, the disappointed media eventually lost interest in Alicia Berenson. She joined the ranks of other briefly famous murderers; faces we remember, but whose names we forget.

Not all of us. Some people—myself included—continued to be fascinated by the mystery of Alicia Berenson and her enduring silence. As a psychotherapist, I thought it obvious that she had suffered a severe trauma surrounding Gabriel’s death; and this silence was a manifestation of that trauma. Unable to come to terms with what she had done, Alicia stuttered and came to a halt, like a broken car. I wanted to help start her up again—help Alicia tell her story, to heal and get well. I wanted to fix her.

Without wishing to sound boastful, I felt uniquely qualified to help Alicia Berenson. I’m a forensic psychotherapist and used to working with some of the most damaged, vulnerable members of society. And something about Alicia’s story resonated with me personally—I felt a profound empathy with her right from the start.

Unfortunately, I was still working at Broadmoor in those days, and so treating Alicia would have—should have—remained an idle fantasy, had not fate unexpectedly intervened.

Nearly six years after Alicia was admitted, the position of forensic psychotherapist became available at the Grove. As soon as I saw the advert, I knew I had no choice. I followed my gut—and applied for the job.

CHAPTER THREE

MY NAME IS THEO FABER
. I’m forty-two years old. And I became a psychotherapist because I was fucked-up. That’s the truth—though it’s not what I said during the job interview, when the question was put to me.

“What drew you to psychotherapy, do you think?” asked Indira Sharma, peering at me over the rims of her owlish glasses.

Indira was consultant psychotherapist at the Grove. She was in her late fifties with an attractive round face and long jet-black hair streaked with gray. She gave me a small smile—as if to reassure me this was an easy question, a warm-up volley, a precursor to trickier shots to follow.

I hesitated. I could feel the other members of the panel looking at me. I remained conscious of maintaining eye contact as I trotted out a rehearsed response, a sympathetic tale about working part-time in a care home as a teenager; and how this inspired an interest in psychology, which led to a postgraduate study of psychotherapy, and so on.

“I wanted to help people, I suppose.” I shrugged. “That’s it, really.”

Which was bullshit.

I mean, of course I wanted to help people. But that was a secondary aim—particularly at the time I started training. The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health. We are drawn to this profession because we are damaged—we study psychology to heal ourselves. Whether we are prepared to admit this or not is another question.

As human beings, in our earliest years we reside in a land before memory. We like to think of ourselves as emerging from this primordial fog with our characters fully formed, like Aphrodite rising perfect from the sea foam. But thanks to increasing research into the development of the brain, we know this is not the case. We are born with a brain half-formed—more like a muddy lump of clay than a divine Olympian. As the psychoanalyst Donald Winnicott put it, “There is no such thing as a baby.” The development of our personalities doesn’t take place in isolation, but in relationship with others—we are shaped and completed by unseen, unremembered forces; namely, our parents.

This is frightening, for obvious reasons. Who knows what indignities we suffered, what torments and abuses, in this land before memory? Our character was formed without our even knowing it. In my case, I grew up feeling edgy, afraid; anxious. This anxiety seemed to predate my existence and exist independently of me. But I suspect it originated in my relationship with my father, around whom I was never safe.

My father’s unpredictable and arbitrary rages made any situation, no matter how benign, into a potential minefield. An innocuous remark or a dissenting voice would trigger his anger and set off a series of explosions from which there was no refuge. The house shook as he shouted, chasing me upstairs into my room. I’d dive and slide under the bed, against the wall. I’d breathe in the feathery air, praying the bricks would swallow me up and I would disappear. But his hand would grab hold of me, drag me out to meet my fate. The belt would be pulled off and whistle in the air before it struck, each successive blow knocking me sideways, burning my flesh. Then the whipping would be over, as abruptly as it had begun. I’d be tossed to the floor, landing in a crumpled heap. A rag doll discarded by an angry toddler.

I was never sure what I had done to trigger this anger, or if I deserved it. I asked my mother why my father was always so angry with me, and she gave a despairing shrug and said, “How should I know? Your father’s completely mad.”

When she said he was mad, she wasn’t joking. If assessed by a psychiatrist today, my father would, I suspect, be diagnosed with a personality disorder—an illness that went untreated for the duration of his life. The result was a childhood and adolescence dominated by hysteria and physical violence: threats, tears, and breaking glass.

There were moments of happiness; usually when my father was away from home. I remember one winter he was in America on a business trip for a month. For thirty days, my mother and I had free rein of the house and garden without his watchful eye. It snowed heavily in London that December, and the whole of our garden was buried beneath a crisp thick white carpet. Mum and I made a snowman. Unconsciously or not, we built him to represent our absent master: I christened him Dad, and with his big belly, two black stones for eyes, and two slanting twigs for stern eyebrows, the resemblance was uncanny. We completed the illusion by giving him my father’s gloves, hat, and umbrella. Then we pelted him violently with snowballs, giggling like naughty children.

There was a heavy snowstorm that night. My mother went to bed and I pretended to sleep, then I snuck out to the garden and stood under the falling snow. I held my hands outstretched, catching snowflakes, watching them vanish on my fingertips. It felt joyous and frustrating and spoke to some truth I couldn’t express; my vocabulary was too limited, my words too loose a net in which to catch it. Somehow grasping at vanishing snowflakes is like grasping at happiness: an act of possession that instantly gives way to nothing. It reminded me that there was a world outside this house: a world of vastness and unimaginable beauty; a world that, for now, remained out of my reach. That memory has repeatedly returned to me over the years. It’s as if the misery that surrounded that brief moment of freedom made it burn even brighter: a tiny light surrounded by darkness.

My only hope of survival, I realized, was to retreat—physically as well as psychically. I had to get away, far away. Only then would I be safe. And eventually, at eighteen, I got the grades I needed to secure a place at university. I left that semi-detached prison in Surrey—and I thought I was free.

I was wrong.

I didn’t know it then, but it was too late—I had internalized my father, introjected him, buried him deep in my unconscious. No matter how far I ran, I carried him with me wherever I went. I was pursued by an infernal, relentless chorus of furies, all with his voice—shrieking that I was worthless, shameful, a failure.

During my first term at university, that first cold winter, the voices got so bad, so paralyzing, they controlled me. Immobilized by fear, I was unable to go out, socialize, or make any friends. I might as well have never left home. It was hopeless. I was defeated, trapped. Backed into a corner. No way out.

Only one solution presented itself.

I went from chemist to chemist buying packets of paracetamol. I bought only a few packets at a time to avoid arousing suspicion—but I needn’t have worried. No one paid me the least attention; I was clearly as invisible as I felt.

It was cold in my room, and my fingers were numb and clumsy as I tore open the packets. It took an immense effort to swallow all the tablets. But I forced them all down, pill after bitter pill. Then I crawled onto my uncomfortable narrow bed. I shut my eyes and waited for death.

But death didn’t come.

Instead a searing, gut-wrenching pain tore through my insides. I doubled up and vomited, throwing up bile and half-digested pills all over myself. I lay in the dark, a fire burning in my stomach, for what seemed like eternity. And then, slowly, in the darkness, I realized something.

I didn’t want to die. Not yet; not when I hadn’t lived.

This gave me a kind of hope, however murky and ill defined. It propelled me at any rate to acknowledge that I couldn’t do this alone: I needed help.

I found it—in the form of Ruth, a psychotherapist referred to me through the university counseling service. Ruth was white-haired and plump and had something grandmotherly about her. She had a sympathetic smile—a smile I wanted to believe in. She didn’t say much at first. She just listened while I talked. I talked about my childhood, my home, my parents. As I talked, I found that no matter how distressing the details I related, I could feel nothing. I was disconnected from my emotions, like a hand severed from a wrist. I talked about painful memories and suicidal impulses—but couldn’t feel them.