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Clinical Intimacy

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S was a good person. Such a good person. They all told me that – so it had to be true.

S is unique. It seems that most people think so – his mother, his sister, his best friend, but relative strangers too. In fact, they and others all have much to say in the inquiry into S. When prompted, when the tape recorder in front of them clicks, a succession of family, friends and professional contacts in turn describe his shapeshifting charisma. All struggle to account for the enigmatic figure who has wandered through their lives, doing some good things – and some bad. Yet as they talk, it becomes apparent that they are not so much telling his story, as they are their own – of their common need for love, touch, retribution, closure. Together, their tissue of voices reveal the complexity of care.

In a series of intimate snapshots charting the relations of one ordinary yet extraordinary man, Clinical Intimacy explores the emotional conditions and moral consequences of a life lived in service of satisfying others.

340 pages, Kindle Edition

Published July 25, 2024

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Ewan Gass

2 books2 followers

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5 stars
12 (21%)
4 stars
16 (29%)
3 stars
18 (32%)
2 stars
6 (10%)
1 star
3 (5%)
Displaying 1 - 12 of 12 reviews
Profile Image for Marcus (Lit_Laugh_Luv).
616 reviews1,242 followers
January 10, 2026
I don't know how I feel about this book - I've truly never read anything like it in terms of storytelling or content. The closest analogs I can think of are Hunchback meets Nefando, I guess?

The story is told in a series of confessionals and testimonies from people associated with an enigmatic man named S. We're aware he's at the centre of some initially unknown controversy, and his life of secrecy has led to his loved ones trying to piece together the truth. As a reader, you're intentionally kept in the dark, and even the big 'reveal' is not particularly comprehensive or clear. The book explores the unknowability of people and so the lack of details makes sense narratively, but it doesn't necessarily lead to a satisfying conclusion. The book doesn't necessarily hinge on the twist, as there's pretty clear foreshadowing early on, but I still wanted more resolution from an otherwise fragmented narrative.

The execution is fine, but the lack of character names (everyone is denoted by vague codenames) and chronology result in a book that, at times, feels artificially confusing for the sake of reinforcing the thesis that people are mysterious. There are some promising conversations around autonomy, sex, consent, and the ethics of care work - but they don't get explored thoroughly, given we never hear from S directly.

I have to give this credit for being a very unique read, but it's hard to ignore some of the wasted potential with the premise. I'm glad I read this, as I seldom see it discussed and I've been curious about it, but I'd really struggle to find a target audience to recommend this to.

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Profile Image for Rebecca.
4,219 reviews3,514 followers
October 6, 2025
Clinical Intimacy’s mysterious antihero comes to life through interviews with his family, friends and clients. The brilliant oral history format builds a picture of isolation among vulnerable populations, only alleviated by care and touch—especially during Covid-19. Ewan Gass’s intricate story reminds us of the ultimate unknowability of other people.

(One of my favourites from my McKitterick Prize judging this past year. It made the shortlist.)
15 reviews
August 12, 2025
The premise of the book was actually really interesting and I loved the way it was set out like with all the different narrators and how they all felt very distinct (although i fear sometimes it was a little confusing and i wish they did have names bc i was struggling a little to remember who it was / their story so i kind of think it may be interesting to annotate and reread each person account together rather?)

I fear I might need to reread because there’s deffo a lot of things I missed and things I’m like now I know the plot I will actually notice/ make sense ig? But overall it was really intriguing even though I spent like half the time thinking wtf is going on you definitely are interested enough to keep reading and i guess it deals with a lot of serious issues in a way that makes you think which i really enjoyed.
Profile Image for Ipek Atalay.
28 reviews1 follower
May 28, 2026
2.5. Fikir çok ilginç bence ama isimlerin anonim olmasından dolayı müşterilerin hikayelerini tamamen karıştırdım. Olayın ne olduğunu da tam anlamadık. Bir de bence çok yavaş okudum ben bu kitabı o yüzden içine fe giremedim belki daha hızlı okusam daha çok beğenirdim.

Bir insanın 16 farklı kişi tarafından 16 farklı şekilde algılanması başarılı yansıtılmış bence o açıdan da hoşuma gitti. Ama bazı hikayeler bir yere bağlanmadı ve sadece kalabalık yarattı gibi hissediyorum.

Yani böyle uzun uzun review yazdım çünkü ben bu kitabı sanırım daha çok beğenmek istemiştim ve daha çok beğenmediğim için hayal kırıklığına uğradım şimdi burda ağlayarak günlüğüme yazıyorum gibi oldu. Neyse belki ileride daha konsantre ve hızlı okumaya çalışırsam bu kitabı puanım değişir.
Profile Image for Hannah.
86 reviews5 followers
April 16, 2025
super interesting concept and structured as a dissertation research project - touching on themes of sexuality, the care system/NHS, COVID and sex work. I logged for more depth rather than breadth but enjoyed reading this, if not feeling slightly like I missed something towards the end
This entire review has been hidden because of spoilers.
Profile Image for Amy Moss.
126 reviews16 followers
August 29, 2024
FIVE stars this book SLAPS !!! it is unlike ANYTHING else out there and it makes me THINK and it is SO GOOD !!!
4 reviews
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August 26, 2025
I don’t really know how to rate this book. The story is interesting, it questions the care, how caregivers get intimate, how patients think they know and as a caregiver myself it’s a new way to see it. It also brings new insight about sex workers, the need of physical contact people have (for people who have only physical contact for care). I liked reading it. However, some things are not well developped
28 reviews1 follower
January 25, 2025
I found this a real slog to get through, despite having been intrigued by its premise. The narration is impossible to follow, I kept having to flick back to work out who was speaking and whether I'd heard from them before. Worse still, I didn't feel that any of the (many) voices were remotely believable, which I'd argue is pretty important in a book entirely written as a series of monologues.
Profile Image for Caitlin.
73 reviews2 followers
December 28, 2025
I liked the concept and idea of this book, but just didn’t enjoy reading it. Although I knew I would be kept at arm’s length from S, I still expected to care. I liked what this book wanted to explore, and think the idea was interesting.

At times I enjoyed the reading experience as well, but I just couldn’t stay invested in the characters like I was at the start of the book.
45 reviews1 follower
January 10, 2026
Didn’t quite love the ending but I loved everything else
Displaying 1 - 12 of 12 reviews