This was definitely a very complicated and heavy read. From the complexities of morality of the mental patient care to exploitation of one's authority/power, this book strolled right past all my expectations even though I have seen the movie before reading it. The movie, I realize now--although is nicely done--does not do this novel justice. The novel is so convoluted that upon conclusion of it my mind was racing from one idea to another trying to understand the characters and their actions. An honestly, the book was emotionally draining. Even though it was not particularly graphic, it was definitely narrated in a way that I emerged with a feeling of being being hollowed out of sound thought pattern. It is absolutely not your easy afternoon read.