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Still Alice

Average rating: 4/5

Based on 9 ratings

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Still Alice

by Lisa Genova

Gallery Books | January 6, 2009 | Hardcover

An extraordinary debut novel about an accomplished woman who slowly loses her thoughts and memories to a harrowing disease -- only to discover that each day brings a new way of living and loving

Alice Howland is proud of the life she worked so hard to build. At fifty years old, she''s a cognitive psychology professor at Harvard and a world-renowned expert in linguistics with a successful husband and three grown children. When she becomes increasingly disoriented and forgetful, a tragic diagnosis of early-onset Alzheimer''s disease changes her life.

As the inevitable descent into dementia strips away her sense of self, fiercely independent Alice struggles to live in the moment. While she once placed her worth and identity in her celebrated and respected academic life, now she must reevaluate her relationship with her husband, a respected scientist; her expectations of her children; and her ideas about herself and her place in the world. At once beautiful and terrifying, Still Alice is a moving and vivid depiction of life with early-onset Alzheimer''s disease that is as compelling as A Beautiful Mind and as unforgettable as Ordinary People.

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Reviews

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    Rating: 5/5

    An Extraordinary Debut Novel

    Heather Reisman

    • Chief Booklover

    3 years ago

    I read the publisher's jacket copy of Still Alice and decided the last thing I wanted to read was a story about a woman who gets Alzheimer's. How fortunate that I decided to crack open this little jewel. You will be drawn into this story from the first paragraph and become totally connected to the unfolding life of Alice Howland.

    Alice is proud of the life she worked so hard to build. At fifty years old, she's at the height of her success, a cognitive psychology professor at Harvard and a world-renowned expert in linguistics with an equally successful husband and three grown children. Her students are enthralled by her lectures and she has reached that point in her life where she is stimulated and fulfilled both at work and at home. But, when she becomes increasingly disoriented and forgetful, a tragic diagnosis changes her life and her relationship with the world, forever.

    At once beautiful and terrifying, Lisa Genova's novel Still Alice is a moving depiction of life with early-onset Alzheimer's disease. We are with her as she fights against what is happening to her. Try as she might, Alice cannot deny the reality of her diagnosis; slowly, inexorably, her brain lets her down. This is an extraordinary debut novel about an accomplished woman who slowly loses her thoughts and memories to a harrowing disease - only to discover that each day brings a new way of living and loving.

    Comments on this review:
    Kathryn Thomas

    It's terrifying subject matter. It is very difficult for anyone who chooses to read a good book and escape to pick up a novel that has the all too real impact of being the face in the mirror for us all or someone we love. It's a powerful, beautifully written and poignant book. It stayed and continues to stay with me. A "must read" for everyone.

    Chen Huynh

    A very moving story that captures the heart of the reader. It is a touching story of a mother and a wife's journey and her personal as well as professional battle after being diagnosed with Alzheimer's disease. It helps the readers understand the social and emotional effects of this disease that continues to affect families in all walks of life. The author is successful in conveying the emotions of the main character. I recommend this book to everyone who in one way or the other has a loved one, a friend or colleague who has been diagnosed with this debilitating disease.

    • Was this review
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    Rating: 5/5

    Haunting

    Amy Whitelaw

    2 weeks ago

    Such an amazing book, It left me screaming out NO after it was over, i wanted to know more

    This reviewer also recommends:
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    Kristilyn Robertson

    Rating: 5/5

    An Amazing Debut!

    Kristilyn Robertson

    4 weeks ago

    ***MAY CONTAIN SPOILERS***

    Still Alice is exactly what I came to expect when I picked up Lisa Genova's debut novel, which was released in 2008. The main character, Alice, is a 50-year-old professor at Harvard. Organized, efficient, highly-educated, smart, and sharp, she never thought in her wildest dreams that someone like her could be diagnosed with early-onset Alzheimers. Just like with Genova's second novel, Left Neglected, Still Alice is written in great detail-Genova obviously does her research quite carefully (and being a neurologist-turned-writer, I would expect no less).

    Still Alice doesn't rush itself-the diagnoses of Alice comes after she notices changes in her memory and starts having symptoms she attributes to monopause. At first, Alice's memory lapses are the same kind that anyone could have-forgetting a certain word, misplacing items, not recognizing cues on her to-do list. But as the months go by, the symptoms get more and more severe.

    I really appreciate how Genova wrote Still Alice by having each chapter outline a month in Alice's life, so the reader can see how quickly the disease progressed. It's disconcerting to think that within just a year (the book span is a mere 2 years), Alice's symptoms advanced as much as they did. One of the most notable parts of the novel, in my mind, that showcased the symptoms Alice was put up against was when Alice was preparing for a class she taught regularly. Rushing off to class, telling herself that they can't start with her, she enters the room with the mindset that she's a student-waiting the encouraged 20 minutes before leaving the class with the rest of her students because the professor-Alice-did not show up.

    Another part that really hit home for me was when Alice and her husband are at their cottage for the summer. John, her husband, has been asked to run with Alice, since she could get disoriented and not know where she is or where she should be going. John asks her if she's ready to go for a run, Alice goes in for a fleece, sees a book on the nightstand, grabs it, and proceeds to go to the porch to read. When John asks if they're going for a run, she says she needs to use the bathroom first. John goes to wait outside and Alice gets disoriented in her own house and can't find the bathroom in time.

    One of the things Alice is disappointed about is that soon she won't be able to read-even trying to comprehend a simple conversation is difficult at times-and there are so many books she wants to devour! Reading this made me sad-I can't even fathom what it would be like to lose the ability to read, to lose the ability to put words and sentences together.

    The fact that Alzheimers snuck up on Alice so early in life-a disease that usually attacks in the 60th or 70th years-really made me think, as a reader. Leaving the novel, you'll want to devour all the books that have been sitting, neglected, on your nightstand. You'll want to do things that have been sitting, undone, on your to-do list. Those things you've always dreamed of doing? Travel, bungee jumping, taking that art class, or learning to ski-you'll want to do that after reading Still Alice because you'll realize that life is too short to be wasted.

    "My yesterdays are disappearing, and my tomorrows are uncertain, so what do I live for? I live for each day. I live in the moment. I will forget today, but that doesn't mean today didn't matter."

    Genova crafted a beautiful novel. The characters are flesh and blood-you could imagine them being in the same room as you while you read. As I reader, I sympathized with Alice when she had a memory lapse and repeated herself or expressed forgetfulness in front of someone who's never seen it happen (e.g. asking the same question within minutes at a seminar, having no recollection of previously asking it).

    I've never known anyone who was diagnosed with Alzheimers, but seeing reactions of Alice's colleagues, family, and friends, I understand how they would act how they did. One can only hope that reading Still Alice will make readers more compassionate towards people who have been thrust into a heartless disintegration.

    Lisa Genova is a force to be reckoned with. I look forward to reading her next novel and will continue sharing her first two works with everyone I know. A highly recommended author.

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    Rating: 5/5

    Heartbreakingly Real

    K. McNaughton

    3 years ago

    "Still Alice" is an absolutely fantastic book. I din't want to put it down. You feel so bad for Alice and her family. It really brings home how devastating a disease Alzheimers can be, but also shows that life can go on. Genova combines the appropriate amount of humour, frustration, shock, and sorrow in "Still Alice" to keep the reader's attention and empathy. Although a fictionalized account, Genova utilizes her knowledge of current Alzheimer's medications and treatment options to provide a platform of learning while enjoying the novel. This book is a necessary read for anyone; not just someone who has experienced Alzheimer through a family member or friend. I strongly recommend it, but remember to keep some tissues handy!

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Details

From the Publisher

An extraordinary debut novel about an accomplished woman who slowly loses her thoughts and memories to a harrowing disease -- only to discover that each day brings a new way of living and loving

Alice Howland is proud of the life she worked so hard to build. At fifty years old, she''s a cognitive psychology professor at Harvard and a world-renowned expert in linguistics with a successful husband and three grown children. When she becomes increasingly disoriented and forgetful, a tragic diagnosis of early-onset Alzheimer''s disease changes her life.

As the inevitable descent into dementia strips away her sense of self, fiercely independent Alice struggles to live in the moment. While she once placed her worth and identity in her celebrated and respected academic life, now she must reevaluate her relationship with her husband, a respected scientist; her expectations of her children; and her ideas about herself and her place in the world. At once beautiful and terrifying, Still Alice is a moving and vivid depiction of life with early-onset Alzheimer''s disease that is as compelling as A Beautiful Mind and as unforgettable as Ordinary People.

About the Author

Lisa Genova has a degree in Biopsychology, from Bates College, and a Ph.D. in Neuroscience from Harvard University. Lisa is the author of the New York Times Bestselling novel STILL ALICE. Her second novel is LEFT NEGLECTED. She lives with her family on Cape Cod.

Bookclub Guide

Discussion Questions:

1. When Alice becomes disoriented in Harvard Square, a place she''s visited daily for twenty-five years, why doesn''t she tell John? Is she too afraid to face a possible illness, worried about his possible reaction, or some other reason?

2. After first learning she has Alzheimer''s disease, "the sound of her name penetrated her every cell and seemed to scatter her molecules beyond the boundaries of her own skin. She watched herself from the far corner of the room" (pg. 70). What do you think of Alice''s reaction to the diagnosis? Why does she disassociate herself to the extent that she feels she''s having an out-of-body experience?

3. Do you find irony in the fact that Alice, a Harvard professor and researcher, suffers from a disease that causes her brain to atrophy? Why do you think the author, Lisa Genova, chose this profession? How does her past academic success affect Alice''s ability, and her family''s, to cope with Alzheimer''s?

4. "He refused to watch her take her medication. He could be mid-sentence, mid-conversation, but if she got out her plastic, days-of-the-week pill container, he left the room" (pg. 89). Is John''s reaction understandable? What might be the significance of him frequently fiddling with his wedding ring when Alice''s health is discussed?

5. When Alice''s three children, Anna, Tom and Lydia, find out they can be tested for the genetic mutation that causes Alzheimer''s, only Lydia decides she doesn''t want to know. Why does she decline? Would you want to know if you had the gene?

6. Why is her mother''s butterfly necklace so important to Alice? Is it only because she misses her mother? Does Alice feel a connection to butterflies beyond the necklace?

7. Alice decides she wants to spend her remaining time with her family and her books. Considering her devotion and passion for her work, why doesn''t her research make the list of priorities? Does Alice most identify herself as a mother, wife, or scholar?

8. Were you surprised at Alice''s plan to overdose on sleeping pills once her disease progressed to an advanced stage? Is this decision in character? Why does she make this difficult choice? If they found out, would her family approve?

9. As the symptoms worsen, Alice begins to feel like she''s living in one of Lydia''s plays: "(Interior of Doctor''s Office. The neurologist left the room. The husband spun his ring. The woman hoped for a cure.)" (pg. 141). Is this thought process a sign of the disease, or does pretending it''s not happening to her make it easier for Alice to deal with reality?

10. Do Alice''s relationships with her children differ? Why does she read Lydia''s diary? And does Lydia decide to attend college only to honor her mother?

11. Alice''s mother and sister died when she was only a freshman in college, and yet Alice has to keep reminding herself they''re not about to walk through the door. As the symptoms worsen, why does Alice think more about her mother and sister? Is it because her older memories are more accessible, is she thinking of happier times, or is she worried about her own mortality?

12. Alice and the members of her support group, Mary, Cathy, and Dan, all discuss how their reputations suffered prior to their diagnoses because people thought they were being difficult or possibly had substance abuse problems. Is preserving their legacies one of the biggest obstacles to people suffering from Alzheimer''s disease? What examples are there of people still respecting Alice''s wishes, and at what times is she ignored?

13. "One last sabbatical year together. She wouldn''t trade that in for anything. Apparently, he would" (pg. 223). Why does John decide to keep working? Is it fair for him to seek the job in New York considering Alice probably won''t know her whereabouts by the time they move? Is he correct when he tells the children she would not want him to sacrifice his work?

14. Why does Lisa Genova choose to end the novel with John reading that Amylix, the medicine that Alice was taking, failed to stabilize Alzheimer''s patients? Why does this news cause John to cry?

15. Alice''s doctor tells her, "You may not be the most reliable source of what''s been going on" (pg. 54). Yet, Lisa Genova chose to tell the story from Alice''s point of view. As Alice''s disease worsens, her perceptions indeed get less reliable. Why would the author choose to stay in Alice''s perspective? What do we gain, and what do we lose?

Enhance Your Book Club:

1. If you''d like to learn more about Alzheimer''s or help those suffering from the disease, please visit www.actionalz.org or www.alz.org.

2. The Harvard University setting plays an important role in Still Alice. If you live in the Cambridge area, hold your meeting in one of the Harvard Square cafŽs. If not, you can take a virtual tour of the university at: http://www.hno.harvard.edu/tour/guide.html

3. In order to help her mother, Lydia makes a documentary of the Howlands'' lives. Make one of your own family and then share the videos with the group.

4. To learn more about Still Alice or to get in touch with Lisa Genova, visit www.StillAlice.com.

Hardcover

320 Pages, 5.44 x 8.25 x 1.04 in

January 6, 2009

Gallery Books

English


1439116881
9781439116883

From Community

From the Critics

"Heartbreakingly real.... So real, in fact, that it kept me from sleeping for several nights. I couldn''t put it down....Still Alice is a story that must be told." -- Brunonia Barry, New York Times bestselling author of The Lace Reader

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