âHe shouldn't be writing me letters like this. Firstly, he's questioning my experience of being homosexual, insinuating I'm putting it on, and then he's saying it's akin to adultery, murder and theft. That's not right. He's a fucking psychiatrist. He shouldn't be saying this stuff. Even if he thinks it, he should be keeping it to himself.'
James was re-reading.
âActually,' I took the chance to keep talking, âhe shouldn't be working with children.'
âWhat are you going to do?' James held out the letter to me.
âI don't even want to touch it.'
âYou know he's a complete nuff, Mont.'
âStill hard to take.' I was getting surges of anger now. âDoes he just want me to curl up in a corner, disappear? Maybe that's what I should do?'
James held my gaze.
âI'm going to have to speak to him,' I said, seeming to recover. âTo pick on me is one thing. But the clients⦠it's like we're running some kind of wacky establishment, something halfway between Fawlty Towers and one of those strange hotels you see in films, that people go into and never come out of.'
âGood luck,' James said, a rather nervous smile spreading on his face.
I took the letter.
Nigel's office, along the corridor from mine, was open and, having not long arrived either, he was standing over his desk, perhaps looking at his schedule for the day. I was relieved to see him there and free.
âNigel,' I said in sotto voce. âCan I see you in my office for a moment, please?'
The words had come out plainly enough. I turned, a little light-headed. He followed.
âTake a seat,' I said, remaining calm, going slowly, not wanting to repeat a previous mistake when I had asked him about why he was suggesting a boy reside with his violent father instead of his mother. The conversation had finished almost before it had started that day.
âI presume this is a personal letter?' I held it up and then put it down to show I was in control, and that I found it altogether odious and didn't wish to touch it.
âYes,' he answered, unflinching.
âWell, I don't care about that. What I do care about is the fact you feel this way. I find it disturbing and, given your position, particularly concerning.'
âIt doesn't affect my work.'
âDo you have any clients grappling with this issue in their lives?'
âNo. I've not come across it, ever, as far as I'm aware.'
âAs far as you're aware? You do know that high amongst the risk factors for youth suicide is the issue of homosexuality?'
âYes.'
âWhat you seem to feel, however, is that people choose to be homosexual.'
âBeing part of a minority group can be attractive.'
âNot in a school playground, the last time I was aware.' I turned, gestured a little disgustedly at the letter. âPersonally, I'm not interested in the fact you feel this way. Even as a member of your team. But as your team leader, I don't want you working with any client who is dealing with this issue.'
âAlright.'
âAlright.' I repeated the word. It was hard to believe he was agreeing to this so readily.
âThat's fine,' he said, his smile sunny, if not a little pressed on his face. He stood and walked out of my office, leaving the door open.
It was a hollow victory. My mind swept up the scattered pieces to examine them. What if a child's parent was homosexual? Their aunt or uncle? One of their siblings? Two of them? Three or four of them? It was not a good sign for the future. It was certainly not a good sign for psychiatry: one step forward, twenty-five back â back to the days when our big fat diagnostic book had listed homosexuality as an illness, when young people would be sent off for analysis with the explicit hope they would return as heterosexuals. As for our discussion, the good doctor hadn't even needed to mention Freud, not even to defend his stance.
In a stunned state I sat on, in my chair. From the outside, I mused, someone might be forgiven for thinking Freud was God; from the inside they'd be a fool. God was God and we'd made him into a monster.
THIRTY-FIVE
R
enny was gobsmacked. âHe can't send you a letter like this. It's harassment. You've got to do something. What's-his-name: Ivan, Ernie? He should put his big toe in.'
âElliot.'
âShow
him
. See what he thinks.'
I nodded. âMaybe.'
âSomebody should stick up for you. Psychiatrist or not, no one should be able to say this to you.'
âI stuck up for myself. I told you what I said to him.'
âYes, but you should have support over this. He's a religious zealot. A bigot. He should be disciplined.'
I thought about this over the next few days. Renny was right. Although I'd held her back from taking the letter to the press, I did have to do something. So one morning, a week after receiving the letter, the corridors of Marlowe Downs suitably icy and dark from an absconded sun, I went to see Elliot.
âThis is disgraceful!' He reacted in a serious manner.
I told Elliot about the discussion with Nigel that had taken place in my office.
âI didn't really care at first,' I said, my words firing rapidly as he re-read the letter. âThought it was so far left-field it was ridiculous to worry about. But after he left my office, having given in so easily, I started to get angry.'
Elliot, unusually quiet, looked rather blankly at me. After a moment, he clarified: âHe said he wouldn't see families affected?'
âYes, but what does that mean, Elliot? Does it include extended family, or kids that haven't been truthful with themselves about their sexuality? Maybe they'll keep it from him?'
âIt's closed-minded,' Elliot said, looking at the letter again, almost as if he was checking it was real. âLeave it to me. I'll talk to Anton.'
There was no reason to doubt Elliot. He would, I believed, do what he could to vindicate me, but the mere thought I needed to be vindicated should have sent alarm bells ringing in my head. I had done nothing wrong. I walked out of Elliot's office feeling tall and potent and as if things would be put right. Nigel Pathmanathan would be put back in his box.
Only a little distracted by wanting to tell James I'd shown Elliot the letter, I saw two clients. But I eventually went looking and, as at other times lately, I couldn't find James in any of his usual squats: smoking in the courtyard, scribbling at his desk, making dense black coffee in the staff kitchen. I went outside to the car park to see if I could spot his sedan and yes, there it was, polished so the sun shone yellow medallions on every panel, sitting dutifully in its usual spot, complete with the tartan brown-and-orange patterned seat covers he'd shown off to me.
I went to the main reception desk to see if he might be using one of the large family therapy rooms, or perhaps seeing a child in one of the inpatient units.
There was nothing in the book.
âHave you seen James?' I asked Mali, the receptionist who seemed to have taken over permanently from Patricia.
âHe's gone for a swim in The Meuse.' The Meuse was the nickname for the small indoor swimming pool on the grounds at Marlowe Downs. It was named after the river in Belgium, dubbed by someone long gone who'd deliberately played on the word, "muse". A swim in the over-chlorinated water was meant to deliver inspiration and wisdom but I'd been to Belgium and driven along the side of the actual river, a polluted but rushing torrent, the banks of which were flanked with steel walls of industry. So, inspiration from such a dip had always seemed to me extremely unlikely. But I don't mention any of this to Mali.
âSwimming,' I said. âHow impertinent!'
This made Mali laugh, her ring of giggles beating away a little longer than necessary.
âHe's trying to get fit, Monty.'
I had my back to her, having taken the opportunity to check my pigeonhole for the second time in an hour.
âI can see I'm going to be the last one resisting fitness,' I said, trying to assess if I needed to scoop up two new messages that lay there, or if they could wait until tomorrow. (Occasionally a pallor would come over me:
Who? What? Oh, you must have it wrong, I don't work at Marlowe Downs, I just ended up here today and in fact I need to get myself home.
Usually these attacks would come on in the late afternoon. But today the dread had, like an unexpected change in the weather, weighed in early. It was only 11.30 a.m., 11.45 at the most, and I had an afternoon of appointments scheduled, the last two being consultations to schools in Hoppers Crossing. It was going to be a long day.)
âWell, he's a great disappointment.' I was sardonic, turning back to her, leaving my pigeonhole alone.
âHe should be fit if he's going to be a father one day.'
âA father! Now you're really scaring me, Mali.'
âNo, I just say that because he would be a very good father. In the future.'
She wasn't really going to let me get away with my disparaging comments so I just nodded. âWell, if you see him, tell him to get his fit body around to my office. It's nothing urgent, just need to talk to him.'
I walked out of the reception area and through the large waiting room, smiling at a mother who looked stricken with nervousness, probably at the thought she was in a place like Marlowe Downs. She smiled back apprehensively but, I thought, appreciatively.
I had predicted correctly about the arduous afternoon, and in the end I could only marvel at my ability to get through the hard hours it was comprised of. Even better â a few gems came out of my mouth, which I put down to the expectations of the job. I've seen it before, when the mere fact that I'm there and know what I'm supposed to do provides considerable inspiration. There was, of course, also a great hankering for the working day to end, which, in my experience, occurs more quickly when you're the one doing some of the talking. My saving grace: I was not one for becoming vague. Whether I was with clients or talking to other professionals, I'd learnt early on that in the end it hurts more to lose momentum.
And then, a final and further reprieve, there was a message on my phone, which I'd let ring out during the last consultation. I listened to it sitting in the car. âHey Mont, it's James. Hope you're okay. Ring me if you need me.' The relief of hearing his voice coursed through me. I sat in the school's car park, my eyes closing for a second in thanks. I did need him, not for anything specific, but in exactly the way he had just helped. He was like a net for me in those years and no matter the terrain of our relationship, care remained a staple.
THIRTY-SIX
W
hen days passed and nothing came of the conversation I'd had with Elliot, Renny couldn't help herself: she wrote a letter to him. I wanted to see it and I didn't, I wanted to stop her sending it but I also wanted it sent. In the end, after she read it aloud to me, I nodded my consent, knowing I was handing her power of attorney, so to speak. While I was half convinced that the whole thing was becoming a little soap opera-ish, there was another part of me that couldn't get over the gall of the good doctor, Nigel Pathmanathan, and the other doctors, nurses, psychologists and all the allied health professionals, not to mention the establishment itself, that would allow this kind of thing to go on. How could they? When I considered the implications in my quiet moments, there was something very disturbing about it. Tnat's why I let Renny send her letter, even though I knew at the time that I was letting her interfere in something that wasn't her business.
Elliot was furious. His shock of grey hair, now a mahogany red from a packet of L'Oreal, came bobbing and forward-thrusting into the staff lounge a day or so later. I was sitting with a couple of women -Celia's cohorts â from the autism team. One of them had lent me a book cataloguing syndromes because I was trying to diagnose a seven-year-old girl who had pixie-like features and displayed a lot of delays. We were discussing Williams syndrome. A debate was raging in my head as to whether the child should be tested, given the fact that the syndrome was in mild form â if existing at all. She was enrolled at a special school and the mother had no illusions as to her daughter's learning delays. What purpose would the diagnosis have? Possibly lots, but possibly it held hidden drawbacks as well? The girl's mother was on her own and had some odd behavioural traits herself. She'd taken her daughter to visit the family of another student and hadn't left for three days, apparently. Why that had happened, how it had happened, needed to be sorted out before the helpfulness of diagnosing the child could be assessed.
Anyway, I was listening to my favourite of Celia's mob, Dr Rosie Whelan, quietly explaining what she knew about the syndrome, as Elliot burst in.
âMonty, can I speak to you?'
âOf course,' I got up, muttering that I'd be back in a moment.
âWhy is your girlfriend writing to me?' he said, furiously, when we had removed ourselves to the other end of the large staffroom, where a depleted and surprisingly old library of textbooks were shelved. âI thought we'd sorted this out.'
Elliot was staring down at me intensely. Even with his crimson hair, and perhaps because of his hardly-rimmed glasses â which he didn't always wear â he looked like an owl, an unhappy one.
âI thought you said you were fine, that you'd dealt with it, that you were happy with Nigel's response.'
âYes,' I said a little weakly, trying to remember what it was I had said. âBut, well.' I started, âas I said to you, the rot started to set in later. What did happen about it?'
âI was going to talk to Anton,' he said, still snorting discontent.
âThere's no point in talking to Anton,' I said, as if clarity had suddenly entered my head. âHe wouldn't be interested and, quite frankly, because he's not a psychiatrist Nigel is not going to take any notice of him.'