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Chapter no 6

The Silent Patient

PROFESSOR DIOMEDESโ€™S OFFICEย was in the oldest and most decrepit part of the hospital. There were cobwebs in the corners, and only a couple of the lights in the corridor were working. I knocked at the door, and after a momentโ€™s pause I heard his voice from inside.

โ€œCome in.โ€

I turned the handle and the door creaked open. I was immediately struck by the smell inside the room. It smelled different from the rest of the hospital. It didnโ€™t smell like antiseptic or bleach; rather bizarrely, it smelled like an orchestra pit. It smelled of wood, strings and bows, polish, and wax. It took a moment for my eyes to become accustomed to the gloom, then I noticed the upright piano against the wall, an incongruous object in a hospital. Twenty-odd metallic music stands gleamed in the shadows, and a stack of sheet music was piled high on a table, an unsteady paper tower reaching for the sky. A violin was on another table, next to an oboe, and a flute. And beside it, a harpโ€”a huge thing with a beautiful wooden frame and a shower of strings.

I stared at it all openmouthed.

Diomedes laughed. โ€œYouโ€™re wondering about the instruments?โ€ He sat behind his desk, chuckling.

โ€œAre they yours?โ€

โ€œThey are. Music is my hobby. No, I lieโ€”it is my passion.โ€ He pointed his finger in the air dramatically. The professor had an animated way of speaking, employing a wide range of hand gestures to accompany and underscore his speechโ€”as if he were conducting an invisible orchestra. โ€œI run an informal musical group, open to whoever wishes to joinโ€”staff and patients alike. I find music to be a most effective therapeutic tool.โ€ He

paused to recite in a lilting, musical tone, โ€œโ€˜Music hath charms to soothe a savage breast.โ€™ Do you agree?โ€

โ€œIโ€™m sure youโ€™re right.โ€

โ€œHmm.โ€ Diomedes peered at me for a moment. โ€œDo you play?โ€ โ€œPlay what?โ€

โ€œAnything. A triangle is a start.โ€

I shook my head. โ€œIโ€™m not very musical. I played the recorder a bit at school when I was young. That was about it.โ€

โ€œThen you can read music? That is an advantage. Good. Choose any instrument. I will teach you.โ€

I smiled and again shook my head. โ€œIโ€™m afraid Iโ€™m not patient enough.โ€ โ€œNo? Well, patience is a virtue you would do well to cultivate as a

psychotherapist. You know, in my youth, I was undecided whether I should be a musician, a priest, or a doctor.โ€ Diomedes laughed. โ€œAnd now I am all three.โ€

โ€œI suppose thatโ€™s true.โ€

โ€œYou knowโ€โ€”he switched subjects without even a hint of a pauseโ€”โ€œI was the deciding voice at your interview. The casting vote, so to speak. I spoke strongly in your favor. You know why? Iโ€™ll tell youโ€”I saw something in you, Theo. You remind me of myself.โ€ฆ Who knows? In a few years, you might be running this place.โ€ He left the sentence dangling for a moment, then sighed. โ€œIf itโ€™s still here, of course.โ€

โ€œYou think it wonโ€™t be?โ€

โ€œWho knows? Too few patients, too many staff. We are working in close cooperation with the Trust to see if a more โ€˜economically viableโ€™ model can be found. Which means we are being endlessly watched, evaluatedโ€”spied upon. How can we possibly do therapeutic work under such conditions? you might well ask. As Winnicott said, you canโ€™t practice therapy in a burning building.โ€ Diomedes shook his head and looked his age suddenlyโ€” exhausted and weary. He lowered his voice and spoke in a conspiratorial whisper. โ€œI believe the manager, Stephanie Clarke, is in league with them. The Trust pays her salary, after all. Watch her, and youโ€™ll see what I mean.โ€

I thought Diomedes was sounding a little paranoid, but perhaps that was understandable. I didnโ€™t want to say the wrong thing, so I remained

diplomatically silent for a moment. And thenโ€” โ€œI want to ask you something. About Alicia.โ€

โ€œAlicia Berenson?โ€ Diomedes gave me a strange look. โ€œWhat about her?โ€

โ€œIโ€™m curious what kind of therapeutic work is being done with her. Is she in individual therapy?โ€

โ€œNo.โ€

โ€œIs there a reason?โ€

โ€œIt was triedโ€”and abandoned.โ€

โ€œWhy was that? Who saw her? Indira?โ€

โ€œNo.โ€ Diomedes shook his head. โ€œI saw Alicia myself, as a matter of fact.โ€

โ€œI see. What happened?โ€

He shrugged. โ€œShe refused to visit me in my office, so I went to see her in her room. During the sessions, she simply sat on her bed and stared out of the window. She refused to speak, of course. She refused to even look at me.โ€ He threw up his hands, exasperated. โ€œI decided the whole thing was a waste of time.โ€

I nodded. โ€œI suppose โ€ฆ well, Iโ€™m wondering about the transference.โ€ฆโ€ โ€œYes?โ€ Diomedes peered at me with curiosity. โ€œGo on.โ€

โ€œItโ€™s possible, isnโ€™t it, that she experienced you as an authoritarian presence โ€ฆ perhapsโ€”potentially punitive? I donโ€™t know what her relationship with her father was like, butโ€ฆโ€

Diomedes listened with a small smile, as if he were being told a joke and anticipating the punch line. โ€œBut you think she might find it easier to relate to someone younger? Let me guess.โ€ฆ Someone like you? You think you can help her, Theo? You can rescue Alicia? Make her talk?โ€

โ€œI donโ€™t know about rescuing her, but Iโ€™d like to help her. Iโ€™d like to try.โ€

Diomedes smiled, still with the same sense of amusement. โ€œYou are not the first. I believed I would succeed. Alicia is a silent siren, my boy, luring us to the rocks, where we dash our therapeutic ambition to pieces.โ€ He smiled again. โ€œShe taught me a valuable lesson in failure. Perhaps you need to learn the same lesson.โ€

I met his gaze defiantly. โ€œUnless, of course, I succeed.โ€

Diomedesโ€™s smile vanished, replaced by something harder to read. He remained silent for a moment, then made a decision.

โ€œWeโ€™ll see, shall we? First, you must meet Alicia. Youโ€™ve not been introduced to her yet, have you?โ€

โ€œNot yet, no.โ€

โ€œThen ask Yuri to arrange it, will you? Report back to me afterwards.โ€ โ€œGood.โ€ I tried to conceal my excitement. โ€œI will.โ€

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