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  • Edition: Reprint
  • Format: Trade Paper
  • Copyright: 2009-04-07
  • Publisher: Vintage
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The bestselling author of "Asylum" and a master of contemporary psychological terror returns with a riveting novel about a psychiatrist who treats trauma patients and experiences some traumas of his own.

Author Biography

Patrick McGrath is the author of six previous novels, including Asylum and Spider, and two collections of stories. He lives in New York.


My mother’s first depressive illness occurred when I was seven years old, and I felt it was my fault. I felt I should have prevented it. This was about a year before my father left us. His name was Fred Weir. In those days he could be generous, amusing, an expansive man—my brother, Walt, plays the role at times—but there were signs, perceptible to me if not to others, when an explosion was imminent. Then the sudden loss of temper, the storming from the room, the slamming door at the end of the hall and the appalled silence afterward. But I could deflect all this. I would play the fool, or be the baby, distract him from the mounting wave of boredom and frustration he must have felt at being trapped within the suffocating domestic atmosphere my mother liked to foster. Later, when she began writing books, she fostered no atmosphere at all other than genteel squalor and heavy drinking and gloom. But by then my father was long gone.

In those days we lived in shabby discomfort in a large apartment on West Eighty-seventh Street, where my brother lives with his family today. I never contested Walt’s right to have it after Mom died, and have come to terms with the fact that to me she left nothing. Indeed, it amuses me that she would throw this one last insult in my face from beyond the grave. It was more appropriate that Walt should have the apartment, given the size of his family, and me living alone, although Walt didn’t actually need the apartment. Walt was a wealthy man—Walter Weir, the painter? But I don’t resent this, although having said that, or rather, had I heard one of my patients say it, I would at once detect the anger behind the words. With consummate skill I would then extricate the truth, bring it up to the surface where we both could face it square:You hated your mother! You hate her still!

I am, as will be apparent by now, a psychiatrist. I do professionally that which you do naturally for those you care for, those whose welfare has been entrusted to you. My office was for many years on Park Avenue, which is less impressive than it sounds. The rent was low, and so were my fees. I worked mostly with victims of trauma, who of all the mentally disturbed people in the city of New York feel it most acutely, that they are owed for what they’ve suffered. It makes them slow to pay their bills. I chose this line of work because of my mother, and I am not alone in this. It is the mothers who propel most of us into psychiatry, usually because we have failed them.

Often a patient will be referred to me, and after the preliminaries have been completed and he, or more usually she, is settled comfortably, this will be her question: Where would you like me to begin?

“Just tell me what you’ve been thinking about.”


“What were you thinking about on your way to this appointment?”

And so it begins. I listen. Mine is a profession that might on the surface appear to suit the passive personality. But don’t be too quick to assume that we are uninterested in power. I sit there pondering while you tell me your thoughts, and with my grunts and sighs, my occasional interruptions, I guide you toward what I believe to be the true core and substance of your problem. It is not a scientific endeavor. No, I feel my way into your experience with an intuition based on little more than a few years of practice, and reading, and focused introspection; in other words, there is much of art in what I do.

My mother did eventually recover, but there is a strong correlation between depression and anger and at some level she stayed angry. It was largely directed at my father, of course. I have a clear memory of the day I first became aware of my parents’ dynamic of abandonment and rage. Fred had taken Walter and me to lunch, a thing he did occasionally when he was in town and remembered that

Excerpted from Trauma by Patrick McGrath
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