had noted in his spidery scrawl:
Mary-052007 will not respond to any name, but displays clear comprehension of verbal and written instructions when they are spoken directly to or placed in front of her. She performs both menial tasks and more complex operations, such as solving mathematical equations, tending the garden, or typing and sending an e-mail (dictated).
They’d instructed; she’d performed. When they asked her to accomplish tasks that were impossible to carry out, such as urinating into a cup, they never tried to force her. The nurses simply noted “Mary’s” lack of response in her chart, and Dr. Cawthorne would write the name of another disorder in his notes, followed by another question mark.
The second year had passed in the same way. A few weeks into the third year, the doctor had been thumbing through the calendar on his desk and making his usual, halfhearted attempts to draw out a response—
How are you today? Pause. The rain has let up. You’ll be able to take your afternoon walk through the garden, though it will be too wet for planting. What sort of flowers should we add this year? Pause. Peonies would be lovely, wouldn’t they?
—when he’d cut his thumb on the edge of the calendar paper. Another pause had followed the peonies as he’d stuck his thumb into his mouth, and Ash had remembered that she’d once drunk her own blood, too. She’d remembered the blade carving symbols into her face, her torso and arms. She’d remembered the knife at her chest, and the dark figure pronouncing her name—but she’d only heard the first syllable before his terrible voice had torn everything apart.
Sitting in Dr. Cawthorne’s office, that memory had quickly faded—or she’d stifled it, just as she stifled the tremors that shook her body when she thought of that dark figure. Just enough of the memory remained, however, to remind her that she had to tell Cawthorne something.
“My name isn’t Mary,” she’d said.
Dr. Cawthorne’s hand dropped away from his mouth. He’d stared at her, his jaw agape. Whenever someone on the television wore that expression, a faceless crowd laughed on the soundtrack. No one in Cawthorne’s office laughed in the background. The only reaction that Ash could detect was the sudden shift of Cawthorne’s emotions: from frustration and resignation to surprise and excitement.
But though she could sense his exhilaration, he didn’t show it. Evenly, he’d asked, “What is your name, then?”
“Ash . . . something . I don’t know the rest.”
“Ashley?”
“No.” She was certain.
He’d nodded in that same slow, calm way, but to her ears, his heart pounded almost as loud as his voice. “Until we know, may we call you ‘Ash’?”
“Yes.”
Smiling, he leaned back in his chair and studied her. “And you’re an American? Canadian?”
“I don’t know.”
“But your accent is . . .” He’d shaken his head. “No matter. You’re here now, and it’s wonderful to hear your voice after all this time. Is there something you’d like to tell me?”
“No.” She’d already told him that her name wasn’t Mary. That was all she’d had to say.
His excitement dimmed, followed by his relief when he’d continued talking and she’d continued answering him. But by the time he’d ended the session—an hour later than usual—unease threaded through his curiosity. He’d already been jotting notes when she rose from her chair to leave.
She’d stopped long enough to ask, “What does ‘complete lack of affect’ mean?”
His pencil lead snapped. He’d looked up from his notebook, his face carefully blank and his emotions an indistinguishable riot. “Why do you ask?”
“Because you’ve written it about me in your notes.”
It was one of the few phrases he’d scribbled that hadn’t been followed by a question mark. Another had been “source amnesia,” but he’d explained that while they’d been talking: It meant her procedural memory and