The Lathe Of Heaven

The Portal of God is non-existence.

Dr. William Haber’s office did not have a view of Mount Hood. It was an interior Efficiency Suite on the sixty-third floor of Willamette East Tower and didn’t have a view of anything. But on one of the windowless walls was a big photographic mural of Mount Hood, and at this Dr. Haber gazed while intercommunicating with his receptionist.

“Who’s this Orr coming up, Penny? The hysteric with leprosy symptoms? ”

She was only three feet away through the wall, but an interoffice communicator, like a diploma on the wall, inspires confidence in the patient, as well as in the doctor. And it is not seemly for a psychiatrist to open the door and shout, “Next! ”

“No, Doctor, that’s Mr. Greene tomorrow at ten. This is the referral from Dr. Waiters at the University Medical School, a VTT case. “

“Drug abuse. Right. Got the file here. O. K. , send him in when he comes. “

Even as he spoke he could hear the elevator whine up and stop, the doors gasp open; then footsteps, hesitation, the outer door opening. He could also, now he was listening, hear doors, typewriters, voices, toilets flushing, in offices all up and down the hall and above him and underneath him, The real trick was to learn how not to hear them. The only solid partitions left were inside the head.

Now Penny was going through the first-visit routine with the patient, and while waiting Dr. Haber gazed again at the mural and wondered when such a photograph had been taken. Blue sky, snow from foothills to peak. Years ago, in the sixties or seventies, no doubt. The Greenhouse Effect had been quite gradual, and Haber, born in 1962, could clearly remember the blue skies of his childhood. Nowadays the eternal snows were gone from all the world’s mountains, even Everest, even Erebus, fiery-throated on the waste Antarctic shore. But of course they might have colored a modern photograph, faked the blue sky and white peak; no telling.

“Good afternoon, Mr. Orr! ” he said, rising, smiling, but not extending his hands, for many patients these days had a strong dread of physical contact.

The patient uncertainly withdrew his almost-proffered hand, fingered his necklace nervously, and said, “How do you do. ” The necklace was the usual long chain of silvered steel. Clothing ordinary, office-worker standard; haircut conservative shoulder-length, beard short. Light hair and eyes, a short, slight, fair man, slightly undernourished, good health, 28 to 32. Unaggressive, placid, milquetoast, repressed, conventional. The most valuable period of relationship with a patient, Haber often said, is the first ten seconds.

“Sit down, Mr. Orr. Right! Do you smoke? The brown filters are tranks, the white are denicks. ” Dorr did not smoke. “Now, let’s see if we’re together on your situation. HEW Control wants to know why you’ve been borrowing your friends’ Pharmacy Cards to get more than your allotment of pep pills and sleeping pills from the autodrug. Right? So they sent you up to the boys on the hill, and they recommended Voluntary Therapeutic Treatment and sent you over to me for the therapy. All correct? ”

He heard his own genial, easy tone, well calculated to put the other person at his ease; but this one was still far from easy. He blinked often, his sitting posture was tense, the position of his hands was overformal: a classic picture of suppressed anxiety. He nodded as if he was gulping at the same moment.

“O. K. , fine, nothing out of the way there. If you’d been stockpiling your pills, to sell to addicts or commit a murder with, then you’d be in hot water. But as you simply used ‘em, your punishment’s no worse than a few sessions with me! Now of course what I want to know is why you used ‘em, so that together we can work out some better life pattern for you, that’ll keep you within the dosage limits of your own Pharm Card for one thing, and perhaps for another set you free of any drug dependency at all. Now your routine, ” his eyes went for a moment to the folder sent down from the Med School, “was to take barbiturates for a couple of weeks, then switch for a few nights to dextroamphetamine, then back to the barbiturates. How did that get started? Insomnia? ”

“I sleep well. ”

“But you have bad dreams. ”

The man looked up, frightened: a flash of open terror. He was going to be a simple case. He had no defenses.

“Sort of, ” he said huskily.

“It was an easy guess for me, Mr. Orr. They generally send me the dreamers. ” He grinned at the little man. “I’m a dream specialist. Literally. An oneirologist. Sleep and dreaming are my field. O. K. , now I can proceed to the next educated guess, which is that you used the phenobarb to suppress dreaming but found that with habituation the drug has less and less dream-suppressive effect, until it has none at all. Similarly with the Dexedrine. So you alternated them. Right? ”

The patient nodded stiffly.

“Why was your stretch on the Dexedrine always shorter? ”

“It made me jumpy. ”

“I’ll bet it did. And that last combination dose you took was a lulu. But not, in itself, dangerous. All the same, Mr. Orr, you were doing something dangerous. ” He paused for effect. “You were depriving yourself of dreams. ”

Again the patient nodded.