Perception plays a vital role in the diagnosis of bipolar illness. Symptoms are perceived through the categories of psychiatric medicine at a given moment in history, categories which are continually shifting and being named or renamed.

All human states are organic brain states - happiness, sadness, fear, lust, dreaming, doing math problems and writing novels - and our brains are not static.

I don't want the words to be naked the way they are in faxes or in the computer. I want them to be covered by an envelope that you have to rip open in order to get at. I want there to be a waiting time -a pause between the writing and the reading. I want us to be careful about what we say to each other. I want the miles between us to be real and long. This will be our law -that we write our dailiness and our suffering very, very carefully.

under our love making I felt a bleakness that couldnt be dispelled. The sadness was in both of us, and I think we pitied ourselves that night, as if we were other people looking down on the couple who lay together on the bed

People who grow up with two or more languages understand that each can express certain aspects of reality better than the other.

The recollections of an older man are different from those of a younger man. What seemed vital at forty may lose its significance at seventy. We manufacture stories, after all, from the fleeting sensory material that bombards us at every instant, a fragmented series of pictures, conversations, odors, and the touch of things and people. We delete most of it to live with some semblance of order, and the reshuffling of memory goes on until we die.