Practically speaking, of course, that’s nearly impossible. The clinic sits on the top of a mountain, surrounded by wilderness and reached by a single, steep road in poor repair. Until the middle of the last century, it was a monastery of the Franciscan order, and the last of the monks sold the grounds and the ancient buildings to Dr. Hermann for next to nothing, on the condition that the crumbling walls remain a sanctuary for healing and peace. Patients seek out its geographic isolation and clean, healthful air for a variety of reasons—lung trouble, nervous disorders, broken hearts, discreet pregnancies, discreet abortions—but the general point is to separate oneself from civilization. You can’t leave without mountaineering skills or help from the outside, and Elfriede has neither. Also, she has no money—none she can produce from a pocket, anyway. So, when she rises from her bench and leaves the courtyard, walks along the covered passage to the old chapel, passes the chapel, and exits the building altogether to emerge on the fragrant, sunlit hillside, she doesn’t imagine she could hail the driver of the Englishman’s carriage and convince him to carry her back along the twenty miles of steep, rutted roadway, or that she could simply walk them on her own. Where would she go, anyway? Who would want her?

She just goes outside to be alone. That’s all she wants. To be left alone.

As you might imagine, the quarters in this former Franciscan monastery are austere, to say the least. Elfriede’s bedroom is literally a monk’s cell, or rather two of them knocked together, and contains a single bed with a horsehair mattress, a stool, a plain wardrobe in which she hangs her three dresses, a dresser, and a desk and chair. There are no bookshelves. Elfriede’s free to borrow from the library, one volume at a time, but she wasn’t allowed to bring any books from home, nor is she allowed to receive any while she’s here. She’s encouraged to write, however. Each week, a fresh supply of notebooks arrives on her desk. Herr Doktor Hermann wants her to record her thoughts, her memories, and especially her dreams, and to bring these notebooks to their daily conversations so he can review the contents. When her notebooks aren’t sufficiently full, he doesn’t express any obvious displeasure to Elfriede. Of course, that would be unprofessional! Still she feels his displeasure like a disturbance in the air, turning his flared nostrils all pink, so she writes her devoirs daily, sometimes for hours, in order to satisfy his hunger for her subconscious mind. She also keeps another notebook under the horsehair mattress. This is the notebook that contains her real thoughts.