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A grotesquely fat woman lives in the farthest corner of the village. Her name is Matilde. When she walks to market, she must gather up her fat just as another woman gathers up her skirts, daintily pinching it between her fingers and hooking it over her wrists. Matilde’s fat moves about her gracefully, sighing and rustling with her every gesture. She walks as if enveloped by a dense storm cloud, from which the real, sylph-like Matilde is waiting to emerge, blinding as a sunbeam.

The following day, Pablo set the beetle loose, out of “pity,” he told me. (I believe that he was in Mr. White’s employ.) This had terrible consequences for us and our secret files, for that very night the bugs came rolling out of the jungle in a horrible unstoppable scuttling attack and seized me and carried me off down dim dizzy depths and under mountains and along the bottoms of warm shallow seas like my zombies with only a hollow reed in my mouth to keep air passages in working trim, and through sticky ferns and egg caches and incubators and subterranean cockroach classrooms of strategy and along abandoned mine shafts and eaten-away tunnels in hollowed-out documents in unused stacks in an obscure wing of a forgotten branch of a sealed-off area of the very Library of Congress…

“You see my grandson over there.” Justin’s father humps his chin in Graham’s direction without taking his eyes off Seth. “You don’t want him to see what the inside of your skull looks like, do you?”

“You’d never do that,” Seth says. “I could walk right up to that rifle and stick my finger in it and you’d never do a thing.”

“Come on and try.”

“You’re so full of it.”

Then his father swings the barrel left and fires. The crack of the gunshot is followed by the chime of glass shattering, falling from the red pickup, its left headlight destroyed.

For a moment Seth stares at his truck. “You’ll fucking pay for that,” he says.

The next day I piled my possessions among the goats and chickens and boxes tied with string on the roof of a taxi brousse, squeezed in with the Senegalese passengers, and went to Dakar. I got the key to my new house, took a pregnancy test, and arranged a round-trip flight to Washington, D.C. Every Peace Corps volunteer was allowed one abortion.

You are told when to sleep and when to wake up. If you spend too much time in your bedroom, it indicates that you’re being antisocial; if you do sit in the common areas, but don’t interact with the other patients, you’re probably depressed or overly inward or perhaps even catatonic. Humans might all be ciphers to one another, but people with mental illness are particularly opaque because of our broken brains; we cannot be trusted about anything, including our own experiences.