““If Sally had been in an accident or come down with some overtly physical disease, I would not hesitate to tell him about it, confident that his sympathies would flow in my direction as a matter of course. But psychosis defies empathy; few people who have not experienced it up close buy the idea of a behavioral disease. It has the ring of an excuse, a license for self-absorption on the most extreme scale. It suggests that one chooses madness and not the other way around. (86)””