Joe Pitts, a brilliant if somewhat obsessive and cynical graduate student from a wealthy dysfunctional family lashes out under pressure against what he sees as the hypocrisy of society and the futility of his life in it. Briefly committed to a psychiatric ward in the aftermath of an altercation with one of his professors, he meets Dr. Margaret Wright, a resident and Susan Holland, a somewhat mystical nursing student. Just as Joe begins to believe that his intellect and his Ego can overcome what he sees as a minor troubling interlude in his life, he receives a shock. It is a diagnosis of terminal testicular cancer. With the aid of Dr. Wright, Susan, Roberta Turner, a philosophical fellow student and Dr. Shultz, the very professor with whom his altercation began this odyssey, and a man whose wife has just made the final passage, Joe learns in the hospice to revere his own, now fleeting existence and gains the humility necessary to face the next and final stage of his life.
Dr. Spradlin in a wonderful allegorical tale of international intrigue, death, sex, and romance poses the questions we all ponder about life-its meaning, who are we, what is the ego, and the place of the reverent. In this fast-paced and unique story, a naïve psychiatry resident is confronted by three frames of reference-intellectual, emotional, and egotistical-as everyone is throughout life. Dr. Spradlin adroitly intertwines the action-packed tale set in a psychiatry ward in a veterans' hospital and rural Virginia with the psychotherapy process of mutual exploration by patient and therapist dealing with philosophy, religion, psychology, and also mysticism. The interplay of these basic concepts of self-exploration in this at times violent tale not only captures the reader's attention but leaves the reader to ponder these inevitable human questions long after finishing the book.
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