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#Criminology Book Club: The Silent Patient
As you know from our last #CriminologyBookClub entry a small group of us decided the best way to thrive in lockdown was to seek solace in reading and talking about books. Building on the success of the last blog entry, we’ve decided to continue with all seven bloggers contributing! Our third book was chosen by @5teveh and it’s got us all talking! Without more ado, let’s see what everyone thought:
I enjoyed reading The Silent Patient – it was a quick and gripping read that kept me guessing (and second guessing!) throughout. I found it almost impossible to put down and could have happily read it in one sitting if time allowed. I didn’t empathise with many of the characters however, and found a couple of the plot points frustrating. I’d still recommend it though!
@saffrongarside
This is a psychological thriller that embraces Greek drama and pathos. From the references to Alcestis by Euripides and the terrible myth of death swapping to the dutiful Dr Diomedes, the characters are lined up as they are preparing from their dramatic solo. The doctor is trying to become a comforting influence in the fast pace of the story only to achieve the exact opposite. In the end he leaves in a puff of smoke from one of his cigars. The background of this story is played in a psychiatric facility, that is both unusual and conducive to amplify the flaws of the characters. This is very reminiscent of all Greek tragedies where the hero/heroine is to meet their retribution for their hubris. Once punishment comes the balance of the story is restored. This norm seems to be followed here.
@manosdaskalou
Well done to @Steve for selecting the anxiety inducing book that is The Silent Patient. I found it difficult to put this book down, as it was easy to read and a definite page turner. Once I started reading, I desperately wanted to find out what had actually happened. If Alicia had a perfect life then why would she shoot her husband FIVE TIMES in the head? It’s difficult to say much about this book without giving the plot away. I did feel for Alicia as she was surrounded by a sea of creepy and unlikable characters. Some might find the portrayal of mental health and Alicia (as the main female character) slightly insulting. Although, as we discussed in the book club, perhaps we should see this book for the thriller that it- and not try to criminologically analyse it?! As far as thrillers go, I think the book is a very good read.
@haleysread
The Silent Patient is 339 pages of suspense-filled, gripping fiction which leaves the reader with their jaw wide open. As a novel it is brilliant. Binge-worthy, unbelievable and yet somehow believable: that is until you have finished the book, and you sit back and start to pull the novel apart. DO NOT DO THIS! Get lost in the story of Theo and Alicia, be gripped and seated on the edge of your seat. It is worthy of the hype (in my humble opinion)!
@jesjames50
The Silent Patient is without a doubt a page turner! From start to finish the mystery of Alicia Berenson’s silence keeps you guessing. It is important for me to warn perspective readers that, when you start reading, it is difficult to put down, so clear your schedule. Throughout the novel you are guided through the complex life of psychotherapist Theo Faber and his mission to understand and connect with his patient that has ‘refused’ to talk, after she is found guilty of killing her husband. Alicia Berenson is admitted to a mental health hospital. This is the backdrop to disturbing yet intriguing story of how Alicia’s seemingly perfect life comes crashing down. With quirky characters, shocking revelations and suspense throughout The Silent Patient is a must read. Don’t take the story at face value, as there is a brilliant twist at the end.
As is only right and proper, we’ll leave the final word to @5teveh, after all he did choose the book 🙂
@svr2727
Not the normal sort of book I’d read, I was drawn in by the comments on the cover. It is impossible to warm to any character in The Silent Patient. The book is quite fast paced, and the writing makes it a real page turner. If you think you’ve got it, you are probably wrong. This is not a usual ‘who done it’ narrative. There are twists and turns that lead the reader through a small maze of sub plots involving characters in a tight setting. If you are looking for a hero or heroine and a happy ending, this is not the book for you. An enjoyable read in a sadistic sort of way.
@5teveh
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The Lure of Anxiety
Helen is an Associate Lecturer teaching on modules in years 1 and 3.
I wear several hats in life, but I write this blog in the role of a lecturer and a psychologist, with experience in the theory and practice of working with people with psychological disorders.
In recent years, there has been an increase in awareness of mental health problems. This is very welcome. Celebrities have talked openly about their own difficulties and high profile campaigns encourage us to bring mental health problems out of the shadows. This is hugely beneficial. When people with mental health problems suffer in silence their suffering is invariably increased, and simply talking and being listened to is often the most important part of the solution.
But with such increased awareness, there can also be well-intentioned but misguided responses which make things worse. I want to talk particularly about anxiety (which is sometimes lumped together with depression to give a diagnosis of “anxiety and depression” – they can and do often occur together but they are different emotions which require different responses). Anxiety is a normal emotion which we all experience. It is essential for survival. It keeps us safe. If children did not experience anxiety, they would wander away from their parents, put their hands in fires, fall off high surfaces or get run over by cars. Low levels of anxiety are associated with dangerous behaviour and psychopathy. High levels of anxiety can, of course, be extremely distressing and debilitating. People with anxiety disorders avoid the things they fear to the point where their lives become smaller and smaller and their experience severely restricted.
Of course we should show compassion and understanding to people who suffer from anxiety disorders and some campaigners have suggested that mental health problems should receive the same sort of response as physical health problems. However, psychological disorders, including anxiety disorders, do not behave like physical illnesses. It is not a case of diagnosing a particular “bug” and then prescribing the appropriate medication or therapy to make it go away (in reality, many physical conditions do not behave like this either). Anxiety thrives when you feed it. The temptation when you suffer high levels of anxiety is to avoid the thing that makes you anxious. But anyone who has sat through my lecture on learning theory should remember that doing something that relieves or avoids a negative consequence leads to negative reinforcement. If you avoid something that makes you highly anxious (or do something that temporarily relieves the anxiety, such as repeatedly washing your hands, or engaging in a ritual) the avoidance behaviour will be strongly reinforced. And you never experience the target of your fears, so you never learn that nothing catastrophic is actually going to happen – in other words you prevent the “extinction” that would otherwise occur. So the anxiety just gets worse and worse and worse. And your life becomes more and more restricted.
So, while we should, of course be compassionate and supportive towards people with anxiety disorders, we should be careful not to feed their fears. I remember once becoming frustrated with a member of prison staff who proudly told me how she was supporting a prisoner with obsessive-compulsive disorder by allowing him to have extra cleaning materials. No! In doing so, she was facilitating his disorder. What he needed was support to tolerate a less than spotless cell, so that he could learn through experience that a small amount of dirt does not lead to disaster. Increasingly, we find ourselves teaching students with anxiety difficulties. We need to support and encourage them, to allow them to talk about their problems, and to ensure that their university experience is positive. But we do them no favours by removing challenges or allowing them to avoid the aspects of university life that they fear (such as giving presentations or working in groups). In doing so, we make life easier in the short-term, but in the long-term we feed their disorders and make things worse. As I said earlier, we all experience anxiety and the best way to prevent it from controlling us is to stare it in the face and get on with whatever life throws at us.
Thoughts from the criminology team 