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Shudder Island Shudder Island Shudder Island . . must we dream our dreams and have them, too? Elizabeth Bishop, "Questions of Travel" ACKNOWLEDGMENTS Thanks to Sheila, George Bick, Jack Driscoll, Dawn Ellenburg, Mike Flynn, Julie Anne McNary, David Robichaud, and Joanna Solfrian. Three texts were indispensable in writing this novel: Boston Harbor Islands by Emily and David Kale; Gracefully Insane, Alex Beam's account of McLean Hospital; and Robert Whitaker's Mad in America, which documented the use of neuroleptics on schizophrenics in American psychiatric institutions. I remain indebted to all three books for their outstanding reportage. As ever, as always, thanks to my editor, Claire Wachtel (every writer should be so blessed), and my agent, Ann Rittenberg, who gave me the book by giving me the Sinatra. ix PROLOGUE FROM THE JOURNALS OF DR. LESTER SHEEHAN MAY 3, 1993 I haven't laid eyes on the island in several years. The last time was from a friend's boat that ventured into the outer harbor, and I could see it off in the distance, past the inner ring, shrouded in the summer haze, a careless smudge of paint against the sky. I haven't stepped
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