Sort of an over-the-top soap opera about this family that's trying to fall apart (view spoiler)[but ultimately muddles through. (hide spoiler)] Although there are stories told from the POV of all of the family members, the focus is on George, who appears to be descending into early-onset dementia. There's one truly horrifying & gruesome scene of self-harm so be warned. The theme of the book is lies and secrets and how seldom we really have any secrets from our immediate family. Jamie thinks his folks don't know he's gay, Jean thinks George doesn't know she's cheating, George thinks he can lie like a dog on the rug about his medical condition...very interesting concept and well done although some of the over-the-top "humor" was more disquieting than funny. Maybe it was supposed to be.