Fifteen years after my first read, I had forgotten nearly everything about it, including why I originally rated it "3.5/4 stars," but the Goodreads description of "doctor drawn to help 17-year-old" set off my GOOD DYNAMIC VERY GOOD radar, and the reread did not disappoint.
I'm surprised it was on my high school library's shelves since the entire book is told from Dr. Summer's perspective, and while I still think it's a somewhat slow and tedious start, I resisted the urge to peek ahead and I very patiently went on the journey with him, through the endless routine of him sticking out day after day beside her by-turns mute/motionless and violently hysterical self until she begins talking, and ultimately I was rewarded with one of the deepest, punch-you-in-the-heart-with-its-goodness healer/abuse victim bonds I have ever seen.
And it's not because she learns to love and trust in some saccharine way. She's been repeatedly abandoned and horrifically abused in so many different ways throughout most of her life that she has far too much damage to unlearn her hostility, her impulsiveness and other poor coping mechanisms for trauma in less than a year. She reminds me of one of those rescue dogs with a potentially dangerous mix of strength and intelligence -- a husky, a German Shepherd, a pit bull -- whose first instinct will be to watch her own back no matter how safe a situation seems, always reserving something a little wild about her...but at the same time, you admire that fiercely guarded sense of self. It makes what trust she does grant mean more. She gets to the point of being at least somewhat accepting of his guidance and plans for her to figure out how to function in society, and the journey to get there is worth it.
The wonderful thing is that he never intends to do anything more than reintroduce her to the general state-care populace once it's safe for all parties involved, because the surface motivation driving him is merely that he wants to fix her. She's a problem authorities can't control except by brute force; he's a young, idealistic doctor who thinks he can solve a puzzle where others have failed, even if that means taking a leave of absence from his regular job to take on one where he lives in a girl's reformatory, sharing first solitary confinement and then the head nurse's living quarters with a girl who can't be trusted not to attack her peers (or left alone with rapey guards). What he doesn't get, for quite some time, is that you can't spend practically 24/7 with someone and not start to care on a personal level.
(The nurse, by the way, is a not-insignificant part in Hatter's rehabilitation, and a shining example of someone who has a firsthand look at the flaws and shortcomings of the reform system but feels she has no recourse against it, and so just does what she can to patch girls up as they come in. Until she has a chance to do better by one of them.)
What's beautiful about the relationship between Summer & Hatter is that it hits that rare and perfect sweet spot where it's not romantic -- it's not -- but you can read as much or as little subliminal romance into it as you like because with just an 11-year age gap, there's room for it to develop into that someday.
It wouldn't necessarily have to do that to be satisfying, and I think it would take a long time to happen if it did. But in that sweet narrow space between platonic and romantic, a space about the width of a tightrope sometimes, nearly everything short of overt sexual attraction overlaps, and that is where I like to be. Because even as merely her safe space/guardian, that is the place where I get to enjoy two separate occasions of him just holding her in his arms until she comes down from whatever rage fit or panic attack she's just been in and finishes crying it out.
The ending is one I would like to rip out, just rip out the last five pages or so, because they do not jive with my vision; I'd rather have an open-ended cliffhanger than this...but I will grudgingly allow that those last few pages are very powerful and perhaps even the only way to give a story this intense satisfactory resolution.