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With such a depressing subject matter at hand, it would be easy for Galloway's prose to become irritatingly introverted. With her sharp wit, however, Galloway skilfully prevents her narrative from sliding into egotism and self-pity. There is a host of minor characters to provide comic relief--the overweight, awkward health visitor; the pompous, irascible doctor; the man from the bookies who is desperate to seduce her; and the ever-mad Ros, another patient on the psychiatric ward where Joy inevitably ends up.
Galloway is writing in a long-established tradition of confessional fiction with mentally disturbed women at its centre. Like Sylvia Plath in The Bell Jar and Susanna Kaysen in Girl, Interrupted, Galloway explores the complexities of the patient-doctor relationship. Where she differs is her sustained satire of the meagre attempts of doctors and psychiatrists to help their patients out of spiralling depressions. It is this sense of social critique that helped Galloway win two top awards--the American Academy EM Forster Award and the MIND/Allan Lane Book award--for this, her first novel. --Vanessa Cook
Whilst this book isn't hard to read, for me it is a more significant read than the lighter "Girl, Interrupted". I found "Girl, Interrupted" a little too disjointed in its storytelling, and somehow doesn't get across the feeling of personal distress that is apparent in The Trick is to Keep Breathing.
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