“Norman, you are acting irresponsibly. You are a menace to this entire expedition.” Was that true? he wondered. He didn’t think he was a menace to the expedition. It didn’t feel true to him. But how often in his life had he confronted patients who refused to acknowledge what was happening in their lives? Even trivial examples—a man, another professor at the university, who was terrified of elevators but who steadfastly insisted he always took the stairs because it was good exercise. The man would climb fifteen-story buildings; he would decline appointments in taller buildings; he arranged his
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