What is it like to work inside a state hospital or to be a patient in such a hospital? What is it like to live inside the mind of such a patient? This tragi-comedic novel takes the listener inside the asylum, inside the worlds of three central characters: a narrator who has taken refuge from his fears of the world, a psychiatrist whose own life has been damaged by his father's depression, and a catatonic schizophrenic whose world is trapped inside a crack in the wall opposite her bed. This is the interwoven story of their lives, a story that includes love, sexuality, violence, deaths, celebrations, circuses, and surprising twists. As the plot unwinds, the listener learns a great deal about the nature of futility, frustration, and freedom.