The Modern Library - the 200 best novels in English since 1950
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Asylum by Patrick McGrath

This gothic thriller is narrated by a psychiatrist in a top-security mental hospital. His colleague's wife, Stella - beautiful and isolated - befriends a patient, and the affair between them develops into an obsessive, destructive love. The novel is unsensational and yet slowly shocking, rich not in its surface activity, since its prose is plain and unruffled, but in the tormented depths of its spirit.
Patrick McGrath was born in London, the son of a psychiatrist.

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Asylum by Patrick McGrath