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Content Warning: This section of the guide includes discussion of death, death by suicide, child death, graphic violence, rape, child sexual abuse, child abuse, racism, pregnancy loss, illness, mental illness, and suicidal ideation.
The narrative shifts to Eloise’s perspective. In June 2001, she’s in late pregnancy and lives in Washington Heights with her husband, Adam. She’s an artist working on a large mosaic of a mother and baby phoenix that she titles Hollow Bones. A news report about Andrea Yates, a woman who drowned her five children, deeply unsettles Eloise. After giving birth to her daughter, Molly, Eloise begins to have a mental-health crisis. She experiences extreme paranoia, hallucinations, and sleep deprivation, and she hears a voice who she believes is Satan commanding her to harm her baby. In a dissociative episode at the mosaic table, she cuts her palm with an X-Acto knife. Adam becomes concerned and insists that she seek help. A psychiatrist, Dr. Kumon, whose office is in the World Trade Center, prescribes Zoloft. The prescription triggers a severe adverse reaction, leading Eloise to be briefly hospitalized.
Flashbacks reveal Eloise’s traumatic past in an oppressive Evangelical family. Her abusive father, Reverend Ezekiel Owens, publicly beat her with a belt during a church service as a lesson against sin after he discovered that she had sketched a shirtless boy.



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By Jodi Picoult