I have a deep respect for this book in that it details the cause and effects of trauma, as well as some of the process of trauma treatment. It’s a brutal book in that the events that happened to the protagonist are really painful and brutal, and it shows how physical and psychic pain are so closely intertwined for some folks. 

In terms of craft, I think it could have been more tightly written. I generally appreciate stories taking time to unfurl, but I think that this one was more about the step-by-step events that happened to the protagonist, rather than the protagonist’s path to healing, which is, imho, what would have been the stronger narrative and would have felt more expansive with time.  The step-by-step nature of the book made it seem less like a book of personal development and more a chronicle of events, which did not need as much space as it had.