The idea behind Or Give me Death is based on the real lives of Patrick Henry's family. The mom in the family (named Sara, which gave me the willies) goes crazy. Of course, this is 1774, and there's no mental health care to be found. Instead, the family refurbishes their cellar and locks her down there. She spends four years (FOUR YEARS!) locked in the cellar before she dies. AGH!
The story is told from the POV of the eldest two of Sara's daughters, but I think that was an authorial mistake. The story would have been much stronger if it had been told either from one POV or from the POVs of all of the women in the story (6 or 7 of them), especially if Rinaldi had made room for Pegg, the oldest female house slave.
I did like that there was no melodrama about the slaves. They were presented as real people in impossible situations (including Sara thinking they were poisoning her, beatings, and the constant, grinding labor to which they were subjected), and that was a relief.
I also liked the feeling of oppressive social mores that formed the lives of the women. They lived under a burden of 'propriety' that confined everything they did. Girls, if you think you have it bad, you should read this book!
Overall, this isn't a bad effort, especially because it sticks strictly to the facts that are known about the lives of Patrick Henry and his family. In the back of the book, there's an author comment section in which she freely admits which parts of her subjects' lives are embroidered.