Goodreads asked Adam Gainer:

Where did you get the idea for your most recent book?

Adam Gainer I was writing a short story about an idea I wanted to try a little while ago. I intended it to be a novelette, much the two books previous to it. The idea was simple.

A psychiatrist, on night-shift, hallucinates and get's attacked by patients. Well... something like that anyways. The idea that came afterward was much larger and more complex than anything I could have tried to pre-plan. That book was my first published novel called, Spettra.

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