healthy?’
A difficult question, and one to which Jan does not reply.
‘And what can we really know about one another?’ the doctor goes on. ‘If you were to meet a man walking along this corridor, Jan, could you tell if he was good or evil?’
‘No … but I suppose I would assume that he wished me well.’
‘Good,’ says Högsmed. ‘Trusting others is mostly a matter of how secure we are in ourselves.’
Jan nods and follows him through the hospital.
Högsmed is ready with his magnetic card once more. ‘This is actually the quickest way to the pre-school,’ he explains as he unlocks the door. ‘You can go through the hospital basement, but it’s a tortuous and not very pleasant route, so we’ll go back out through the gate.’
They leave the hospital the same way they came in. As they pass the security guard’s office Jan glances at the thick safety glass and asks quietly, ‘But some of the patients here must be dangerous, surely?’
‘Dangerous?’
‘Yes – violent?’
Högsmed sighs, as if he is thinking of something tedious. ‘Well, yes, but they’re mostly a danger to themselves. Occasionally they might be violent towards others,’ he says. ‘There are of course certain patients who have destructive impulses, antisocial men and women who have done what you might call
bad
things …’
‘And can you cure them?’ Jan asks.
‘
Cure
is a big word,’ says Högsmed, looking at the steel door in front of him. ‘Those of us who are therapists do not attempt to enter the same dark forest in which the patients have lost their way; we stay out in the light and try to entice the patients to come to us …’ He falls silent, then continues: ‘We can see patterns in the behaviour of those who have committed violent crimes, and one common denominator is childhood trauma of various kinds. They have often had a very poor relationship with their parents, with frequent instances of abuse and lack of contact.’ He opens the outer door and looks at Jan. ‘And that is why we run this particular project, the Dell. The aim of our little pre-school is to maintain the emotional bonds between the child and the parent who is a patient here.’
‘And the other parent agrees to these visits?’
‘If they themselves are well. And still alive,’ Högsmed says quietly, rubbing his eyes. ‘Which isn’t always the case. We are not usually dealing with socially stable families.’
Jan refrains from asking any more questions.
Eventually they are back outside in the sunshine again. The doctor blinks in pain at the bright daylight.
They walk towards the high wall. It hadn’t occurred to Jan before, but the air seems so pure on this autumn day. Dry and fresh.
‘After you, Jan.’
The gate in the wall slides open and Jan steps out.
Out into freedom
. That’s actually the way it feels as he stands there in the street, even though he could have left the hospital whenever he wanted to, of course. No guards would have tried to keep him there.
The steel gate closes behind them.
‘This way,’ says Högsmed.
Jan follows him, gazing across towards the outskirts of the town to the south. Beyond a wide, freshly ploughed field he can see several blocks of small terraced houses. He wonders what the owners of those houses think about the hospital.
Högsmed also glances across at the houses, as if he can hear what Jan is thinking. ‘Our neighbours,’ he says. ‘In the past the town wasn’t quite so extensive, of course, so the hospital was more isolated out here. But we have never had any problems with protests or petitions, unlike some other psychiatric units. I think the families over there know that our operation is secure … that the safety of all concerned is our number-one priority.’
‘Has anyone ever escaped?’
Jan realizes this is a provocative question.
But Högsmed raises his forefinger to indicate the number one. ‘Just one patient during my time here. It was a young man, a sex offender,