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The Loony Bin Trip: A Conversation With Norah Vincent 

A journalistic Houdini, Norah Vincent follows up her best-selling book Self Made Man with Voluntary Madness, an account of her days inside a mental institution.


A journalistic Houdini, Norah Vincent fearlessly immerses herself in the most daring assignments and (so far) has lived to tell the tale. Her last book, Self-Made Man, recounted how she lived as a man for a year, venturing into strip clubs, joining a bowling team, and landing several high-octane jobs.

But maintaining her male alter ego “Ned” for such a long period ultimately landed her in a mental institution. That brief stay ignited the raw outrage and fascination that fuels her new book, Voluntary Madness: My Year Lost and Found in the Loony Bin. After recovering from her breakdown, Vincent posed as a patient and talked her way into a public mental hospital in the urban Northeast, a suburban Midwestern facility, and an upscale Southern treatment center.

Trusting her ability to convince her doctors to release her after 10 days, she signed away her right to leave voluntarily. The result is a gripping and opinionated account of the dysfunctional doctor-patient dynamics she found in an often frightening and inhumane mental health system.

Advocate.com:What was it about living as a man that pulled your psyche apart at the seams?
Norah Vincent: It was emotionally exhausting to be an impostor, and also an impostor of the opposite sex. That’s what most transsexuals feel before they make the transition. When I started, I’d thought that gender had to do with costumes and haircuts. I didn’t understand that there was some mental component of how you view yourself in terms of gender that’s deeply embedded in your brain and that you can’t just pull that out and not expect trouble.

You’ve also struggled with depression since your early 20s. Is your depression connected to your gender identity?
Yes. I was always told that I presented myself as masculine, but I always felt deeply feminine inside. I was always drawn to men’s clothing, but when I became Ned, the feminine part of me popped out. The book probably appealed more to gay men than anyone else, because they’ve gone through similar problems of being an effeminate man.

Why do you seek out such extreme experiences? Is writing about them somehow therapeutic?
The reason I’m driven to write about these things is that I’m deeply alienated on a number of levels. Every day I have people staring at me because I don’t look like I’m supposed to. In a room full of women, I don’t feel the same as them. It might be because I’m depressed or because I have a different personality than most people. So I try to look at the culture as though I’m an alien and to see things in a fresh way. I try to use what I know -- troubling or painful things that have become obsessions -- and try to turn them to my advantage for once.

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