As with all of Toews' books, it's well written but tough subject matter: domestic violence and abuse under the guise of religion, sheltered girls interacting with "the real world" and trying to find safety. In this book, the protagonist is not wrestling with her upbringing versus her desire for a normal life (Irma has already started that escape and separation) but with her own demons and inner turmoil. I had to read it in short bursts, especially the second quarter (though there is nothing explicit, the implications are tough to stomach), but then the second half I just devoured.
I love all of Toews' work; this is no exception for me.