There's a spare, gripping, refined quality to Howe's descriptions, to the way she begins interweaving the lives of these meticulously realized characters. As the novel progresses, though, the writing is always perfect, but my interest waned: the titular Middle of Nowhere never found a sense of place, instead her concerns seem entirely with the stifling morality freighted onto the decisions facing her characters. Even the essentially irreligious somehow seem weighted with god, something which surely makes much more sense to Howe than it can to me, but I felt left with little else to hold this together. In the end, I liked the characters, mostly, but not the courses Howe was bent on locking them to for dubious conceptual purpose -- the ones condemned, the one freed, all of it flickering away into pointless oblivion gleamed with a thin and frustrating meaning.
Still, I love Howe's earlier Fiction Collective novel Holy Smoke. Messier, weirder, more jaded and conflicted, spurious towards its own religion as only the actually religious are capable of (as fallen priests may, perhaps, conduct the best black masses), seething with unpredictable creation rather than, as here, railroaded to foregone judgement.