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Saturday, April 6, 2019

Review of THE SILENT PATIENT by Alex Michaelides

3 Stars
Alicia Berenson was convicted of killing her husband Gabriel but she refused to talk about the murder and has not spoken a word for six years.  Theo Faber, a psychotherapist, manages to get a job at the facility where Alicia is a patient.  He is determined to get her to talk.  Interspersed with Theo’s narration are sections from Alicia’s diary describing the time leading up to Gabriel’s death. 

The book is described as a psychological thriller but there is not a great deal of “edge of the seat” suspense.  There are a number of questions, however, which do keep the reader interested:  Why did Alicia kill Gabriel when she loved him and was happy in her marriage?  Why does she not speak to explain and/or defend herself?  Why is Theo so obsessed with working with Alicia?  And the short chapters add to the fast pace. 

 It is the implausibility of some of the events which I found irritating.  Theo arrives and is immediately able to have Alicia’s medication drastically changed?  His obsession with Alicia doesn’t raise any red flags?  A patient in a secure psychiatric facility can paint a painting and have it framed?  The plot twist that people describe as jaw-dropping requires that the reader be intentionally misled about a key element of Theo’s story about his marital problems.  Cheating the reader in such a way is like ending a story with “And then I woke up”!  And then there’s Alicia’s diary.  The entries are totally unrealistic because writers of journals summarize events and their feelings.  Alicia writes pages and pages of dialogue and describes scenes in great detail?! 

In many ways, this book is a character study.  For me, Theo is the most interesting character.  One of the first things Theo mentions is that “I became a psychotherapist because I was fucked-up.”  He admits to a marijuana addiction because he “has never learned to contain himself [and] is plagued by anxious feelings.”  He keeps repeating that “the answers to the present lie in the past.”  Then there’s a quotation included:  “The aim of therapy is not to correct the past, but to enable the patient to confront his own history, and to grieve over it.”  Finally, there are statements like, “We were crashing through every last boundary between therapist and patient.  Soon it would be impossible to tell who was who.”  The question that kept me reading was what about his past is Theo not revealing?  He is certainly flawed so is he also a silent patient? 

The book is entertaining enough and a fast read, but any veteran reader of psychological suspense will probably predict the plot twist long before it is revealed.  The novel can best be described as a better example of escapist fiction. 

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