shut, her head seeming to split wide open. She heard a howling noise like a creature coming at her down a long tunnel, and then she opened her eyes and looked down at what she held in her hands. Somebody screamed.

It took the doctor several seconds to realize it was her own voice she heard.

All things are preceded by the mind led by the mind, created by the mind.

From the Dhammapada (Quotations from the Buddha)

'I could stop all these cars. I could make them all wreck just by raising my hand '

Excerpt from a July 6, 2003, interview with a

twelve-year-old psychiatric patient, recorded by

Dr. Susan Watts, M.D., Ph.D.

STAGE ONE

--1--

Present day

The Thomas Ward School of Psychology is located on Boston's Beacon Street, within a connected row of converted private homes that seem to ask nothing more than to blend in and keep out of sight. It is a small school, modestly funded, but well known within certain circles as one of the best of its kind in the country.

Jess Chambers climbed the front steps to the porch and paused by the door to the administrative offices, looking absently at the small bronze sign and readying herself for whatever waited for her within. She had been here many times before, but this time was different and she knew it. Professor Shelley's voice on the phone had contained a conspiratorial edge, something she had never heard before. Shelley was not the sort to fraternize with students outside of class. The call had piqued Jess's curiosity, as it had obviously been meant to do.

She checked the fall of her black cotton slacks and adjusted the collar of her blouse before stepping through the heavy wooden doors and into the reception area, a small, cramped room guarding the administrative and faculty offices.

The room smelled of stale coffee. Several Styrofoam cups sat discarded on the horseshoe countertop facing the door, and Jess resisted the nearly compulsive urge to straighten them up. Computer printouts were tacked to the walls, listing current events relating to the field and lecture times, along with an upcoming conference poster. A table to her left contained stacks of papers and magazines in an organized clutter, below a window that looked out onto the street and the T-tracks, where the trains rattled and shook on their way into the city. A bit of gray light filtered inside, but did not do much for the decor.

Though she could hear muffled voices somewhere, the outer rooms were empty. In Professor Shelley's office she sat down in the slick vinyl chair facing the desk and crossed her hands in her lap.

The room was filled with odds and ends, files and folders, curling news photographs of various unsmiling people tacked to the walls. A few of them she recognized as researchers or faculty members; most she did not.

Though Shelley was known for throwing an occasional pop quiz, she was well respected among her students. It was the mystery that surrounded her which gave them pause; some claimed to have seen her sitting in the butterfly position for hours, her eyes closed. A few had even insisted they'd seen her levitating. These stories were told in the thirdhand way of urban legend, often around a bar table, and Jess did not believe them for a second.

But Shelley's private life remained a mystery. What was it about psychiatrists and psychologists anyway? Complex minds unraveling each other. And yet such a need for secrecy. Jess found herself staring in mild amusement at a chart that supposedly revealed the details of the human aura. One thing was certain, no one had ever accused Shelley of being dull.

The professor was at the door; Jess hadn't heard her come in. 'There you are,' Shelley said. 'Hope I didn't pull you away from something important?'

'I've caught up on my reading.'

'You always did seem to be ahead of the game. Maybe I should give a bit more, just to keep you busy.'

Jess risked a smile. Students complained that Shelley gave more reading than the rest of their classes combined. Slightly more to it than good-natured grumbling, she thought, to be fair. She took Shelley's classes for the challenge, and she welcomed it, but there were others who did not feel they should be spending every spare moment in the library.

Shelley moved rather carefully now around a mountain of old exam papers to her desk, a tall woman in her early forties who bore a striking resemblance to the actress Diane Keaton. She wore a chocolate long-sleeve mock- ribbed cardigan that looked expensive. Her hair was cut in a fashionable, shoulder-length style, and she was blessed with aristocratic bone structure and very long fingers. Slight calluses on the tips, Jess noticed. A piano player, perhaps, or strings.

Normally she carried herself with elegance and style, but she seemed worn down today, too pale, and the circles under her eyes were darker than usual. Something was clearly going on with the professor, though what exactly that might be, Jess could not guess.

'Let's see how much of that reading made an impression, then,' Shelley said, sitting down in her chair. 'You're familiar with Jacob's reconstructive study on depression?'

Jess recited from memory. 'A five-step model, beginning with a long-standing history of early childhood problems, which leads to an acceleration of problems in adolescence, an isolation from peer groups, and a dissolution of social relationships, which finally ends in a justification of the suicidal act or attempt.'

'And earlier than that?'

'Extreme separation anxiety or isolation in early childhood, regressive behavior. Complaints of stomach pains.'

Shelley nodded, her graceful fingers steepled before her nose. 'But I'm referring to instances of total withdrawal. Come on now. No more book definitions. Give me your thoughts.'

Jess felt slightly off balance and didn't like it. Come on, girl, get a grip, as her friend Charlie would say. 'Let's see. The child is dependent on a caregiver to an unusual degree. Any unfamiliar event or surrounding sends her into a fugue state, caused mainly by the child's inability to accurately express what is wrong. Undue stress would come from feeling depressed, without actually understanding the concept. In the most severe cases, lack of response can be a sign of a serious mental disease--brain damage, autism, even schizophrenia.'

'Interesting.' Shelley was not one given to praise easily. Jess could not tell if she was satisfied or not. The professor shuffled some papers on her desk. 'Now you're wondering why you're here.'

The thought had crossed her mind. She had taken a class with Shelley once before and received an A, one of two that had been given that semester, she'd heard. Now she had her for neurobiological disorders, which she was finding very interesting. Male teachers had approached her in a less professional manner before; she was well aware of the effect she had on men. But Shelley was a woman. And this was certainly not a private tutoring session.

'I took the liberty of examining your records,' Shelley said. 'You're interested in child psychology, severe developmental disorders in particular. Any reason?'

'My younger brother was autistic.'

'I see. So there's a personal element in your interest. But it has to stay out of your professional conduct. I say this because what I'm going to talk to you about requires it.'

'Professor, with all due respect, if I didn't think I was capable of remaining professional, under any circumstance, I wouldn't be enrolled here.'

It came out a little more forcefully than she'd intended. But Shelley simply nodded and smiled. 'You've done well in my courses. Don't think I haven't noticed. That's one of the reasons you're here today. And the reports from your internship at the DSU clinic are stellar. You haven't chosen a topic for your dissertation?'

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