"Dear Doctor: I am feeling very sick. I have a heart in my stomach which throbs and mocks. Suddenly the simple rituals of the day balk like a stubborn horse. It gets impossible to look people in the eye: corruption may break out again? Who knows. Small talk becomes desperate.
Hostility grows, too. That dangerous, deadly venom which comes from a sick heart. Sick mind, too. The image of identity we must daily fight to impress on the neutral, or hostile, world collapses inward: we feel crushed."