The Capgras Shift Sam Vaknin /*1. The Sinking*/ My marriage aborted, my private practice stillborn, I packed stale possessions in two flabby suitcases and bade my sterile apartment a tearless goodbye. On the spur of the moment, I had applied a fortnight before to a government post and, to my consternation, had won it handily. I was probably the only applicant. It was an odd sort of job. The state authorities had just finished submerging 4 towns, 6 cemeteries, and numerous farms under the still, black waters of a new dammed reservoir of drinking water. The process was drawn out and traumatic. Tight-knit communities unraveled, families scattered, businesses ruined. The government undertook to provide the former inhabitants with psychological support: an on-site therapist (that's me), social workers, even a suicide line. I had to relocate, hence my haphazard departure. I took the bus to the nearest big city and hitchhiked from there. The fare just about amortized my travel allowance for the entire week. I had to trudge in mud the last two or three kilometers only to find myself in a disorienting, nightmarish landscape: isled rooftops and church spires puncturing the abnormally still surface of a giant man-made lake. I waded ashore, amidst discarded furniture and toys and contemplated the buried devastation. My clinic, I discovered, was a ramshackle barrack, replete with a derelict tiny lawn, strewn with rusting hulks of household goods. I was shown by a surly superintendent into a tiny enclosure: my flat. Crammed into a cubicle were a folding metal bed, military-issue blankets, and a depleted pillow. Still, I slept like a baby and woke up refreshed. The first thing that struck me was the silence, punctuated by a revving-thrumming engine now and then: not a twitter, not a hum, not a human voice. There was no hot water, so I merely washed my armpits, my face and hands and feet and combed my hair the best I could, which wasn't much by anyone's standards. I was plunged into the maelstrom straightaway. My first patients, an elderly couple, their disintegrating marriage and crumbling health mirrored by the withering of their habitat. The days passed, consumed by endless processions of juvenile delinquents, losers, the old, the sickly, the orphaned, the unemployed, and the abandoned, the detritus of human settlements now made to vanish at the bottom of a lake. It was a veritable makeshift refugee camp and I found myself immersed in the woes and complaints of misfits who lost their sense of community and means of livelihood and sought meaning in their cruel individual tragedies, but in vain.