Book review

There’s a reason (think John Green meets Stephen King) this debut novel is all the rage in the West

In ‘My Absolute Darling’ Gabriel Tallent successfully combines the trauma of child abuse with teenage romance.

It was undoubtedly the debut of the year. A New York Times bestseller. A novel praised by none other than Stephen King with these words: “The word ‘masterpiece’ has been cheapened by too many blurbs, but My Absolute Darling absolutely is one.” And Bitch Media has headlined its review of Gabriel Tallent’s first novel “Male Authors Are Still Profiting From Women’s Pain”.

In other words, everyone, but everyone, in the book business in America is talking about My Absolute Darling, a novel depicting 14-year-old Turtle Alveston’s survival in extreme conditions. Turtle lives in coastal Mendocino, California with her father Martin – an abusive, alcoholic nutcase who stocks up on canned food and gun supplies, believing that the world might end any day.

Turtle is forced to eat raw eggs, the occasional scorpion, and rabbits that she hunts. She struggles to keep up in school, knows how to fire a Sig Sauer firearm on target, and is capable of surviving with only her gun in the middle of the forest at night in pouring rain. She can even come back alive after being washed up on isolated rocks with the tide. In short, Turtle Alveston can survive both man and nature. It is the “how she does it” that this book goes into.

Those horrible things

The first chapter begins with ominous details of Turtle’s living conditions in the house where raccoons lick the dishes clean and her father flips out at her for getting spellings wrong in her homework. Tallent pulls us straight into the uncomfortable with a seemingly mundane day of breakfast, walking to catch the school bus, middle-school vocabulary classes, and the principal’s meeting with the parent. Along the way, he shatters the illusion that being part of a small town community can mean any kind of safe space. It is a jungle out there, at home and in Turtle’s mind, and there is no way to escape it.

“…I thought at least you could give me this, you could at least do that, but the truth is that you give me nothing, she thinks, pulling up her pants and shashaying them on to her hips and holstering the gun as Martin watches her dress, and she thinks, go ahead and watch, asshole. I don’t know how to get away, and I don’t know if I can get away, so we will find out, I guess. Go ahead and watch, she thinks, because there is something wrong with me that I would take this risk that I would allow you to do this to me.”

Much of the novel is dedicated to Turtle’s inner thoughts, running in the form of monologues, and this is where we get the measure of psychological trauma that a survivor of sexual abuse goes through. Turtle’s conversations with herself are repetitive in which her mind switches between reminding herself how much her daddy loves her and how she can escape or kill him. This is where the book differs from other stories of sexual abuse and survival.

Tallent shows us the psychological underpinnings of Turtle’s mind, which she has trained to believe that she loves her father and is equally responsible for her father’s actions. She feels guilty every time Martin hurts her, thinking that it is because she provoked him through something she did.

The intriguing aspect of Tallent’s writing is that it is thoroughly goosebump-inducing, and capable of taking your heartbeat up a notch. The prose makes you sick in the stomach out of curiosity, fear and excitement about what is happening on the page. You will not have a moment’s peace until the scene has ended, and the aftereffect is in the form of unpleasant dreams.

John Green meets Stephen King

Turtle’s life changes when she encounters two high school boys, Jacob and Brett, who are lost in the forest while camping. She helps them survive the night and get home safely, and for this, they are in complete awe of her. For the first time, she likes a boy and knows how dangerous an act this could be. But it is here with the boys’ entry that lightness also enters the prose. The book shifts gears from being a psychological thriller to a young adult novel, which makes for a welcome change.

When the boys are lost in the woods, they come across a cottage and consider going in. This is the conversation they have:

“Brett says, ‘Dude, dude, what if you go in there – and there’s just, like one deformed albino child on a rocking chair with a banjo?’

Jacob says, ‘And he takes us prisoner and makes us read Finnegans Wake to his peyote plants?’

Brett says, ‘You can’t tell anyone that my mom made us do that. You can’t.’

Jacob says, ‘Why Finnegans Wake, do you think? Why not Ulysses? Actually, why not just read The Odyssey? Or – or The Brothers Karamazov?’

‘Because, dude – you read fucked-up Russian bullshit to your peyote plants, you’re gonna have a bad time.’

‘Okay, so: To the Lighthouse. Or – you know what? – people die in subordinate clauses in that book. Maybe DH Lawrence? For a passionate, make-love-to-the-gamekeeper kind of high.’

‘Dude, with your voice you are like, look at all these books I’ve read but with your eyes you are like, help me.’”

Tallent fuses the two genres – YA novel and psychological thriller – and moves back and forth between them. I could swear I was watching a dark, twisted Gilmore Girls episode towards the end, where all hell breaks loose where but at a high school party. On one page you find yourself laughing at a Jacob-Brett conversation, or read about a lovely moment between Jacob and Turtle straight out of John Green’s The Fault in Our Stars where the cigarette is a metaphor, and the next thing you know you’re in Stephen King’s short story Survivor Type in which a surgeon stuck on an island eats his own limbs to survive.

Even the cluelessness doesn’t kill it

A debut novel that took Tallent eight years to write, the book speaks of his command over prose, his ability to make you cringe and yet be curious as if it were a slasher film whose gory scenes you cannot watch but cannot look away from either. And yet, the book has its minute loose ends, certain spaces of cluelessness, a lack of knowledge for the reader. Perhaps this is because it is told from the perspective of a 14-year-old girl who herself doesn’t understand why her father does what he does. But that cluelessness becomes a little frustrating after a point. However, by the time this feeling surfaces, the reader is so into the book that it does not matter terrible.

This is a not a once in a lifetime kind of book. But if you’re feeling a bit numb and want to go through a magnitude of emotions, from pure horror through laugh-out-loud humour to spine-chilling sensations, this might be it. For these reasons alone, Tallent could end up being the next-generation thriller writer we’ve been waiting for.

My Absolute Darling, Gabriel Tallent, 4th Estate.

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When intrapreneurship can lead to patient centric innovation

Hospitals can also encourage a culture of intrapreneurship within the organization. According to Meena Ganesh, this would mean building a ‘listening organization’ because as she says, listening and being open to new ideas leads to innovation. Santosh Desai, MD& CEO - Future Brands Ltd, who was also part of the panel discussion, feels that most innovations are a result of looking at “large cultural shifts, outside the frame of narrow business”. So hospitals will need to encourage enterprising professionals in the organization to observe behavior trends as part of the ideation process. Also, as Dr Ram Narain, Executive Director, Kokilaben Dhirubhai Ambani Hospital, points out, they will need to tell the employees who have the potential to drive innovative initiatives, “Do not fail, but if you fail, we still back you.” Innovative companies such as Google actively follow this practice, allowing employees to pick projects they are passionate about and work on them to deliver fresh solutions.

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Another example is Penn Medicine in Philadelphia which launched an ‘innovation tournament’ across the organization as part of its efforts to improve patient care. Participants worked with professors from Wharton Business School to prepare for the ideas challenge. More than 1,750 ideas were submitted by 1,400 participants, out of which 10 were selected. The focus was on getting ideas around the front end and some of the submitted ideas included:

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As Arlen Meyers, MD, President and CEO of the Society of Physician Entrepreneurs, says in a report, although many good ideas come from the front line, physicians must also be encouraged to think innovatively about patient experience. An academic study also builds a strong case to encourage intrapreneurship among nurses. Given they comprise a large part of the front-line staff for healthcare delivery, nurses should also be given the freedom to create and design innovative systems for improving patient experience.

According to a Harvard Business Review article quoted in a university study, employees who have the potential to be intrapreneurs, show some marked characteristics. These include a sense of ownership, perseverance, emotional intelligence and the ability to look at the big picture along with the desire, and ideas, to improve it. But trust and support of the management is essential to bringing out and taking the ideas forward.

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To read more content on best practices for hospital leaders, visit Abbott’s Bringing Health to Life portal here.

This article was produced on behalf of Abbott by the Scroll.in marketing team and not by the Scroll.in editorial staff.