Though PKD lived completely within the drug culture of the 1960s and 1970s, he was quick to point out the lies told about where excessive use and abuse could lead you. This the overt message of his novel, "A Scanner Darkly".
But his analysis of madness is the best. Check out this passage from "V.A.L.I.S." (the second of the four novels in the LoA volume):
(p.190)...a beleaguered mind to make sense out of the inscrutable. Perhaps this is the bottom line to mental illness: incomprehensible events occur; your life becomes a bin for hoax-like fluctuations of what used to be reality. And not only that--as if that weren't enough--but you, like Fat, ponder forever over these fluctuations in an effort to order them into a coherency, when in fact the only sense they make is the sense you impose on them, out of the necessity to restore everything into shapes and processes you can recognize. The first thing to depart in mental illness is the familiar. And what takes its place is bad news because not only can you not understand it, you also cannot communicate it to other people. The madman experiences something, but what it is or where it comes from he does not know.
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