Overheard in a Dream. Torey Hayden

and token economies provided a swifter intervention than play therapy. Drugs provided an even swifter one. Both mothers and fathers worked and were generally unavailable for therapy during office hours. And everyone was in a hurry. Impatience had become the motif of modern life. As a consequence, the main function of many psychiatrists was simply to prescribe drugs. James often felt like a dinosaur for trying to turn the clock back to a slower, more humanistic model.

      South Dakota hadn’t been a good place to choose for a renaissance of traditional therapeutic values. They were a self-reliant people, not used to talking to strangers about their personal problems, so it was hard enough to get them through the door at all. And with agriculture still the main industry, they understood “bottom lines” acutely well. Many parents of his young patients had refused outright to come in for therapy sessions themselves because of the additional cost. In the end, James had had to go “commercial” to create a genuine family therapy setting by coming up with the concept of a “package deal” – that he would see each member of the immediate family for three sessions for one set price. Truth was, he was quite proud of that idea and thought it would work, but no. Too often he still had to charm them in.

      Laura Deighton was going to be one such, James could tell. It became apparent almost instantly that from her perspective, Conor had sole ownership of his problem. When James raised the issue of family therapy, of seeing her, her husband and their daughter as well as Conor, Laura had actually stood up. She literally started to leave and James had no doubt she would have done so, if he hadn’t pulled back immediately. This reaction fascinated him, because, of course, it said so much more to him about how unwilling she was to look at the problem than words could have done.

      Conor’s father, Alan McLachlan, however, was just the opposite. When James explained how Conor’s therapy would work, Alan agreed straightaway. “Yes, of course,” he said. He’d be happy to come in.

      With the same care that James had put into designing the playroom, he had laid out his office for use in interviews and adult therapy sessions. Beyond the desk, he’d created a rectangular-shaped “conversation centre” with soft, comfortable chairs and a sofa. The coffee table, the end tables and the plants had all been chosen with care to give a pleasant, airy, relaxed atmosphere. He’d purposely picked real wood and natural materials to help mitigate the artificiality of the situation and used a pale beige upholstery to give the room an open, positive feeling. Lars kidded him about such attention to detail, but James was pleased with the effect. He felt it worked.

      Laura Deighton had shown little interest in his conversation centre and seated herself beside his desk before he’d had the chance to encourage her elsewhere. When Alan came in, however, he had moved naturally to the sofa. Sinking into the beige-cushioned softness, he settled down comfortably. So comfortably, in fact, that he soon was resting one scuffed and, as James noticed, rather dirty cowboy boot on the edge of the coffee table.

      Alan wasn’t a tall man. James was six foot, so not a giant by any means, but he must have had three or four inches over him. Alan’s hair, thick and rumpled by the removal of a red-and-white duckbilled hat, was the uneven grey of galvanized metal. His eyes were the same misty Celtic blue as Conor’s. He looked older than his fifty years. His face was ruddy and lined, his skin long since gone to leather from a lifetime spent outdoors, but he still had about him a worn-out handsomeness.

      James had been a little nervous about Alan. He’d never come face to face before with that iconic stereotype of the West – a cowboy – a man who rode horses as part of his daily working life, who gathered cattle, branded them, calved them and, when necessary, wrestled them to the ground and cut off their balls. It all spoke to James of the kind of mythic masculinity that existed only in movies, and he worried about finding common ground. Alan didn’t help James’s confidence at all with the way he’d so casually put his boot onto the coffee table. It was like territorial marking. Subtler than peeing, perhaps, but James felt like it meant pretty much the same thing.

      “Thank you very much for coming in,” James said.

      “Nope, my pleasure.”

      There was a pause then while James waited for him to set the tone of the session. In the brief silence James found himself wondering about Alan and Laura as a couple. What had attracted her to this country man? How did he cope with having a world-famous wife?

      Alan didn’t give James much time to think, however, as he almost immediately asked, “So how’s Conor doing?”

      “We’re still establishing trust,” James replied. “He seems very uncertain in the new situation.”

      “Yeah, he doesn’t deal with new situations well. Autistic kids are like that.” A pause. “So what do you actually do with him in here?” Alan asked. “Because I wasn’t quite clear what this was all about from the way Laura explained it.”

      “And how was that?” James enquired.

      “Well, it’s her version, so who knows. To be honest, I’m pleased you’ve asked me in yourself, because this way I actually stand a chance of understanding what’s going on.”

      “You feel you haven’t been consulted as much on Conor’s treatment in the past as you’d like?”

      Alan let out a long, heavy breath. “I don’t think it’s not being consulted so much as that I’ve long ago lost track of what led to what led to what.”

      A pause.

      James waited calmly. He was getting the sense of a man who thought quite deeply but wasn’t quick with words, who took time to organize his thoughts and get them out. How had someone like that ended up with a woman whose life was made of words?

      “I never wanted Conor in that Colorado school,” Alan finally said. “That’s the first thing I want to make clear. I mean, who sends their young child seven hundred miles away? We shouldn’t ever have done that. Autism happens. A lot of people have autistic children. They cope with it. They don’t put the kid away.”

      “So how did the decision come to be made?” James asked.

      “Laura. This, here,” he said with a broad sweep of his hand. “It’s about the fact that Laura needs treatment.”

      James was not quite certain what Alan meant. “You’re saying that coping with Conor is causing problems for Laura? Or coping with Laura is causing problems for Conor?”

      “Both, really. I don’t think they’re two different things,” Alan replied. “But the biggest problem up to now has just been getting Laura to take responsibility for it. When she said this was a family therapy thing, that we couldn’t get Conor in here unless we were involved too, I thought ‘Thank God. She’s finally taking me seriously.’ She’s always pooh-poohed the idea of therapy and been so quick to blame it all on Conor, make it all Conor’s problem. But it’s also been about Laura not being able to cope with him. That’s how I got railroaded into sending him to Avery.”

      “Can you tell me how you saw Conor’s problems starting?” James asked.

      “We had a couple of absolute shit years. It was about the time Conor was two or three. Everything just happened at once. I was having some serious money problems with the ranch. People assume because Laura’s work is well known that we must be wealthy, but there is a big difference between literary and commercial. The truth is, both ranching and book-writing are very uncertain ways to earn a living.

      “So we were having major financial problems. Right in the middle of it, Laura got pregnant. It was unplanned and quite complicated. We thought Laura had actually lost the baby, because she miscarried, but apparently it was a twin pregnancy and she’d lost only one. Anyway, cue for lots of medical problems and bills just at a time when we desperately needed her earnings. Poor Conor. His little life just got turned on its head. I was gone all the time because I was hiring out to other ranches to earn some extra money and Laura felt so unwell. Conor’s always been a sensitive kid, and this just made it worse. He got fearful of just about everything. I didn’t think much of it at the time. I thought he’d settle down once things were more stable, once