If [Patricia Highsmith] saw an acquaintance walking down the sidewalk she would deliberately cross over so as to avoid them. When she came in contact with people, she realised she split herself into many different, false, identities, but, because she loathed lying and deceit, she chose to absent herself completely rather than go through such a charade. Highsmith interpreted this characteristic as an example of 'the eternal hypocrisy in me', rather her mental shape-shifting had its source in her quite extraordinary ability to empathise. Her imaginative capacity to subsume her own identity, while taking on the qualities of those around her - her negative capability, if you like - was so powerful that she said she often felt like her inner visions were far more real than the outside world. She aligned herself with the mad and the miserable, 'the insane man who feels himself one with all mankind, all life, because in losing his mind, he has lost his ego, his self-ness', yet realised that such a state inspired her fiction. Her ambition, she said, was to write about the underlying sickness of this 'daedal planet' and capture the essence of the human condition: eternal disappointment.

Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.