This is a really hard book to rate, since I can't say that I enjoyed reading it. Although, I don't think it's the type of book that people enjoy. It's not that the writing wasn't good, although it was sparse and simple. It didn't have embellishments or lyrical metaphors. It didn't need them. It was straight forward, no nonsense. The story, however, was anything but. 
 Right from the beginning, I knew it was going to be depressing. I may not have known exactly how it would end, but I knew that it wouldn't be all rainbows and fluffy kittens. Maybe it's the way the MC, Kathy H., tells her story, lingering over the sad parts of her life and skimming over most of the happy ones. Even her good memories seem tainted by suspicion and doubt. Kathy narrates her life story in much the way a brain works, with a mish mash of thoughts, getting sidetracked, meandering through other stories. Unfortunately, this often became distracting. I would wander off in my own thoughts for a while. I don't think I missed much... 
 I try to stay away from spoilers in my review, so I won't say much more here. It's definitely good for a book club read (which is the only reason why I got through it), since there are some big issues to discuss.