This solid novel begins with young Lulu finding her mother dead and her sister wounded at the hands of her alcoholic father, who has failed at killing himself after attacking the family. Meyers traces the following 30 years for Lulu and her sister, Merry, as they are sent to an orphanage, where Lulu turns tough and calculating, searching for a way into an adoptive family. Eventually, Lulu becomes a doctor specializing in the almost old, though her secretiveness about her past causes new rifts to form in her new family. Meanwhile, Merry becomes a victim witness advocate, but her life is stunted; she's dependant on Lulu, drugs and alcohol, and she can't find love because she usually want[s] whoever wants me. In the background, their imprisoned father looms until a crisis that eerily mirrors the past forces Lulu and Merry to confront what happened years ago. Though the novel's sprawling time line and undifferentiated narrative voices—the sisters narrate in rotating first-person chapters—hinder the potential for readers to fall completely into the story, the psychologically complex characters make Meyers's debut a satisfying read.