Discuss Mara's fear of nurses and needles.

At the beginning of the novel, when Mara is in the hospital after the accident, she tries to make her parents understand that they need to get "them" out. Who is she referring to in the beginning of the novel? How does this phrase become important later in the book? What is Mara really trying to get out at the end of the novel?

Consider Mara's hallucinations. What clues show that Jude might not be a hallucination?

Research post-traumatic stress disorder. What is this disorder? What causes it? What are the symptoms? Which of these symptoms does Mara exhibit?

How does Daniel help Mara with her disorder? In what ways does he enable Mara not to get the help that she really needs?

Discuss the choices that Mara makes throughout the course of the novel. Which choices...