The Harlem-Valley Psychiatric Center—a clinical case study
by Joseph D. Reich                                                                                            Bookmark and Share

(For Gordon Ball)

I.  A Visit Home                              


The train used to drop us
off at that very desolate
spot right across from
Harlem-Valley Psychiatric
(where mother mocked
she gave birth to us)
with big brooding bars
over pick-up-stick portholes
barbed-wire to keep in the juveniles
who were deemed to be “a threat
to themselves and others”
as every so often I’d imagine
on some warm day in Winter
how they might just air out
the electric-shock tables,
ping-pong tables,
paper back novels,
paint-by-number murals,
ships in a bottle,
cigarette stands,
hanging plants,
adirondacks,
fly-swatters,
firefly jars,
the wild-bird feeders,
even spooky silhouettes spread
out on drizzly benches like drunken spiders
dazed and disheveled in the remote distance
(footprints and fingerprints
of coyotes and con-artists)
boxcar diners where over-medicated
and sedated sons would have explosions
on know-it-all fathers (who apparently didn’t know
a thing about them) having treated them like possessions
now out of control and dangerous, stealing anything
they could possibly get their hands on
as everything would instantly
turn uncomfortable and
awkward, deathly silent
(after all the defiance)
heavy heart would drop
yet it was kind of ironic                                                                                                                  
as whenever they picked                                                                                                                 

you up to go out to their mansion                                                                                                   
on the frozen lake in the mountains
things felt just as detached and distant,
desperate and despondent, dysfunctional
and indescribable; One might even
say unfamiliar, tense and hostile
after we had finished
with our small-talk about
the ride up, and the sports
and weather, then like ghosts
would blank out, as we simply
did not have a thing to say to each
other, making our way through
slow-death, well-to-do towns
of The Berkshires, passing the
old ancient stone clocktower
where you felt like you could
hear the clear muffled murmur
of its mysterious internal organs,
its languid tick and tock, wasted,
wired, thinking a coo-coo clock
might be more in tune...coo-cooing
on the hour; perfectly manicured lawns
with no one ever on them,
higher-than-holy spas
high up on the hill
to hope to heal
psychological scars
of drama and trauma
of millionaire daughters
who had been wronged
by boyfriends who were
supposed to be father-figures
there to somehow save them; perfectly
piled-up piles of wood which can only
be acquired by workaholic Wall Streeters,
the wealthy New Yorkers and Bostonians,
old money who appear like ghosts and phantoms
never home, just there for appearances, to simply make
an impression with wives with no expression and plenty
of room(s) to make excuses, priceless pieces of precious antiques
put out on display never moved an inch out of place to provide
some self-absorbed, distorted (non)sense of time and space,
control-freaks, curators, trying to keep it all perfectly sane
and in the effort to overcompensate, turn                                                                                       
even more mad and crazed, blessed barnhouses,
covered bridges covering snow-capped rivers,                                                                               
libraries and factories draped at the base of bare
birch mountains with silent snow-white towns
stapled to the horizon and creeping-thyme
citizens missing-in-action
(Your old passive-aggressive pals
who loved to push buttons at formal
wine and cheesy get-together wheeler-
and-dealer philanthropic fund-raisers
and sarcastically pose the question–
“Prove that you exist” as the guests
instantly got defensive, turning void
and vacant, even parasitic and pissed)
returning back to the meticulous museum
and mausoleum where they always had
purchased some brand-new contraption
rare and exclusive one-of-a-kind tctchcka
with dozens of dead ladybugs passed out
on their backs on wrap-around porches
in the pall of a sacred and solemn sun
beginning to melt snow in the perennial garden
like a bastard child landing butterfly kisses on the alabaster cheek
of his mama, petrified pines hovering high, as though wind-swept
branches got suspended in action from a last blast of Winter;
the creaking floors and crackling fire, crows in branches
like the top hats of madmen, a rippling rocking lake house
weighed down with weather-worn oars and paddles
who’s aroma smelled like the lost lily pad lichen
of lagoons passed down from generation
to generation, regenerating rotten core
of civilization, as the hypnotic haunted echoes
of seaweed skeletons shimmered through shattered
mountains; a shaker table who’s fragile fissures got
bigger, expanding or contracting due to the change
of seasons and triggered and started to feel all those
old feelings begin to creep in again (dribbling siblings)
of a deep and desperate sadness and anger, of which you
could never get control over, some muted howl, eternal
existential sigh where you just wanted to break down
and cry, and started to find if you tried you could
take great comfort and pleasure regressing a little
to those bizarre and peculiar images you had just recently
captured in your stopover at Harlem-Valley Psychiatric.



II.  How To Decorate A Psychiatrist’s Office                                                                                 


I.


Consider black & white pastoral prints
perhaps even cutouts or etchings


of some anonymous countryside
somewhere on some hillside


maybe in turn-of-the-century
Russia, England, or Ireland


as you ascend a back set
of stairs somewhere in Autumn


then leave without symptoms
some time around twilight


casually drifting home
(dreaming of Whitman...)


some place around The Long Island Sound
where nightmares end and dreams begin.


II.


The only shingle you’ll hang
will simply say–“Eggs”


for when orange-blossom sun
comes and cranes fly away.


III.


Consider something between
a flesh-tone and bone


A gray or ghost
earth or wind-blown


Shadow and stone                                                                                                                           
dusk and dawn.


Somewhere between reality and fantasy lies the season
of your penetrating, palpitating, solitary soul, home...


IV.


When the black crow
turns purple


and seagull
a shade of blue


disappears to
the setting sun.


V.


[Psychiatric Notes...dx: Highly-intelligent
yet might present as simply good con-artist


His answer when put forth the question–                                                                                         
“How do you feel about family and friends?”


That they always appeared
hostile and jealous, threatened


as evidenced by their body
language and expressions


Could con or charm anyone.
Ma always said my tongue


would one day get me into
a whole hell of a lot of trouble


yet in fact got me in and out of
a lot of doors, seeing the world


and wouldn’t trade that
for all the tea in China.


Claims to sincerely be intrigued                                                                                                     
by how accents came to be


hypothesizing topographies, lay of the land,
patterns of weather, structures of cities...


By borders, straits of water,
when signs at train stations


naturally, gradually started changing
their language and letters, separating


very cultured, historical                                                                                                                    

and significant countries.


Claimed to be controlled and
manipulated much of his life


by an ungodly saint with a very
weak and fragile ego and identity


who tried to brainwash me through
tactics of guilt and pseudo-morality


(Now knows it to be                                                                                                                         
Munchausen Syndrome


and Narcissistic
Personality


and claims to have acted-out,
to have tested the limits


just to maintain
his sanity


and to try and avoid fulfilling
the self-fulfilling prophecy


constantly quoting the rock & roll band,
The Who–“Keep away old man, you won’t


fool me/You and your
history won’t rule me”)


feeling his whole life, cheated,                                                                                                       
filthy and empty, challenging


every (go) figure of authority
just to make a name...


Short-term and long-term goals for treatment:
To restore client’s self-respect, self-esteem, dignity]


VI.                                                                                                                                                    


Peek through cactus
of half-bathroom


and close eyes
and imbibe


pure smoky breeze
of cedar-burning chimneys


VII.                                                                                                                                                     


As one day you’ll look to suddenly
secretly collapse in your study


of blush
or coral


like the sun falling
like some stray pile of leaves


while your wife discovers you
and simply goes for the rake


raking you up
dumping bones


final expressions
and all


in the wheelbarrow
carting you off to the cemetery


(Hey! where are you                                                                                                                       
putting those stickies
?)


where you may finally rest in peace
eternally smelling biscuits & gravy


with a whole mess of wild stray 
seagulls squawking above me.



III.  Power Of The Poppy


I would have loved to have been
one of Freud’s persnickety patients


simply lying there stretched out
somewhere on the outskirts


deeply immersed
in a hypnotic trance


under the influence
of the cadence


of the rhythm of one of those big
beautiful Black Forest coo-coo clocks


with maybe the window
cracked open just enough


to hear the blast of blue birds
and smell the sweet fragrance


of a pungent perennial garden
with symptoms of persistent


persecutorial and conspiratorial
delusions not so much psychotic


but more so reality-based acquired
from all the overwhelming horrible


patterns of the gossip and rumors of
vultures of culture, of human nature


(You’ll even offer hypotheses                                                                                           
of ‘Survival of the Sleaziest’)


A little high with a buzz                                                                                                         
on off one of his famous


Cocaina-Dope-Manishewitz solutions
to help ease some of the tension


and pain and suffering of existence
hoping to shed some light into the


addict of a heartbroken brainwashed
manic-neurotic-romantic to try and


recapture that one single-glimpse-moment, surreal-dream-
fantasy from blissful-innocent-ephemeral elusive childhood


and make sense of all that passive-aggressive
flirtation, innuendos & interludes (exhibitionism)


from seductive school teachers
oversexed grammar school kids


pleasantly confused either by hoofbeats of horses
or practical pumps of prostitutes in the far off distance


departing at dusk overtaken by cicadas and crickets...
A symphony of tree frogs and Magritte’s illusory sunsets


sensing the cruel violence in the not too distant future
neither by chance nor coincidence but more so intuition


Man’s rotten core based on self-interest
and his ‘will to power’...to be malicious


swinging my feet off his love seat feeling a mild
sense of liberation from all pressures and happen


to mention how you might want to just move to Baltimore
as you’ve heard so many lovely things about its shores


more specifically, Casey Stengel and The Baltimore Gold
and passionately stroll home in hand-me down coat through storm.


You’ll turn on talk radio when you get home...

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