The chapter is presented as a transcript of session 181 between psychiatrist Adrienne Hale and EJ, identified as a 29-year-old man with narcissistic personality disorder. Adrienne begins by apologizing for making EJ wait, and EJ responds casually, focusing on the expensive bottle of Cheval Blanc she has left for him.

EJ praises the wine and asks about the vintage. When Adrienne tells him it is a 1948 bottle, EJ is impressed by the cost and indulgence. Adrienne replies that her patients pay enough to support such luxuries, then pointedly notes that EJ is no longer one of the people paying her.

Shortly afterward, EJ says he feels strangely lightheaded and that the room is spinning. Adrienne asks how much wine he drank, and EJ admits he drank the entire bottle directly from it rather than pouring glasses. Adrienne answers, "Good," then quickly retreats from the remark and asks whether he is all right.

As EJ becomes more impaired, his speech falters and he struggles to finish his thoughts. Adrienne repeats her question about whether he is okay, but EJ falls silent. The session transcript ends with EJ apparently incapacitated, strongly implying that Adrienne deliberately used the wine to drug or poison him.