My first part of this review is a warning: Don't read this while eating. Three times I read this during my lunch break and all three times I lost my appetite. There is blood and gore and it is descriptive. Second warning: it does deal with child and spousal abuse. It is a very, very dark book and really trippy, but as you can see from my rating, I really enjoyed it. The inside flap description doesn't really do a good job in summarizing this book to make you read it. With most of the content being psychological and delusions, it IS really hard to make a summary. So I will compare this book to the writings of, not Stephen King like everyone else seems to, but Scott Smith with his books "A Simple Plan" and "The Ruins". Very good writing, very descriptive and suspenseful but sometimes super icky.