It's just different.

[She looks at him curiously. It's an interesting question, she thinks. Hard to answer, at least the first part.]

Well, they wanted to keep me sane, but I don't know . . . how can you tell from inside your own head if you're insane? How would you know?

[A brief pause, and then--]

My throat was cut. [By whom, is the obvious follow-up.] By a friend of mine. [Family.]