4.5 stars, but I would rather round up than round down.
In the mid 1980’s, I went with a small group to sing carols at the local psychiatric hospital. It was circular, with long spokes of corridors that met in the middle. Each spoke was a few hundred feet long, so to get from one ward to another, you had to traverse this long tunnel that disappeared in the distance. As Miriam states, these Victorian homes for the mad, were being phased out and only a couple of wards on the hospital I visited were still occupied, making it even more eerily empty and still.
I was taken back there with this book and the endless corridors of a similar hospital. It becomes the maze from which the patients escape or are released from. Set in the early 80’s, you hope that the descriptions of ‘treatment’ and ‘care’ are better today.
Centred around a 16 year old girl/woman hating her own body and the idea of sex, we are introduced to a group of patients who team together and try to support each other, not always for the better. Of course, it can be a disturbing read at times, but there are moments of humour: I enjoyed the elderly patient, Maud, sleeping through all group meetings but still awake enough to trip the doctors and nurses with her stick.
The ending is inevitable but there are happier endings for some. Miriam adds a postscript in this edition, saying where she thinks the different characters ended up in the years since the book was first written.
Troubling and recommended.