Dramatic novel asks pertinent questions about mental health treatment

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Anne Buist’s experience as a perinatal psychiatrist informs the novel she has written with Graeme Simsion.

reads like a treatment for a new drama. The novel, the first in a collaborative series between Graeme Simsion and his wife, Anne Buist, a perinatal psychiatrist – contains all the comforting trappings of a fast-paced medical procedural.

The resident “joker” provides comic relief, coming in the form of a manic barrister who is undone by a recent diagnosis of bipolar disorder. The “thwarted woman” is a police officer admitted to the ward with unusual symptoms after her husband left her for a younger woman — now pregnant. The “culturally diverse” character is an Afghan who is reluctantly admitted after he almost ran over a politician who jumped in front of his truck.

Like any long-form medical narrative, we have one patient who eludes our protagonist. Here, it is a new mother admitted involuntarily with postpartum psychosis. Managing her sanity also means managing that of her husband – a FIFO worker who wasn’t around in the first weeks of the baby’s life.The novel explores the ethics of treating vulnerable people and asks what it means to intervene in the interests of the patient without infringing on their autonomy under the Mental Health Act.

 

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