*see An Na’s response to my questions about the book below*
I have a doctorate in psychology and interned in a state psychiatric hospital with mostly schizophrenic patients. One of the hallmarks of the condition is disorganized thinking and THE PLACE BETWEEN BREATHS was certainly disorganized (in a purposeful manner). The timeline is at best confusing, at most incomprehensible. Other symptoms are hallucinations (sensing things that aren’t present), delusions (false beliefs like the TV sends personal messages, people being present which is why it may appear sufferers are talking to themselves), ideas of reference (belief in different identities. We had a few Jesuses, the Dali Lama and a George Washington in the hospital), paranoia.
An Na (coolest name ever) penned a gorgeous, personal story of mental illness, its impact on sufferers and their loved ones and the quest for answers and solutions. Na brilliantly portrayed disorganization, but in that brilliance lost me.
Schizophrenia and schizoaffective disorder (schizophrenia with mood disorders) are the most heartbreaking and difficult psychiatric conditions to live with and to treat. Medications are rarely completely affective, usually have unbearable side effects and often stop working. Additionally, some sufferers have medication resistant conditions (at least to date).
I emailed Na for more insights because I want to understand the story. I might reread but I’m not sure since I don’t think I’ll have clarity without some help. I’d appreciate any comments and insights.
***An Na replies quickly to my email and I am going to reread with a better understanding. I have a feeling this will become a 5 Star review afterward.
**** An Na’s explanation which she gave me permission to share
Dear Amy,
I feel like I should give you a prize or something! You are the very first reader to reach out and ask me about that crazy confusing ending. In hindsight maybe I should have made it simpler, but I also didn’t know how to do that without compromising what I wanted to convey in the story. I wanted the various seasons to act like strands of DNA weaving together to give you a prismatic idea of someone suffering from schizophrenia.
There are many ways to read the story. The Autumn scenes can first be read as the past-the story of Grace as a child in the kitchen with her mother, Hannah. The Summer scenes can be read as the future-what will become of Grace, but also what became of Hannah, her mother. The Spring scenes show the slow descent into madness for Grace in the present time frame. In the present time frame, Grace is suffering from schizophrenia and has halluncinated her father being alive and at the end, you find out that Hannah, “her friend” is really her mother as a young woman the way she remembers her mother last, and Grace is pregnant from Dave, a casual boyfriend from school. Will, who works with Grace at the hospital is the only true and real thing in her life. Like Grace’s father, Will does believe he can help Grace and that there is hope of battling this terrible disease. The winter scenes are the scenes that either Will or Joseph, Grace’s father, could be saying to either Grace or Hannah. Winter is the voice of love and hope and the anguish of watching someone you love slowly disappear.
By the end when all the seasons change, you realize that Grace has been hallucinating Hannah, her mother, and that Grace is pregnant and doesn’t go through with the act of suicide. In that moment, you can go back and reread the story from a different lens. The past becomes the future for Grace. She will heal and come to know her child, but she too could slip back into the disease and put her child at risk and therefore chooses to leave. This future is bittersweet in that Grace will have had time to love her child, but she never overcomes the disease just like her mother. The future which is now the present is of Grace sitting in a hospital struggling to find herself and to come back to a reality with the help of drugs and Will waiting for her. The present which is now the past is of what you just read which is that Grace fell to the disease of schizophrenia and needs to be hospitalized, but Will is waiting and fighting for her to come back. Whew. Does that make sense?
I wanted to play with time and our understanding of time which is cyclical and not linear. You can read the various scenes of the seasons from different character point’s of view like a kaleidoscope. Genetics is not something we can escape. Our genes hold the history or the past of us but also dictate our future. But somewhere in there, in our present, we have the agency to make changes, to discover, to hope and reach for scientific discoveries. There are many many people who continue to fight for change because a loved one suffers and I wanted to shed a light on all the people who believe despite incredible odds. But diseases like schizophrenia are not “curable” diseases, there is a lot of suffering and pain so I wanted it to also be realistic. My brother suffered from schizophrenia and it was tremendously hard on all of us and sadly we lost him to the disease, but I still have faith that we can find remedies to help those who suffer.
Anyway, this is a long way to say, I’m so sorry it was such a confusing story and yet, I think I also did what I wanted to do which is to engage you as a reader and to get you to puzzle through the story. If you reread all the Autumn scenes like they are the future of what happens to Grace and her child Hannah it is both sad and uplifting to a certain extent. Grace did have some time with her child. If you reread the Summer scenes you find them sad and hopeful in that Grace does start to come out of the fog with the help of medication. And then there is always the voice of hope. Time has past, present and future, but there are four seasons. I think of the fourth season as the fourth dimension, the unknown. Agency, hope, faith, religion, miracles, kismet, whatever it is that we cannot know about this life and the unquestionable spirit of the will to survive, nourish, persevere.
Thank you for reading my novel. Thank you for reaching out. I hope I was helpful and not more confusing for you.
Take care,
An Na