We are left, I submit, with the problem of her depressions. They are, I agree, terrible. Your idea that I am not “supportive” enough is, I think, wrong. I have found, as a practical matter, that the best thing to do is to just do ordinary things, read the newspaper for example, or watch basketball, or wash the dishes. That seems to allow her to come out of it better than any amount of so-called “support. ” (About the chasmus hystericus or hysterical yawning I don’t worry any more. It is masking behavior, of course, but after all, you must allow us our tics. The world is waiting for the sunrise.) What do you do with a patient who finds the world unsatisfactory? The world is unsatisfactory; only a fool would deny it. I know that your own ongoing psychic structuralization is still going on-you are thirty-seven and I am forty-one-but you must be old enough by now to realize that shit is shit. Susan’s perception that America has somehow got hold of the greed ethic and that the greed ethic has turned America into a tidy little hell is not, I think, wrong. What do you do with such a perception? Apply Band-Aids, I suppose. About her depressions, I wouldn’t do anything. I’d leave them alone. Put on a record.
From Donald Barthelme’s short story “The Sandman.”