Next up in my heavy-themed reading is The End of Miracles by Monica Starkman. It feels a bit like a case history as novel. Starkman is a psychiatrist who studied phantom pregnancies, and this book deals with that subject in part. The story centers on Margo, in the midst of fertility treatments, who requires psychiatric care. The narrative arc is the arc of her mental health, and it’s fascinating and enlightening and incredibly sad in parts. This book is full of expertise.
It’s refreshing to read a book that’s not about someone in publishing or the restaurant/catering world. Margo works in hospital administration, which is a step removed from being a patient, which she becomes throughout the book, and it’s handled interestingly– how to be on the two sides of the hospital.
A psychiatrist writing about a character is not something I’ve read often, if ever. She feels real, which is not what I feel when I read some women-in-crisis books. Also, I’m glad Starkman doesn’t do the overused-slight-epiphany twist that I’m tired of in lots of more literary novels. I was delighted by this book, despite the sadness of the story: it didn’t feel like a book I’ve read before.
Disclosure: I received a review copy from the publisher.