52 pages • 1 hour read
A. R. TorreA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Content Warning: This section of the guide contains descriptions of suicide, abuse, physical and sexual violence, and torture. The source text also draws on stereotypes about mental health conditions to explain criminal behavior.
The novel opens in a Los Angeles neighborhood. A badly injured teenage boy named Scott Harden walks up to a house. Inside the home, Nita Harden is grieving the loss of her son, who has gone missing and is presumed to have been killed by the Bloody Heart Killer, a serial killer who has been targeting teenage boys in Los Angeles. She expects that her son’s body will turn up any day now, but suddenly, she hears Scott’s familiar ring at the front gate of the house. Nita runs outside to find that her son Scott has come home.
Psychiatrist Dr. Gwen Moore, who specializes in criminal behavior and treats patients who have violent tendencies, is listening to a voicemail from one of her patients, John Abbott. Based on recent sessions, she is worried that he will kill his wife, Brooke. Gwen has been treating him for over a year and has determined that he has pathological jealousy and obsessive fears that his wife will leave him for another man. Previously, he complained about Brooke’s interactions with their landscaper, whom Gwen suggested that he fire, and now, he is worried about their neighbor. Gwen is concerned because John’s fixation on his wife causes him to have violent fantasies about killing her. She attempts to call John back, but he does not answer. John Abbott does not show up for his shift at the pharmacy where he works, and he and his wife are found dead in their home.
Later, Gwen receives a call from her receptionist, who says that there is a detective in her office who needs to speak to her. Gwen deletes John’s frantic voicemail from her phone, fearing an investigation into her practice and a breach of her patients’ confidentiality. She goes to her office and meets Detective Ted Saxe, who tells her that both John Abbott and his wife were found dead; Brooke had a heart attack, while John apparently stabbed himself. Saxe asks Gwen questions about John’s treatment, and Gwen answers evasively. She is certain that John poisoned his wife, but she does not reveal this or any details about John’s true mental state or his confessions during therapy. Gwen specializes in treating people with violent obsessions and feels that she has a duty to protect her patients’ privacy despite the severity of their confessions. Detective Saxe leaves, and Gwen takes John and Brooke’s deaths as a personal failure on her part.
Gwen has lunch with her friend Meredith, also a psychologist, who attempts to reassure Gwen that John and Brooke’s deaths are not her fault and that she cannot be sure that John killed his wife. She suggests that Gwen order a toxicology screen to see if John (who was a pharmacist) gave Brooke drugs or if her heart attack was natural. Gwen does not want to run the risk of tarnishing her client’s name or threatening patient confidentiality if he is innocent, and she does not want to draw negative attention to her practice if he is found to be guilty.
They then discuss the Bloody Heart Killer. Gwen has been following the case closely, and Meredith announces that the killer has been caught; after escaping from the serial killer, Scott Harden accused a teacher at his high school.
Gwen has an appointment with Lela Grant, a woman who is having violent thoughts about killing her husband’s sister. Lela rants about her husband’s sister and fantasizes about stabbing her. Gwen knows that Lela is not really a killer; instead, she is simply bored and hates her sister-in-law and is therefore unlikely to kill her. However, as Lela leaves, Gwen reflects that she had been wrong about the likelihood that John would kill his wife, and she now wonders if she could be wrong about Lela as well.
Gwen attends John’s funeral, where she hears people talk about him “as if he were a saint” (20). She thinks back over their sessions, and in hindsight, she can see the signs that he was dangerous to Brooke; he would describe detailed fantasies of hurting or killing Brooke. Gwen blames Brooke’s death on her own “ego” and her assumption that her sessions with John would be enough to keep him from hurting Brooke. She also feels intensely guilty and responsible for what happened and thinks about how she might have changed the outcome if she had gone to the police.
She leaves the funeral early and goes to a bar nearby, ordering a bucket of beers in an attempt to drink away her guilt. A handsome man approaches her, introduces himself as Robert, and joins her at her booth. He was also at the funeral; John was his pharmacist, and Robert mentions that he was a frequent customer because his son “had” diabetes. Gwen gleans from his use of past tense that his son died recently. They talk about their respective professions, and Robert tells her that he is a criminal defense attorney. The two continue drinking together, and afterward, they go to Gwen’s house and have sex.
When Gwen wakes up, Robert is making coffee and breakfast in her kitchen. She reflects on the night fondly, but when she leaves her room and passes her home office, she sees Robert inside. He is looking at John Abbott’s client file. He says that Gwen should have told him that she was John’s therapist. Outraged, Gwen tells Robert to leave, and he does. She checks the phone and sees that he placed a call to his office: Cluster and Kavin law firm. She realizes that Robert is the father of Gabe Kavin, one of the boys who was murdered by the Bloody Heart Killer.
Robert leaves Gwen’s house and walks through her neighborhood. He reflects that his good opinion of Gwen vanished when he saw John’s file. He goes to a bar. The news is playing on the TV inside, featuring Scott Harden’s return, and Robert’s mood worsens. The news story mentions Robert’s late son, Gabe, and Robert immediately leaves the bar to catch a taxi.
Nita Harden is with Scott at home as he is questioned by Detective Erica Petts and Detective Ed Harvey. Nita notes that the latter seems suspicious, though she is not sure of whom. Erica Petts asks Scott how much he remembers about the day of his kidnapping, and Scott recounts going to his truck. Randall Thompson, a teacher at the school, had parked beside it. Randall Thompson allegedly asked Scott for help in getting something from his trunk, and when Scott bent down to help, Randall “stuck something in [his] neck” (39), rendering him unconscious. Scott then woke up tied to a bed.
The detectives ask if he can identify the house he was in, and Scott says that he cannot; when he ran away, he did not look at the house. He gives only vague details, claiming that he was drugged most of the time. Nita can tell that he is lying. Nita urges the detectives to arrest Randall Thompson immediately, but they are awaiting a search warrant. The detectives leave, and Nita is sure that Scott is keeping something from them, though she does not know what it might be.
Robert goes to his law office and meets with his partner, Martin Cluster. The two discuss the developments in the Bloody Heart Killer case. Robert says that the police found evidence in Randall Thompson’s house: a shoebox containing souvenirs from each of the boys, including Gabe. However, Robert is suspicious, believing that the box could have been planted. Martin disagrees, stating that with both an eyewitness and evidence, Thompson is almost certainly the killer.
Robert, however, is not convinced of his guilt and wants to represent Thompson in court. Martin is vehemently opposed to this, but Robert says that if the police think they have caught the killer, they will stop searching for the real one. Martin argues that this is a conflict of interest and that they will get sued if Robert loses, but Robert is certain that he will not lose.
Gwen is at home, feeling “paranoid” about her skill as a therapist. She reflects on her last meetings with John and realizes that she had been more focused on diagnosing the reasons for his insecurity than on considering the possibility that he might actually kill his wife. She also muses about an unpopular theory that she has regarding marriage: that at some point, all spouses secretly wish that their partner would die.
Robert rings her doorbell, bringing flowers and apologizing for looking at John’s file. Gwen accepts his apology and invites him inside. They talk, and their conversation veers toward Gabe and the Bloody Heart murders. Gwen apologizes to Robert for the loss of his son. Robert offers to hire her to create a psychological profile of the Bloody Heart Killer, saying that he can provide her with access to the case files for all six victims. Gwen accepts the offer, and Robert leaves. Gwen is thrilled at the thought of studying the case files, and her attraction to Robert has grown into a “fixation.”
Because these early chapters establish Gwen as the primary protagonist, her specialty of treating patients with violent and potentially criminal tendencies immediately shines a spotlight on The Psychology of Violence and Criminality. However, it is also important to note that the author sometimes overstates the alleged connections between criminality and certain mental health conditions, and while this subtext effectively fuels the novel’s adherence to the psychological thriller genre, the narrative also relies on stereotypes and includes inaccurate portrayals of how these mental health conditions manifest.
Structurally, the decision to deliver much of the narration through Gwen’s first-person perspective also injects an element of unreliability into the text, for the events are inevitably flavored with the protagonist’s own biases and insecurities. The story is also presented partially in the third person, and these sections show Robert Kavin and Nita Harden’s perspectives in order to provide a glimpse into other characters’ roles. This approach becomes especially important upon Scott’s return home; because of his questionable behavior and vague answers to the police interrogation, Nita is the only one who perceives that her son is lying and withholding information. These glimpses into Nita’s point of view and her attempts to understand what happened to her son add to the mysterious nature of events and hint that certain characters’ motives are not as straightforward as they appear. Additionally, by opening the story with Scott’s seemingly miraculous return home, the author creates a unique subversion of the murder-mystery crime thriller. Usually, the point of the story is to catch the killer, but here, the police and the public believe that the killer has already been caught. As a result, Robert’s decision to defend the man who is on trial for killing his son injects a distinct tone of doubt into the narrative despite the eyewitness account and the evidence found in Randall Thomspon’s home.
Central to this section of the story is Gwen’s growing uncertainty in her expertise as a psychiatrist, for John and Brooke’s deaths force her to reexamine every aspect of her practice as she wonders whether she should have contacted the police when she suspected that John might be a threat to his wife. Thus, her internal conflict highlights the external events that drive the plot, introducing The Tension Between Professional Ethics and Personal Duty. As the details of the case unfold, she feels bound by patient confidentiality, but she also has a duty to report patients who may be a danger to themselves or others. However, her reticence in coming forward with her knowledge is mitigated by the fact that she is primarily motivated to protect her clients from scrutiny so that she can more effectively treat them. As she states, “My clients were the best of the worst, and I felt a fierce sense of duty to protect them while treating their most honest confessions” (11). Given the delicate nature of her practice and her specialty for dealing with violent offenders or those with violent tendencies, the line between maintaining confidentiality and trust with her patients and ensuring that they do not harm others is dangerously thin. When her unwillingness to involve the police results in Brooke’s death, Gwen feels directly responsible and experiences the difficulties of Coping With Guilt and Grief. However, her commitment to maintaining patient confidentiality even at the risk of obstructing justice is not entirely altruistic; in addition to maintaining John’s privacy, she also wants to avoid inconvenient investigations into her practice. Thus, Gwen demonstrates a level of moral ambiguity that is typical of the characters featured in psychological thrillers.
Because Robert Kavin is the grieving father of Gabe Kavin the Bloody Heart Killer’s sixth victim, his character development revolves around a very complex version of Coping With Guilt and Grief, and his activities are also inextricably linked with The Tension Between Professional Ethics and Personal Duty. He takes on the role of defending Randall Thompson regardless of the glaring conflict of interest, and he disregards these professional standards because he is convinced of Thompson’s innocence and is deeply determined to catch his son’s real killer. The powerful driving force behind his actions implicitly labels him as an erratic and edgy character, and the author therefore foreshadows the fact that his decisions are not necessarily based upon rational thought. As he grows closer to Gwen, their sexual chemistry and attraction also present a distinct conflict of interest once they become involved in the case together.
Gwen’s involvement in both John Abbott’s case and the Bloody Heart Killer case explores The Psychology of Violence and Criminality; her intense fascination with understanding the motives of violent criminals is central to her profession. However, rather than condemning such individuals, she displays empathy toward her patients despite their violent urges and confessions, and she normalizes their thoughts by stating that “wanting to hurt or kill someone is a common part of the human mental circus” (10). With this approach, she recognizes that her patients are coming to her willingly for psychiatric help in an effort to curb their worst impulses. Therefore, she openly pushes back against the comments of characters like Detective Saxe, who dismisses her patients as “sickos.” However, her empathy has its limits, and during John and Brooke’s funeral, she reflects on the deceptive nature of killers and acknowledges the ease with which they can hide in plain sight and take pleasure in doing so.