This was, understandably, a hard read.
As the mother of a child with a disability, I found it especially hard hitting. It made my blood run cold to think of what her life might have been like 50 years ago.
The author is clear, emotional, and raw in her telling of her experience as a sister to a girl with Down Syndrome in the 60's and onward, in Ontario. (being Canadian, I appreciated the fact it was a Canadian source, also.). It helps to shed light on the prevailing attitudes at the time towards the disabled, which now seem absolutely appalling. Reading of her mother's pain and indecision over whether or not to institutionalize Martha , and the aftermath, can help the reader to gain a new perspective on these situations. We (especially parents) are often quick to judge people like Martha's mother, and that is wrong. We have to remember that at this time, all the experts said institutionalization was best, and there was little to no support to keep your child in the family home.The whole atmosphere around disability back then was appalling, and we have to look at her mother's choices in this context.
I felt that the author could have included more about what disabled people endure today. She briefly touches on it, once I think, but it is never explored. It's important to know that people with a disability still struggle with the prevailing ableist attitudes in society.
I found the passages where she discusses her breakdown and "spirit communication" with Martha to be very odd and somewhat off putting. It's good she is normalizing mental illness (another stigmatizing condition), but the whole story about how Martha's spirit was occupying the left side of her body and she'd "talk" to her through automatic writing I found disturbing. I'm not a psychologist, but I think that the author is dealing with more than the trauma of her sister being taken from the family. Even towards the end, she seems to be grappling with a serious mental illness. I hope she gets help.
The narratives about her work with Indigenous residential school survivors also had some cringey moments. While, refreshingly, she admits her privilege as a white, upper middle class, educated woman in society, there are still echoes of the "white saviour complex" (and come to think of it, a complex of being a disability saviour too. The part where she talks about needing to be around people with Down syndrome and volunteering due to that sounded off-putting, it was like the disabled people were props to help her feel better. This probably was not her intention, but it came across that way at first.) in her narrative. Comparing herself to the families of residential school survivors also made me raise an eyebrow; yes, there would be similarities, but they weren't the same. She cannot and will not deal with the multi-layered effects of colonialism that Indigenous people do, and I felt that this wasn't adequately acknowledged.
All in all, a pretty good book. She seemed to ramble in parts and I found the literary references kind of tiresome (it's not a thesis!) as there were many, but other than that and my above critique, I think it was a great and important book.