towards the town’s market and shops. The house Holdsworth was seeking was on the eastern edge of Barnwell, where the houses were fewer and the air of the place was notably more rural.
The exercise and the morning sunshine made it possible to put the terrors of the night into perspective. A rational man need not chastise himself for his dreams, Holdsworth reminded himself, for they were quite outside his control and by their very nature replete with absurd fancies and sensations. There were difficulties enough in his waking life without wilfully manufacturing more.
Dr Jermyn’s establishment stood in its own small pleasure ground. The demesne was surrounded by a wall almost as high as Jerusalem’s. The gates were locked. There was a bell pull mounted on the right-hand gatepost, together with a notice advising visitors to ring and wait. Holdsworth pulled the handle. Thirty seconds later, the front door opened and a manservant came unhurriedly down the drive and inquired civilly enough how he might be of assistance.
‘My name is Holdsworth. I believe Dr Jermyn is expecting me.’
The servant bowed and took out a key for the gates.
‘You are well guarded against the world,’ Holdsworth said.
‘It’s not only to keep people out, sir.’ The servant locked the gate again when Holdsworth was inside, and began to lead the way up the drive. ‘It’s to keep them in.’
As they walked up the drive, Holdsworth glimpsed three or four men in the grounds. One of them appeared to be pruning a bush; another was hoeing a flower bed. There was nothing curious in that except for the fact they were attired not as gardeners but as gentlemen. Even at a distance, Holdsworth could see the black coats, black silk breeches and white waistcoats; and at least two of them had their hair powdered and arranged, as though at any moment they were due to pay a morning call upon a lady.
At the door of the house, the servant rang the bell as though he too were a visitor. Another servant admitted them and showed Holdsworth into a small drawing room, saying that Dr Jermyn would be with him directly.
Holdsworth prowled about the apartment. He came to the window and stared out over an expanse of sunlit lawn at the side of the house, with an extensive shrubbery beyond. At this moment the door opened, and Dr Jermyn appeared.
‘Mr Holdsworth, your servant, sir,’ he said briskly. ‘Mr Cross wrote me that you would probably honour us with a call this morning.’
The two men exchanged bows. Jermyn was a young man, little more than thirty, with a pleasant, open face. He dressed soberly and neatly, and wore his own hair.
‘I see you were examining our windows, sir,’ he said. ‘Were you expecting bars across them?’
‘I did not know what to expect. Were those your – your patients I saw in the garden?’
‘Indeed. Honest toil in the open air has much to recommend it. I am glad to say that a number of our gentlemen condescend to assist us.’
Holdsworth felt in his pocket. ‘I have a letter of introduction from her ladyship.’
The doctor offered Holdsworth a chair. Murmuring an apology, he broke the seal of the letter and read it slowly. At length he looked up. ‘These matters are always delicate. And I apprehend that Mr Oldershaw’s case is so in more ways than one. Her ladyship writes that you have her complete trust, and instructs me to give you every assistance in my power.’
‘And how is Mr Oldershaw?’
‘In terms of his eventual progress towards a cure, I have great hopes of him. His constitution is robust, and his temperament naturally sanguine. His family and friends wish him all that is good. There is no lack of resources. In short, I have seen many patients in far worse circumstances. Indeed, I have had some of them under this roof.’
‘I do not doubt it,’ Holdsworth said.
‘Nor, in some respects, is his case uncommon. There are many young men who come up to the University ill- prepared to meet the temptations and trials that they find here. Some have never been away from home before. Without firm guidance or, in many cases, the support of carefully inculcated moral principles, they unite the follies of youth with the opportunities of independence and, by degrees, slide towards catastrophe.’
‘You speak generally, sir,’ Holdsworth said. ‘But what of Mr Oldershaw?’
For the first time Dr Jermyn hesitated. ‘Pray, sir, what exactly have they told you? I would not have you meet him unprepared.’
‘I have seen Mr Cross’s neck.’
‘Ah. That was indeed unfortunate.’
‘Her ladyship informs me that her son’s temperament from his earliest years has been mild and good- humoured.’
A noise broke out somewhere above their heads, a distant howling, followed by rapid footsteps and the slamming of a door.
‘One must allow for a mother’s partiality,’ Jermyn said. ‘I should perhaps preface my remarks by saying that there are aspects of Mr Oldershaw’s case which may not be easily comprehensible to those who are not physicians. Indeed, sir, I suspect that perhaps even the majority of my professional brethren would be quite at sea. Only a physician who has made a particular study of maniacal disorders is really in a position to appreciate the finer points.’
‘Then pray allow me to manage as best I may with the coarser ones, sir. Why was he brought to you and not to some other medical man in the locality?’
Jermyn stared down at his hands, which were small, white and very clean. Then, perhaps recollecting who was paying the bills, he looked up with a smile.
‘Why, as to that, there are not so many of us who specialize in such cases within easy reach of Cambridge. I flatter myself that my name is not unknown in the University. The local physicians, though many of them are admirable men, have not had time or opportunity to study such conditions, let alone the modern science of moral management.’ Jermyn nodded, as if in approval of himself. ‘We have come a long way since the days of our grandfathers.’
‘And who recommended you to Lady Anne?’
‘Why, the lad’s tutor – Mr Richardson. It seems that Mr Oldershaw had not been himself for several weeks – since February. I wish they had called me in earlier. They waited until his condition had worsened considerably. That was in March.’
‘And what precisely was his condition?’
Jermyn joined his hands together and made a steeple of the fingers. ‘To put it simply, in lay terms, his melancholy had deepened to the point where he found life insupportable. The proximate cause appears to have been a nervous collapse within one portion of the brain, inducing a form of delirium. Now, we physicians distinguish in these cases between melancholia and mania. Some believe that the two conditions are generically separate, but I hold with Professor Cullen that in fact the difference between them is not one of kind but only of degree. If you consult his
Holdsworth thought of Maria: of the effect on her of Georgie’s loss, and then of the news that she must leave the house where he had lived and where they had brought his battered little corpse: in Jermyn’s terms, when melancholia had slipped into mania. ‘You do not think there was a particular, external cause? A shock of some sort to his system?’
‘I do not say that precisely. It is rather that I look to the physiology of the brain to provide my answers, rather than to any events, real or imaginary, that may or may not have taken place outside it.’
‘And so what of the ghost?’
‘Ah – our ghost.’ Jermyn smiled again. ‘I wondered when we might arrive at this fabled creature. My dear sir, it is a symptom of Mr Oldershaw’s mania, not a cause.’
‘I am informed that Mr Oldershaw was walking in the garden at Jerusalem late one night, and that he believed he saw the ghost of a lady who had recently died, a lady with whom he was acquainted as she was the wife of a friend. And it was this that drove him to attempt to take his own life.’
‘That is to put the cart before the horse. Consider his unprovoked attack on Mr Cross. Here we have his mother’s steward, an old man he has known since childhood. Mr Cross barely had time to enter the room where Mr Oldershaw was sitting when the young man leaped up and attacked him. Had not an attendant and myself been at hand to restrain him, the consequences for Mr Cross might have been fatal. There is no conceivable
