Summary:

In his mid-twenties and having been estranged from his family since his mid-teens, Andrew Largeman (Zach Braff) returns home to New Jersey for a few days to attend his mother's funeral. The world he meets there (in "The Garden State," ironically) is persistently unnatural and weird. His old school friends are leading grotesque and diminished lives, and Andrew dislikes and dreads his father, a psychiatrist played by Ian Holm, because of the prehistory we discover in mid-film. (Andrew's mother had suffered with depression, and young Andrew hated her for it. One day, aged 9, he gave her a shove, and freak circumstances led to a hard fall and her becoming paraplegic. Fifteen years later she has died in her bathtub, perhaps a suicide--although that isn't mentioned in the film.)

Andrew keeps his psychic distance from all this, with one fortunate exception: By chance he meets Samantha or "Sam" (Natalie Portman), a sweet loopy girl his age who lives in a child-like room in her mother's house and has a tendency to lie a lot and then confess. She and Andrew take a liking to each other, and a relationship develops that eventually helps Andrew come to terms with his mother's death, with his role in the tragic prehistory, and, thus, with his father and his own life, now able to begin, finally, as a young adult.

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Physician-scientist Lewis Thomas turns to pressing, threatening issues in this collection of 24 essays, many of which have been published in Discover magazine. The book opens and closes with meditations on nuclear warfare--the atom bombs of World War II and the escalation of worldwide tensions and technology that can combine to destroy the human race. In between, other essays, such as "On Medicine and the Bomb" and "Science and 'Science,'" also focus on these issues.

Less apocalyptic essays concern Thomas's experience with requiring a pacemaker, the state of psychiatry, lie detectors as evidence for essential human morality, and his abiding interest in language and scientific research.

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Dr. Audlin is a highly successful psychoanalyst. His patient, Lord Mountdrago, is a leading member of the House of Lords and Secretary for Foreign Affairs in the British government. Mountdrago consults Audlin because of nightly vivid and threatening dreams, all of which concern Owen Griffiths, a member of the opposition in the House of Commons. Griffiths is a small, unimpressive commoner from a constituency in Wales. As Griffiths becomes progressively more the focus of his dreams, Mountdrago cannot imagine why, since to him the man is insignificant vermin.

Audlin presses his patient if there is any reason why Griffiths might actually be hostile toward the Lord, or that he (Mountdrago) might feel guilt regarding Griffiths. Eventually Mountdrago is forced to admit that on one occasion when Griffiths made a speech proposing a change in foreign policy, Mountdrago crushed him. Using his very considerable oratorical skill, Mountdrago tore Griffiths apart and held him up to ridicule. This, in turn, ruined Griffiths' career. Mountdrago hadn't initially thought of the affair since Griffiths was beneath contempt and deserved to be crushed; as such, he had no reason to hold a grudge against Mountdrago.

The psychoanalyst suggests that the only way Mountdrago can free himself from the dreams is to apologize to Griffiths. Mountdrago angrily rejects this, but then goes out and commits suicide. In the end we learn that Owen Griffiths dies the same night, presumably by suicide.

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Miracle McCloy received her name because, as she's been told many times, she was pulled from the body of her mother shortly after her mother was run over and killed by a bus. Raised largely by her grandmother with her depressed and dysfunctional father nearby, she has learned a great deal about séances, contacting the dead, reading auras, and paying attention to energy fields. But she doesn't know much about how to locate her own confused feelings about her parents, her identity, and her relationships with "normal" kids at school who see her has some kind of freak.

She perpetuates this image by casting "spells" to help fellow students connect with boyfriends. But after her father disappears, and her grandfather's house is destroyed in a tornado, she lapses into mental illness and burns herself badly trying to "melt" as she believes her father did by dancing among flaming candles. She is taken to an institution where an astute therapist and an aunt who realizes how much Miracle needed her combine their efforts to help her recover a sense of who she is--a dancer, a strongly intuitive, intelligent girl with an interesting history and a promising life to live, liberated from the obsessions of a superstitious grandmother and mentally ill father.

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This is a collection of humane and humorous stories by psychiatrist Ronald Pies. Many of them portray snippets of Jewish-American family life; others feature Pies's alter egos, young psychiatrists named Applebaum; or Ackerman, or Alterman; still others introduce a number of wonderful geriatric characters the reader is unlikely to forget.

In the title story, an elderly man lies in the hospital and remembers how he inserted snippets of pornography into his business partner's tefillin nearly 40 years earlier, just to spite his holier-than-thou partner, who had evicted his Playboy magazines from the premises. "Mandelbaum's Passion" is the story of an elderly professor whose daughter wants to put him into a nursing home. He, on the other hand, focuses his energy on anticipating the twice-weekly visits of Luz, his 26-year-old Hispanic visiting nurse.

Dr. Otto Hertzmann in "Show Us Where God Is" is a retired analytic psychiatrist who lives with his sister. When a young admirer comes to visit, the sister introduces him to Davie, Hertzmann's severely retarded son who, when asked to "show us where God is," grins widely and points to the ceiling. Max Dershman, found dead in his room "stinking of cheap cigars and surrounded by Playboy centerfolds," is another such character. He falls head over heels in love with Riva Greenberg, the nursing home social worker, and leaves her a love letter when he dies ("A Medical Diptych"). In "Sophie Fein Goldberg Stein" the title character insists on always being addressed by her full name--at least, that is, until the nursing home psychiatrist is willing to sit down and listen to the full story of her life.

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The narrative of Pilgrim and his psychiatrist, Carl G. Jung, begins with Pilgrim's most recent unsuccessful attempt to kill himself. The surrealistic nature of the tale begins with this mysterious inability of the title character to exit life--a life self-proclaimed to have covered multiple incarnations over millennia each of which he has memory. His friend and his servants take him to Zurich to the renowned psychiatrist's clinic for institutionalization and therapy. Enter Dr. Jung, whose personal and professional life assumes a dominant role in the narrative.

As the story progresses, the reader learns from Pilgrim's journals the interstices of his seemingly endless voyage. While Pilgrim's tale--real or imagined--is progressively revealed, the immediate lives of the Jungs are explored in increasing depth. Layer upon layer of development of plot, past and present, is peeled away until Pilgrim escapes his prison and Jung's emotional chaos is exposed.

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"Spell Check for a Malformed Fetus" (p. 1) sets the stage for some of the important themes in this collection by poet-psychiatrist, Ronald Pies. First, the lack of honest language to express life’s "mistakes" and disappointments. Our attempt to disguise the pain by using easy, but inaccurate, words. And finally, an expression of hope, even if only in the world of imagination: "if only / in your first fission / some godly processor / had blessed / your blighted genes."

Some of these poems emerge from relationships with patients, notably "Consultation Request" (p. 35), "Three Patients" (pp. 37-39), "Prolapse of the Uterus" (p.76), and "Congestive Heart Failure" (p. 85). "Smoke, Lilac, Lemon" (p. 45) evokes a fascinating test apparently used by some clinicians to distinguish depression from Alzheimer’s disease on the basis of olfactory function. The four "Alzheimer Sonnets" (pp. 87-88) tackle the difficult task of expressing the experience of dementia from the patient’s point of view.

Many of the other poems deal with love, memory, loss, and pain in the context of family and intimate relationships. Among the best of these are: the title poem (p.3), "Sitting Shivah" (pp. 14-15), "Riding Down Dark" (p. 16), "Visitant" (pp. 41-43), and "Migrations" (pp. 64-69).

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A medical school graduate, E. A. Talbot, fails twice his qualifying examination for a position as British Army surgeon. He leaves England and vows never to return to Europe. He lands a job working for the Dutch government as the administrator of Halak-Proot, a psychiatric hospital that houses about 100 mentally ill officers and some colonists. It is located in the jungle of Java. The institution is a magnet for madness. Patients never improve and sometimes get worse there. The soldiers are more inclined to feign psychosis than return to battle.

When his father dies, Talbot inherits property. He sells it and uses the money to transform the psychiatric hospital into a luxurious estate. Cases of dementia soon plummet. The facility no longer accepts any patients except those who are indisputably insane. Soldiers somehow discover their sanity and are refused entry. Talbot grows old in his exclusive paradise that now has room for only him, a guard, and a custodian.

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Dr. Flaherty, a practicing neurologist, sets out to explore the act of writing and, more broadly, creativity, in the context of both neuroscience and emotion. She begins by describing several brain conditions that seem to enhance the need to write, even to the extent of obsessive hypergraphia. Next she turns to the opposite state, writer's block, looking at both psychological and neuroscientific perspectives.

Using some of the recent studies of the relationships between certain brain centers and language related phenomena, Flaherty further clarifies some of the cognitive bases for creating literature. Finally, the study turns specifically to the temporal lobe as the possible organic site of the perceived voice of the muse in religious and creative inspiration.

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Written as an interior monologue, Destiny begins as Chris Burton receives a phone call informing him of his schizophrenic son's suicide. Burton, a British ex-pat journalist in the final stages of writing his chef d'oeuvre--a cultural history on national character--is married to Mara, a provocative, capricious, flamboyant Italian. The vitriolic arguments and hurtful stratagems that characterize their discordant marriage intensify with the crisis of death and its aftermath--the identification, transport and entombment of Marco's body. Family relationships are further complicated by Mara's distrust and estrangement of her adopted daughter, Paola.

Burton reveals the chaos that schizophrenia imposes not only on the patient, but also on the entire family. In order to avoid prison following an attack on his family and home, Marco had been placed in a psychiatric institute, Villa Serena, and it was at this facility that Marco stabbed himself to death with a screwdriver. The onset of disordered thinking and erratic behavior, the search for therapies, the various repercussions of guilt and blame (including recriminations about the intense, border-blurring maternal love lavished on Marco), are re-examined by Burton as he travels from London to Rome, sits vigil by his son's body in the camera ardente, and confronts his wife at her family's tomb.

Burton's physical distress mirrors his mental anguish. Burton has heart disease and obsesses about lacking his anti-coagulant medication. In addition to the worry of clot formation, urinary retention prevents Burton from emptying his bladder. These physical ailments of containment, confinement, obstruction and blockage form resonances throughout the book: the tomb, the strictures of marriage and the leakage of adultery, the oppressive family 'house of ghosts,' the separateness of interior thought from observable behavior, the barriers of language, the herky-jerky redirections of emergency travel.

Furthermore, the will to create permanence, to make one's destiny more than a transient destination, informs Burton's moves. In the midst of his exploding marriage and tormented trek home, Burton agitates over his work, and in particular, his book, which "must serve to transform a respectable career into a monument" (p. 1).

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