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It was an okay book. Anna, the mother, was the main reason I gave the book the extra half star. Unfortunately this just wasn't enough to make this into a 4 or 5 star book.
There were a couple of things that needed to be clearer in the story line and there needed to be a few less themes. I never understood why Anna starting hearing the voices after Lena was born and why only through Lena. She never sought help of any kind and it seemed that there was a lot of meaningless rambling with the characters doing unbelievable things. The whole thing just felt unresolved in the end.