Saturday, May 17, 2025

Saying From My Career

I had occasion to use a phrase that had lain dormant for at least a decade, describing someone who was trying to express an idea that they had no logical control over. Our psych emergency team would interview a new patient to make a rapid assessment and sentence fragments would emerge, usually emotionally charged. Derailment and loose association can be a symptom of many illnesses - in milder forms it can be creative and entertaining. Yet this was subtly different, because it was not merely that the brain was trying to go 70mph in first gear, but that the road kept going away and then reemerging briefly. The destination kept evaporating but returning in brief apprehension. 

Not enough fence to keep the sheep in.

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