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THE SILENT PATIENT by Alex Michaelides: Book Review

When clinical psychotherapist Theo Faber leaves his position at Broadmoor, a highly regarded psychiatric hospital in London, to accept a similar position at the Grove, a less prestigious and less respected institution, his colleagues are surprised.  His supervisor tells that him that he’s heard rumors that the Grove is in financial trouble and may be closed shortly.  “You could find yourself out of a job in six months,” he tells Theo.  But Theo won’t change his mind.

What Theo doesn’t say is that he has a very personal, somewhat unprofessional, reason for wanting to join the staff of the Grove.  The hospital’s most celebrated patient is Alicia Berenson, a well-known artist who killed her husband six years earlier by shooting him in the face five times.  Since that day her silence has been total; she has not spoken another word.

Theo himself has had years of psychotherapy, something he believes has saved his life.  His childhood was traumatic, with an emotionally and physically abusive father and a mother unable to intervene or help him.  Now, with his successful career of helping severely mentally disturbed patients and having obtained a better understanding of his own dysfunctional history, he believes he is uniquely able to help Alicia break through her silence, explain the murder, and re-enter the world.  Theo says to himself, “I wanted to fix her.”

However, that doesn’t prove easy.  Alicia is resistant to all the therapy the Grove has offered over the years, and Theo finds himself beginning to blur the boundaries between therapist and patient in an effort to get her to respond to him, to speak again.  He reads her file, but he really doesn’t have any interest in what any other therapist has said or done in working with Alicia.  He believes that his approach will prove to be the successful one.

He determines first to speak to her attorney, Max Berersen, who was the brother of Alicia’s ex-husband.  He feels certain that he would not receive approval for his unorthodox approach to Max, so “better not ask” his supervisor, he decides.  And this becomes the first step on the slippery slope of ignoring not only the hospital rules but those of good therapeutic practice.  But even at this early juncture, Theo realizes “it was too late to stop.  In many ways my fate was already decided….”

Theo’s marriage has been the one bright spot in his personal life.  Kathy is warm, spontaneous, outgoing, all the traits that he himself is missing, and he loves her for them.  Then one day he passes her open laptop and reads several emails that make it obvious that she is having an affair.  And now he must deal with his private problem as well as his professional one.

Alex Michaelides has written a spellbinding novel, one in which we see, or think we see, how one man’s overweening pride does not lead to the result he anticipated.  And you know what they say follows pride….

You can read more about Alex Michaelides at various sites on the web.

Check out the complete Marilyn’s Mystery Reads at her website.  In addition to book review posts, there are sections featuring Golden Oldies, Past Masters and Mistresses, and an About Marilyn column that features her opinions about everything to do with mystery novels.