One Note

In the night he played the organ of sorrows whose vast pipes spanned continents and whose music was time, the sea in which he swam and dissolved to become a wail sounding the deep where beginning and end are one note...

Tanzania

The strangest thing about Tanzania was how familiar it was to me in February of 2016 after a gap of nearly fifty years. 1. I left Tanzania in 1969. When I was there long ago, I was young and Tanzania was young. Now I am old and Tanzania is still young, very young, with a huge portion of its population under 20. It has an enormous and stunningly diverse youthful population that needs an education, work, a sense of purpose and meaning, pathways to dignity and integrity, pathways not so easy to find in the maze of the modern world in which traditions have been radically disrupted. My very first trip to East Africa took place when I was eight. I travelled through the portal of triangular postage due stamps issued by the Nyassa Company of Mozambique, then a Portuguese colony.   These stamps showed wildlife within their escalloped borders. I remember giraffes and zebras, each with a hint of the savannah behind them. These hints conveyed the vastness of the savannah and so, too, the existence of another world in which I was wholly absorbed. I would have loved to own these stamps, but knew better than to ask because I knew we did not have the money for such luxuries. So they remained in their glass case at Halle’s.   In retrospect this was a stroke of good fortune.   The imaginative experience remained free of the weight of concrete possession.   So it possessed me all the more deeply. I recently looked for these very stamps and found them figured on the internet, even as they still figure in my imagination....

Chungwo

Chungwo, China, Middle Kingdom – but my sense is “Middle Kingdom” may not give the full flavor of the name.   Kingdom that is the center of everything may be better. Or simply center of the world. Bicycles are gone. Urban China belongs to cars in bewildering numbers being driven so assertively that it seems that a twenty four hour game of chicken is being played on the roads.   The pedestrian does not have the right of way and the carnage is considerable. Vehicles collide with vehicles and vehicles collide with people on foot.   You have to be very alert crossing the street.   On the last thirty years China has built a road system that spans the greater part of the nation. This has involved the construction of innumerable bridges, overpasses and tunnels. Much of motor vehicle travel in China feels modern, although there are anomalies.   On a road outside Pingyao a shepherd and his working dog are moving a flock of some hundreds of sheep. This brings to an unhappy halt convoys of heavy trucks headed in both directions. Cars and trucks produce carbon emissions far beyond what bicycles do.   This is not good for the air.   In fact, the air in cities is often miasmatic, obscuring the sky, threatening the health of the lungs that breathe it.   Of course, the burning of coal, often coal that is dirty, is responsible for much of the degradation of air quality. The energy is needed to power development, but it comes with a bundle of costs.   Could development be smarter and slower? “Ah,” says one of our local guides one morning in...

Jail

At the very height of the financial crisis as the sub-prime mortgage bubble burst,the federal government was spending some tens of thousands of dollars to send to jail a patient, let us call him Hugo, who had been involved in a piece of financial chicanery to finance his education.   Hugo was guilty as charged,  although he argued that he had been subtly entrapped. Did Hugo lie about a number of things? Of course he did.   Once the indictment came down, Hugo was deserted by almost all those he thought were his friends and allies. There were a few exceptions, for which Hugo was deeply grateful. But he was terribly hurt by  a shunning that deprived him of his social and work milieux.   A man of frail self-esteem to start with, this shunning was devastating and dangerous. It made him think ill of himself against his own will.   The prosecution and the subsequent incarceration were costly. They were justified on the grounds of the importance of protecting against “moral hazard.”   Less than thirty thousand was involved in the patient’s financial chicanery, not billions.  The little man takes the fall. The big guys smile, apologize, asking for permission to do it again, and move on to do it again. Hugo was fully aware of this.   With a rueful smile of his own, Hugo remarked that he had always been a little guy.   Upon conviction, Hugo was suicidal, overwhelmed by sorrow, shame and dread.   He had grown up in the midst of South America’s most bitter civil war . The dead were a part of everyday experience. He was in...

The Unfinished

The unfinished stays with us within us, nagging at us in different ways at different times, sometimes with considerable creativity, sometimes just as a subliminal itch. More than twenty-five years ago a patient came to see me with complaints that were in no way out of the ordinary. You will see as we go along that there is no way that I could violate his privacy rights by writing about him. He complained of being ill used at work, unappreciated at home. He wondered why it was his lot always to have to hold up under such a load. There were tinges of depression, even tinges of suicidality. I remarked that he maintained a peculiar subtle distance from all that he said, as if he were talking not quite about himself, yet not quite about someone else. In the fifth session, I had the sense of him fading out just a bit more, so that it was not exactly a surprise to me when he did not come for he sixth session. He did not come and he did not call. I was concerned about him, puzzled about what had occurred in him, what had taken place between the two of us. I waited a week and then started actively to search for news of him. I called the phone number he had given as his home number. The person who answered the phone said she had never heard of any such person, that it was certain that no such person lived at this address. I called the number he had given as his work number. The person who...

My Life: Missing

“I think I’ve missed most of my life…”“Say more.”“I’m not who I meant to be, not that I meant to be anyone. I don’t feel I was meant to be who I am or how I am. I think my mother and father would recognize me, if they saw me now. But when I look in the mirror, that person doesn’t seem like me. There is a certain familiarity, but that familiarity is neither intimacy nor accord. It’s a stand off between myself and the one whom I see in the mirror.”“Go on.”“I wonder how this happened. Did I just take my parents’ word for who I was? If we could exhume them from the yellow midwestern clay where they lie next to each other, my parents would protest that they never had any blueprint for me, that they just wanted me to be happy. The sad thing is that that’s just what I would say to my own kids, if I were pressed. But I don’t go into this sort of thing with my children any more than I went into it with my parents. For a long time I didn’t go into it with myself. I suppose you could say that a certain brand of privacy, maybe even isolation is a tradition in my family.”“Mmmm.”“I’m fifty-eight years old. I have enough money. I have a stable marriage and three grown children. It’s not that I dislike my life. It’s a fine life, but it doesn’t fit. It would be a wonderful life for someone else. Over the last two years, a very strange thing has been happening....