After nine years evaluating the mentally ill at the Bellevue Medical
Center psychiatric emergency room, Dr. Julie Holland has some stories to
tell.
Like the one about the disturbed man who sucker-punched her in
the face. Or the guy who committed suicide right there in the emergency
room. Or the sadly remorseful baby killer. Or the just plain crazy
people who have lost all touch with reality.
Holland tells these stories in her 2009 book, "Weekends at Bellevue." Some of these
stories are funny, some sad, some upsetting, but they're generally
well-told and they expose the reader to a world few people see. The
"CPEP" – the Comprehensive Psychiatric Emergency Program – has the
manic atmosphere of the show "ER," but the room is stocked only with the
mentally unstable. It's Holland's job to sort through them, and decide
how to treat them.
"There is a diaphanous membrane between sane
and insane," Holland writes. "It is the
flimsiest of barriers, and because any one of us can break through at
any given time, it scares us all of us. We all lie somewhere on the
spectrum, and our position can shift gradually or suddenly. There is no
predicting which of us will be afflicted with dementia or schizophrenia,
who will become incapacitated with depression or panic attacks, or
become suicidal, manic or addicted."
If Holland had stuck to
stories from the emergency room, she'd have an outstanding book. But too
often she strays off the path to offer self-indulgent stories about
herself. She wrings her hands over her personal anxieties, shares her
petty disputes with her boss, tells us her childbirth story (though
there's nothing particularly unusual about it).
At one point, Holland
describes herself as a "narcissist" and I'm afraid that's true. To put
it bluntly, she talks too much about herself.
My suggestion: Stick to the stories in the CPEP, and skim through the other stuff.
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