Compare and contrast Adele and Louise. How are they similar? How are they different? Why do they become friends and how is this friendship tested?

David’s notes say Adele is a sociopath. Do you agree? What behaviors and elements of her characterization support or refute that diagnosis? Support your responses with textual evidence.

What images of psychiatric treatment does the novel portray? Refer to Westlands and to the clinic where David works: How are the two facilities akin and what roles do they serve in the overarching plot?