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Content Warning: This section of the guide includes discussion of child death and mental illness.
How does Picoult’s use of multiple narrators shape the novel’s characterization and suspense?
How has Jesse’s nuclear family changed since the events of My Sister’s Keeper (2004), and how do these shifts impact the meaning of both books?
How does Picoult’s exploration of motherhood, grief, and mental health compare and contrast with other works that address these subjects, such as Toni Morrison’s Beloved (1987) and Alicia Elliott’s And Then She Fell (2023)?



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By Jodi Picoult