The speaker reflects on a conversation with her mother, who projects optimism despite the harsh realities of their situation. The mother's smile suggests a belief that everything will turn out fine, yet the speaker feels a disconnect. She is aware of her own struggles and doubts about recovery.

The dialogue also highlights a contrast between the speaker's perception of herself and her mother's encouragement. The mention of "those awful dead people" symbolizes the fear and despair the speaker associates with mental illness, while her mother’s confidence provides a glimmer of hope for a different future.