The title and cover are draws for me

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elizabeth silver's reviews Avatar

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The word "silent" first brings to mind that the patient cannot speak, but I see that the patient is able to speak but doesn't want to.

The torn cover indicates suspense and drama to me.

The use of his patient to untangle things of his own is intriguing.

An endorsement from A. J. Finn definitely makes a statement about the book. :)