To One in Bedlam
posies
Small bouquets or flowers. The patient makes imaginary bouquets from straw—his delusion transforms asylum poverty into beauty.
Pedant and pitiful
Describes the onlookers, not the patient. They're both condescending (pedant) and pathetic in their inability to understand.
germane to the stars
His sadness is related to cosmic truths, not mere illness. Dowson elevates madness to philosophical insight.
men who sow and reap
Biblical echo (Galatians 6:7). The sane world's productive labor is dismissed as 'vanity'—Ecclesiastes language.
moon-kissed roses
Imaginary flowers touched by moonlight. The madman's hallucinations surpass real flowers because they're uncorrupted by reality.
oblivious hours
He's unaware—but Dowson makes forgetting sound like grace. Madness as escape from consciousness.