Pretty well got the gist of the events on the first reading, and wouldn't go back unless I was researching the institution and needed names.
As bad as things were, Kiser revealed his resilience in being able to survive what was realy an atrocious experience.
I would forget that Kiser was not reading his own story. I can't call it an enjoyable read, but Smith brought an empathy to the narrative that made it a more valuable experience.
It was strong out of the gate, the early chapters well written and tight, but the ending lacked an important aspect of resolution -- retribution. As a reader I wanted to know that justice was served, that at least some of the evil ones paid some kind of price. Maybe in a sequel.
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