Fall; or, Dodge in Hell

by Neal Stephenson

“If it weren’t for the obvious drawbacks, I would recommend that everyone go crazy at least once in their lifetime,” El said. “It’s the most fascinating thing I’ve ever done. Going about it mindfully requires diligent effort. A kind of spiritual practice. I’m pretty sure that a lot of the old mystics—hermits and prophets who were enshrined by primitive cultures as having possessed some special connection to the divine—were in fact suffering from diagnosable mental illnesses but struggling to succumb to them mindfully. If they’d had access to modern diagnostic manuals they’d have been able to say, ‘Ah, it says right here here that I am a paranoid schizophrenic,’ but lacking such documentation, they had to self-observe. When certain processes in the mind run out of control, or, at the other end of the spectrum, cease to function at the level needed to preserve a kind of psychiatric homeostasis, the effects are observable to an introspective patient. If you’re a stylite monk, you’re pretty much screwed and you just have to think your way around it. But nowadays, therapeutic options suggest themselves—titrating levels of various psychoactive medications in an interactive manner, talking across the blood-brain barrier, or direct stimulation of certain ganglia using techniques that can reach into the brain and target interesting regions.