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A female psychiatrist at a state mental hospital detects herself at the center of your shadowy conspiracy in this dark and twisting tale of subconscious suspense from the author of The Absence of Mercy. Menaker State Hospital is a curse, a refuge, a prison, a necessity, a problem, a salvation. When Dr. Lise Shields arrived at the correctional psychiatric center five years ago, she was warned that lots of of its patients - determined by Maryland's judicial system for perpetrating heinous offences - could not leave. But what goes on when a place like Menaker is corrupted, when it becomes an instrument to silence the innocent, conceal an injustice, include a secret? Why is it that the newest patient does not appear to belong there, that a healthcare facility administrator has fallen silent, and this Lise has been observed by two men with seemingly lethal intent? The answers are nearer than she realizes and could cost her everything she holds dear. Within this chilling follow-up to The Absence of Mercy, creator John Burley - a expert at medical and subconscious information - showcases the countless ways in which the hazards of the exterior world pale in comparison to the horrors of the individuals mind.