III There is a sort of waking nightmare that sets in sometimes when one has missed a sleep or two, a feeling that comes with extreme fatigue and a new sun, that the quality of the life around has changed. It is a fully articulate conviction that somehow the existence one is then leading is a branch shoot of life and is related to life only as a moving picture or a mirror—that the people and streets and houses are only projections from a very dim and chaotic past. It was in such a state that Roxanne found herself during the first months of Jeffrey’s illness. She slept only when she was utterly exhausted; she awoke under a cloud. The long sober-voiced consultations, the faint aura of medicine in the halls, the sudden tiptoeing in a house that had echoed to many cheerful footsteps, and, most