By Tommy Cheis
Dr. Demi Diaz, Chief of Psychiatry at the University of Miami’s Jackson Behavioral Hospital, loitered by my office door as I exited the elevator, acting like all was fine. But a rigidity of form and a manic bent belied her dark purpose. I greeted her like nothing was amiss, but when I put key to lock my door wouldn’t budge.
She put her hand on my shoulder. “Can we talk. Mr. Panther?”
I tried to laugh her off. “Why, boss? And why not call me before I drove in?”
“Drove in?”
“Walked down the hall then. But it’s Dr. Panther. I keep telling you and our colleagues.”
She gave me one of her sad smiles. “I’ve heard. And I’m concerned about you.”
I followed her down the hall like a whipped puppy. In her office, we sat side-by-side on her couch. “Out with it, boss,” I said before she could start her usual chit-chat. “I’m tired.”
“It seems your feelings, thoughts, and behaviors have changed, Mr. Panther.”
“It’s Dr. Panther,” I said. “Class of 2007. Don’t you remember? And I’m on the faculty. You hired me.”
“Oh,” she said, then stared at the floor. “So you’re a physician?”
“Duh. Whatever. And I’m newlywed to a rape survivor, falsely charged with kidnapping, and due to be a father for the third time.” I explained for her benefit.
She seemed unconvinced. Skeptical, even, as if I’d imagined it all. But then she congratulated me before returning to task. “Jimmy, you’re at great risk. You’re sensitive and empathetic, but you have your own trauma nightmare. Not just from the war. Your sense of humor is off. You’re angry. And from observation, it seems you’re struggling with your sense of meaning and identity.”
“Wow, boss. You can tell all that just by looking at me?”
She made a sad face. “And our weekly therapy sessions. Of course. The loss of a child can overcome our coping resources. Even induce transient psychosis.”
“What’s that got to do with me?”
“You and your wife are in enormous pain. She’s expressed her concerns. And your previous combat-related moral injury leaves you especially susceptible to burnout.”
“Better to burnout than fade away,” I offered.
She took my hands. “Do you have any thoughts of harming yourself?”
“Yes, but I have a list of people I need to whack first.”
I could tell Demi wanted to laugh, deep inside. “Mr. Panther, do you have a plan to harm yourself or another person?”
“I keep telling you it’s Dr. Panther. Give me some respect as a colleague at least.”
She scribbled something in a file. “I’ll try to remember.”
“The root of it all is that Ina’s trauma is making me face aspects of my persona I never confronted.”
“Tell me more.”
“To be raped once is horrific. Ina was raped repeatedly over five years with the approval of her mother, ex-husband, and frenemy. That’s mega-trauma.”
Dr. Diaz looked at me blankly, as if this were the first she was hearing of it. “I’m not understand.”
“Good. You don’t. Neither do I. I know all but understand nothing despite my efforts.”
“You seem hypervigilant.”
“Given what I learned about the Evil Ones, I’m appropriately en garde.”
“The Evil Ones?”
“A collective nom de guerre for the individuals who trafficked Ina.”
“OK. Put the Evil Ones aside for a moment. You’re distancing yourself from your wife.”
“I sleep beside her every night.”
“But you can’t enjoy married life. You’re anhedonic. Your sex life is suffering.”
“Ina’s taken me beyond pleasure.”
Demi was a sad clown. “Oh, Jimmy. You’ve been here before. What do you feel?”
“Pissed that Ina didn’t escape the rape camp on her own. Why did I have to help her?”
“Rape camp? As in what occurred in Bosnia?”
“Precisely.”
“Tell me a little about it.” She grabbed a pen as if to make notes to revise a diagnosis.
I told her how Ina had been drugged by her ex-husband, kidnapped, and sold to a pharmacist friend of his for drugs and cash and held captive for five years. “I know, boss, the mere chance to escape doesn’t necessarily make a traumatized person seize it. Ina froze instead of fighting or fleeing, trapped in the terror she knew. My own research supports this conclusion. And, of course, her mother knew and approved.”
Demi looked frightened, maybe sick. Her hands left the surface of her desk and dipped beneath it where her emergency call button lurked. “Did you call the police?”
“No. It’s complicated.”
“I understand, Jimmy. And your present suffering is comorbid with childhood sexual abuse.”
That put me on guard. “What are you saying, boss?”
“Boss?”
“Yeah. Boss. You’re my direct supervisor.”
Dr. Diaz took a breath, then steepled her fingers and stared out the window. “I see,” she said, then turned back to me. “Let’s talk about the loss of Chloe.”
“Who? First things first.” I smacked her desktop. “Why did you mention childhood sexual abuse?”
My boss was so good at remaining calm. “OK. Jimmy, let’s think about something. At whom is your anger really directed?”
“At the Evil Ones.”
“Who else?”
“You tell me.”
“How do I put this? Abused kids are condemned to live in the past. Where else can they go?”
“Nowhere until they get bigger.” My hands clenched of their own volition. “Oh, you bitch.”
Demi pressed her advantage. “When you say that, do you feel anger?”
“Yes.”
“At whom?”
“Various.”
“Show me who you’re protecting.”
I drifted back to the past. “A little boy. Six-and-a-half.”
“What’s happening to him?”
“Foster dad beats him with a belt. He’s apologizing. Whimpering he’ll be a good boy.” It was as clear as if it were happening now.
“How do you feel about that little boy?”
“I hate him. He’s weak.”
“For apologizing?”
“And not fighting back.”
“Will you let that little boy speak?”
Little Jimmy said nothing.
“What can he say to his foster father?” Demi pressed that fucking little kid.
“Nothing,” he said. “Too scared.”
“Then what will you say to his foster father?”
I jumped up and roared. “GODDAMN MOTHERFUCKER! TOUCH THAT BOY AGAIN AND I’LL COME IN THE NIGHT TO HURT YOU!”
“Now can you say anything to that poor little boy?”
“SHAME! SHAME! SHAME!”
“Can you say something kinder?”
“Sorry this was done to you. I won’t let anyone or anything hurt you ever again. Promise.”
“Your foster parents raped you. They beat you so hard you have scars. Nod if I’m right.”
Six-year-old Jimmy nodded and collapsed into himself like a dying star.
“Your entire world was wrong,” Demi said softly, “but if you reported the beatings you’d be punished. You were enraged, defiant, yet helpless. You had to shut down and be compliant. Right?”
Little Jimmy nodded.
“But you were unbearably lonely. No one cared about you. So you went numb. You cultivated denial. And lost track of who you were. What you feel. Knowing whom to trust. And you joined the Army, thinking you’d find safety and structure and make sense of it all.”
Boy Jimmy cried.
“Let me talk to adult Jimmy now.”
“OK.”
“You suffered every adverse childhood experience there is, Jimmy. Most boys brutalized by caregivers are dead by forty. Most of the rest are in prison. A few scrape by with grave moral injuries as unemployed addicts who bounce through violent relationships, hating themselves and the world, often committing suicide.” She stroked my back as she spoke.
“I’m alive, though.”
“But are you living?”
“Is there a difference? Sic semper parentis malis. My birth parents have nothing to do with me or my life unless their bad acts made me a psychiatrist.”
Demi raised her eyebrows as if I’d just claimed to be next-in-line to the British throne. “You’re a psychiatrist?” she asked, as if she’d just lost her mind, or at least her memory.
“Stop toying with me.”
“I’m confused.”
“You know as well as I that but for your tutelage I wouldn’t have specialized in psychiatry and taken up my position as director of the veteran’s clinic here at Jackson. Is trickery one of your therapeutic modalities?”
Flustered, she pushed paper around her desk until she could respond. “Let’s get back to your relationship with Ina, Jimmy. It’s impaired.”
“Keep going,” I said, using the phrase I’d heard other psychiatrists use to keep me speaking.
“You’re relationally stunted because of the trauma your parents inflicted on you. You live in nameless dread. You fear she’ll withdraw as your mother did, with a bottle of vodka, a straight razor, and a jar of pills.”
“And so too my father for a date with the warden and the electric chair for killing five law enforcement officers trying to arrest him for poaching a panther. Leave them out of this.”
“Do you feel unreal?”
“When you play these mind games. Get your fucking hands off me.”
She did as I asked but kept talking. “You’ll be lost until you stop believing the legacy of your birth parents, and your subsequent suffering, defines you.”
“Did you know Tesla and Beethoven were beaten too, whereas serial killers Loeb and Leopold were spoiled rotten?”
“What’s your point?”
“Nothing’s fated. And I know exactly who I am.”
“Really? Veterans often interpret a genetic basis for their MI as proof of irredeemable ruin.”
“I’m no veteran. I’m a physician.”
She read something from my file, then pinned me with her gaze. “Are you sure?”
“I don’t recall. Quit quoting my research. Or have the decency to drop a footnote.”
“Jimmy. Your moral injury symptoms are worse since Ina came into your life.”
“Correlation does not establish causation.”
“You fear she’ll betray you too, and that you’ll prove incapable of protecting her as you couldn’t protect yourself or Chloe. All of this exacerbates the unresolved horror of the war and—”
“Boss, I’m tired of thinking all day and all night. I have too much money and too much peace. Street gangs kill over trivialities like turf and colors. Why is Ina’s husband so civilized? Revenge on the Evil Ones should have no bounds.”
“I’m so sorry, Jimmy. When voices tell someone to kill a person, many people commit suicide to silence them.”
“I hear a radio broadcasting this: ‘If Jimmy’s good enough for Ina, she’s bad or crazy.’”
“Is that why you and she were apart for so long?”
“Maybe. Oops. Weasel word. Yep.”
“Open your heart to the possibility Ina’s not your birth parents. She’s a beautiful person, stuck in the same hell you are. Does she know about your past?”
“What past?”
“Jimmy. Your ordeal in the war.”
“Once I’m sure we’ll make it, I’ll spill every last bean if I can find them.”
“Meanwhile, have compassion for her. Grieve together for everything you never had and still believe you never will. Nothing is as difficult to process as the loss of a child.”
“What the hell are you talking about?”
“Chloe.”
“Who’s that?”
Demi paused. “What are your thoughts about God?”
I laughed. “I think of her and her arbitrary, heartless, capricious colleagues in the same measure they think of me. Am I crazy?”
“We don’t use that word in psychiatry. If you were really a psychiatrist, you’d know that.”
I ignored her attempt to deny my status. “Maybe we’re all crazy as fuck, boss, but your kind of crazy is more socially accepted than mine.”
“Oh, Jimmy.” Demi sighed. “Please promise me you’ll hold on.”
“Don’t be so mawkish,” I reproached her. “How long?”
“Another week.”
“Fantastic.”
She sighed in relief. “Good. You of all people keep your promises.”
“Etch that on my tombstone if I get one, or draw it in sand. In closing, the facile phrase ‘everything will be alright’ is the biggest lie I’ve heard or told. Are we done? I need to buy a gun.”
Something seemed to break in my direct supervisor. “I think we should talk about admitting you,” she said. “Voluntarily, if possible. Otherwise—”
“Not so fast, boss. First Dr. Panther needs to finish treating his current patient load.”
“What patient load, Mr. Panther?”
“It’s Dr. Panther. Ah, Demi. Why are you crying?”
Tommy Cheis is a Chiricahua Apache writer, guide, and Cochise descendant. After traveling extensively through distant lands and meeting interesting people, he now resides in the Sonoran Desert with his horses. His short stories (will) appear in Yellow Medicine Review, Rome Review, Carpe Noctem, Ploughshares, Literary Times, ZiN Daily, Spirits, Red Paint Review, Pictura Journal, Little Fish, Blue Guitar, Florida Review, Exploding Head, Purple Ink, Pine Cone Review, Sufferer’s Digest, Unlikely Stories, Military Experience & the Arts, and other publications. His first novel, RARE EARTH, is in pre-publication; his second, PANTHER & BUTTERFLY, is under submission.