This book does a respectable job of being a modern gothic novel. While it is no Jane Eyre, it certainly does have gothic appeal, and could very easily attract new, young readers to classic gothic literature. I greatly enjoyed the historical aspect of the novel, reading about mental health approaches of the past. It reminded me a but of the movie The Snake Pit. Not a topic often written about in young adult literature, the plot was definitely unique and left you wondering what was reality and what was insanity.
I greatly enjoyed Louisa's character, and while her sexuality is never explicitly addressed, it is hinted that she is a lesbian, something I found at once intriguing and disappointing. I am intrigued at this choice, for it must have been quite accurate that many women who did not fit the conventional standards may have been bisexual or lesbian, but I am also disappointed in that the conclusion is drawn that only a lesbian would be so unconventional, or such an unconventional woman, wanting to be a doctor, would have to be a woman not sexually attracted to men. In fact, the hidden theme seemed to be that Louisa wanted to be a man, though this is never really explored in depth. Why could she not just be an assertive woman. And why could a married woman, with children, not be a lesbian? Just something to ponder.
While I did greatly enjoy this book, I felt it a bit mature for the intended audience of grades 9-12. I think it would be more appropriate for readers at the older end of that spectrum. It is certainly dark, with fairly mature themes.
A review copy of this book was provided courtesy of NetGalley.
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