The Other Side of You by Salley Vickers Page A

earth-shattering stuff. Just your natural sweetness and light will do.’
    ‘Thanks a million. I’ll be crucified by Jeffries & Co. if I go on about “sweetness and light”.’
    ‘Better men than you have been crucified. I’ll be at your side to fend off the baboons if the bloody medics let me.’
    A patient who might have fitted Gus’s purpose for the conference paper was a young Pakistani student studying maths and physics at Sussex University. He’d been found wandering in the early hours on a trunk road outside Brighton. The police patrol that had picked him up reported him ‘disoriented and apparently praying’. He was brought into St Kit’s where a diagnosis of schizophrenia had finally been applied.
    Pages of a notebook covered with seemingly bizarre thoughts and disconnected prose, and an inability to name the current British prime minister, had formed the basis of this diagnosis. Later, when the confused young man had been formally admitted, and I was present at his case conference, I pointed out that precious few of us, in a state of distress, would be able to name the prime minister of Pakistan and that the seemingly deranged sentences in the boy’s notebooks were attempts at formal logic. As a result of this intervention he was given over to my care.
    He was agitated, desperately homesick, distraught, but not, I concluded, psychotic. I took him off the Modecate injections and tried to restore some sort of equilibrium. They don’t say so in the textbooks but a lot can be effected through patience and calm. Maguire and I were in agreement that if this commodity were available on the NHS there would be far fewer admissions to psychiatric hospitals.
    I’m not sure why there is something shaming about having no one to confide in but in my view a good deal of aberrantbehaviour stems from unbearable isolation and the socially unacceptable sense of being quite alone. Hassid, I concluded, was suffering not so much a nervous as a social breakdown. Away from his close-knit Karachi family, his religion, his customary diet (food plays a much larger part in emotional stability than is usually acknowledged) and the regular ritual practices he had been raised in, he had lost his bearings.
    I can’t pretend to have liked all my patients but those I did like tended to be the ones I found I was able to help most. I could never decide if it was gratitude at having some positive effect on their lives that made me like them, or if liking makes some significant therapeutic difference. In any case, I liked Hassid, I understood that he was lonely, but his character also caught my curiosity and I established his trust through an indistinct memory, that grew to a clear recollection, which enabled me to identify the repeated appearance of ‘iff’ in his notebooks, not as some schizophrenic misspelling, as had been supposed, but the correct logical term for ‘if and only if’. As a result of this lucky strike he confided to me the sad account of what had occurred.
    He had gone, nervously, on account of the new and strange environment, to a student party where towards the end of an already confusing evening he’d been slipped a tidy slug of vodka in his soft drink. The unaccustomed alcohol, together with the discovery of what he had innocently imbibed—I gather the idiot who performed this gross act was crass enough also to brag about it—combined to destabilise the poor young man’s mind. His family, he told me, were strict Muslims, and the shame and guilt, along with the physical effects of the alcohol, precipitated amental crisis. The university suddenly seemed to him a place of evil and satanic darkness, from which he felt an understandable need to flee; which is why the police patrol picked him up shoeless, beating his head and reciting, to them incomprehensible, verses from the Koran.
    In those days doctors had more licence. Hassid was patently terrified of returning to his student quarters. I decided the best I