No one can say Iles was not afraid to tackle difficult subjects, in this case incest and pedophilia. Our lead, Catherine "Cat" Ferry works as a forensic odontologist in New Orleans; in other words, she specializes in human bite marks and the clues they provide primarily in murder cases. She often works with the New Orleans police department and the FBI. The novel starts with a series of murders taking place in New Orleans which has the cops and FBI stumped, for the victims are all older men (50s-60s) and there seems to be no connection whatsoever except they all died via the same MO-- first shot in the spine, then bitten repeatedly, then killed with a bullet to the head.
Iles created a complex character with Cat. Aged 31 and a functional alcoholic, while investigating the third victim she has a panic attack; something that never happened before. Ditto for the fourth victim. The only change in her life is that she recently discovered she is pregnant. Now Cat, sexually active, always goes for older, married men, something her various shrinks have been working with her about. Her current lover (married with three kids) works homicide for the NOPD and together, they have solved several murders in New Orleans. The FBI finally turns up a lead-- several the victims have female relatives that consulted with the same shrink, someone Cat met while she was in med school. Oddly, when the shrink is confronted, he asks to speak with Cat...
Iles knows how to pace a thriller and employs a frenetic pace here from the drop. While the various investigations proceed apace, much of the tale involves Cat's process of self discovery. Her father, a Vietnam vet, was murdered when she was 8 years old. Traumatized by the incident, Cat did not speak for one year. Further, she has few memories of the time before her father's murder. She does, however, have nasty nightmares, is manic/depressive, and has been working with shrinks for years on and off. Cat comes from a wealthy family in Natchez, Mississippi (naturally for Iles!), and although somewhat estranged from her mother and grandfather, early in the novel (after her latest panic attack) she heads back there. Due to some accidently spilled forensic chemicals, she discovers old blood stains in her old bedroom, which has not changed since she was 8 (she moved out as a teenager and never went back much; it seems her mother keeps her room as a shrine of sorts).
I will stop with the plot here, but we soon learn that some mystery surrounds her father's death and Cat becomes determined to find out what really happened. Is this mystery somehow connected to the serial killer in New Orleans? What is the connection with the shrink implicated in the murders in New Orleans and Cat? One taut thriller, even if it tips the scales into doorstop territory. 4 grim stars!