My writing career unofficially began at McLean Hospital, the psychiatric affiliate of Harvard Medical School in Belmont, Massachusetts. It was the summer of 1965 and I was eighteen. Fresh out of high school. I needed a job, any job, and McLean was hiring. I spent a good part of the next five years at this mental hospital. That’s where everything changed about how I saw the world and probably how I saw myself.

I wasn’t a patient. I swear. Not that I have anything but the highest regard for mental patients. I just wasn’t one of them. Besides, back then I couldn’t have afforded a room at McLean, not even space in a double room.

I was a psych aide. I think I was hired because I have empathy for people. You’ll be the judge of that. The heart of the job was to talk to patients and, more important, to listen to them. Occasionally, patients tried to hurt themselves. My job was to try and stop that from happening. In addition to my usual daytime shift, I worked two or three overnight shifts a week, from eleven p.m. until seven in the morning. Most nights I just had to watch people sleep. Which isn’t that easy.

I had never liked coffee, but I started drinking the awful stuff just to make sure I stayed awake, since there were usually patients on suicide watch at Bowditch or East House in the maximum-security wards where I regularly worked. For hour-long stints I had to sit outside their rooms, watching them flop around in bed, listening to them snore, while I fought off sleep at three or four in the morning.

So I had a lot of free time. I started reading like a man possessed during those long, dark nights of other people’s souls.

Two or three times a week, I’d go the three miles or so into Cambridge and make the rounds of the secondhand bookstores. I especially loved tattered, dog-eared books. Books that had been well loved and showed it. The used books cost me a quarter, occasionally a buck, even for thick novels like The Sot-Weed Factor, The Golden Notebook, The Tin Drum.

At the time, I wasn’t interested in genre fiction, the kind of accessible stuff I write. I had no idea what books were on the New York Times bestseller lists. I was a full-blown, know-it-all literary snob—who didn’t really know what the hell he was talking about.

My ideas about how the world was supposed to work had been framed growing up in Newburgh, New York, and the somewhat parochial outer reaches of Orange County. As I read novel after novel, play after play, my view of what was possible in life began to change.

That first summer at McLean Hospital, I read a lot of James Joyce and Gabriel García Márquez, plus as much Henry James as I could stomach. I was into playwrights: Samuel Beckett, Harold Pinter, Ionesco, Albee, Israel Horovitz. I read novelists like John Rechy and Jean Genet (Our Lady of the Flowers will get you thinking). Also Jerzy Kosinski and Romain Gary. I loved comedic American novelists. Stanley Elkin and Thomas Berger got me laughing out loud. So did Bruce Jay Friedman. John Cheever. Richard Brautigan. Vonnegut.

But the novel that influenced me most was Evan Connell Jr.’s Mrs. Bridge, the story of an ordinary middle-class family living in Kansas City. Mrs. Bridge is told from the point of view of India Bridge, a wife and mother. A companion novel published ten years later, Mr. Bridge, tells the same story from the point of view of Walter, her curmudgeonly lawyer husband. A reviewer in the New York Times wrote, “Mr. Connell’s novel is written in a series of 117 brief, revealing episodes. The method looks and is rather unusual.…It enables any writer who uses it to show, with clarity and compactness, how characters react to representative episodes and circumstances.”

Mrs. Bridge and Mr. Bridge helped inspire my writing style (don’t blame Evan Connell). So did Jerzy Kosinski’s novels Steps and The Painted Bird (don’t blame Kosinski). Short chapters. Tight, concise writing (hopefully). Irony and wit (occasionally).

During the time I worked at McLean Hospital, I read everything (except bestsellers, God forbid) I could get my hands on. Then I started scribbling my own short stories, hundreds of them. That was the beginning of the end. I was now officially an addict. I wanted to write the kind of novel that was read and reread so many times the binding broke and the book literally fell apart, pages scattered in the wind.

I’m still working on that one.