a…diagnosis?”
“Yes, er—there was. It disappeared from the diagnostic indexes in the late-sixties. For thirty years there was a listing in the DSM. That’s the shrink’s battle book, the Diagnostic and Statistical Manual of Mental Disorders . But Dritiphily, as a diagnosis, vanished once the later editions were released. Instead, it’s been sub-categorized into some of the newer disorders.”
Barrows felt rocked. “You mean there’s actually…a name…for my…problem?”
“Yes,” she quickly replied. “And you’re rather lucky in that my main office is located in Seattle. Besides myself, there are only two other psychiatrists on the west coast who deal in such afflictions. One’s in L.A., the other in San Diego.”
Barrows paused to look at her—this gracile and unique specialist who had agreed to see him at a rate of $450 per hour. The fee, to Barrows, was pocket change to a typical man. He’d pay anything— anything —for help.
Dr. Marsha Untermann was probably over fifty, sharply attired, graceful in manner, her face calm yet her myrtle-green eyes intense. The straight, shining dark gray hair—cut just above the shoulders—gave her an exotic cast, not an aged one; she was high-bosomed, strikingly attractive. Barrows thought of a Lauren Hutton or a Jacqueline Bissett. He’d found her simply by searching the Department of Mental Hygiene’s website; Dr. Untermann’s office address and number had been the only listing under the CRITICAL OUT-PATIENT/ABNORMAL PSYCHIATRY heading.
To Barrows, “abnormal” was putting it mildly.
“So it was this derelict, this vagabond, that impelled you to contact me,” she said more than asked.
“That’s right.” Barrows still felt tightly uncomfortable by all he’d confessed to. Nevertheless, something about her allayed him, like confessing to a nameless priest behind a screen. And he remembered what she’d told him earlier: I’ve heard much worse. Comforting words to Barrows but still…
How much worse? he wondered. It proved a terrifying question.
“I suspect, by your appearance, that you’re a man of means?”
“I’m rich,” Barrows said with no enthusiasm. “I’m an investment banker.”
“Then you might appreciate this quite a bit. This derelict you saw, this precursor, this piece of human flotsam you saw whisking up vomit from the bus stop…you and he are essentially the same.”
Barrows calculated this.
“You’re rich, he’s homeless and poor. You have the best of everything, he has nothing. Yin meets Yang, the capitalist meets the victim of capitalism. The man plugged in meets the man cast out . The two of you couldn’t be more different from a societal standpoint.” Her lips pursed momentarily. Then she added, “But sickness, Mr. Barrows, is relative.”
Barrows found the point of little use—his selfishness, perhaps. His obliviousness in wealth. “I don’t want to sound callus,” he said, “but I didn’t make this appointment to have you make me feel guilty about being rich.”
“You shouldn’t feel guilty,” she replied. “You should feel accomplished. You should feel proud. You’ve done what most can’t do.”
Barrows found no use in this either, and he was not a man to beat around the proverbial bush. His voice roughened. “I usually make a million dollars a year but I have to eat phlegm off the street. That sounds crazy, but I’m not crazy. I need help. You’re the expert. Don’t patronize me. Help me.”
Her bosom rose as she leaned back in her plush chair. “You’re a dritiphilist, with erotomanic undertones. You eat phlegm and masturbate after doing so—that’s not quite the same as someone who’s an asthmatic or even a schizophrenic. There’s no magic pill for dritiphily.”
“Long-term psycho-therapy?” he frowned. “Is that it?”
“Possibly. But don’t scoff so quickly at behaviorilist science. Freud was quite right in many of his tenets. Most psychological anomalies have a
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