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Truth & Beauty: A Friendship Paperback – Deckle Edge, April 5, 2005
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Ann Patchett and the late Lucy Grealy met in college in 1981, and, after enrolling in the Iowa Writers Workshop, began a friendship that would be as defining to both of their lives as their work. In Grealys critically acclaimed memoir, Autobiography of a Face, she wrote about losing part of her jaw to childhood cancer, years of chemotherapy and radiation, and endless reconstructive surgeries. In Truth & Beauty, the story isnt Lucys life or Anns life, but the parts of their lives they shared. This is a portrait of unwavering commitment that spans twenty years, from the long winters of the Midwest, to surgical wards, to book parties in New York. Through love, fame, drugs, and despair, this is what it means to be part of two lives that are intertwined . . . and what happens when one is left behind.
This is a tender, brutal book about loving the person we cannot save. It is about loyalty, and being lifted up by the sheer effervescence of someone who knew how to live life to the fullest.
- Print length257 pages
- LanguageEnglish
- Publication dateApril 5, 2005
- Reading age14 - 18 years
- Dimensions5.63 x 0.68 x 8.25 inches
- ISBN-100060572159
- ISBN-13978-0060572150
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Editorial Reviews
Review
“More than truth or beauty, it is love” — San Francisco Chronicle
“This is a loving testament to the work and reward of the best friendships, the kind where your arms can’t distinguish burden from embrace.” — People
“Unforgettable...carefully rendered and breathtaking.” — Chicago Sun-Times
“An inspired duet...riveting.” — New York Times Book Review
“A work every bit as entrancing, daring and smart as her fiction—channels her grief.[into] an electrifying portrait of Grealy, a bravura self-portrait and a stunning and insightful interpretation of an epic friendship...A generous and virtuoso performance.” — Atlanta Journal-Constitution
“This frank, perceptive book can be read in many ways, not only as a story of friendship but also as a young artist’s eye-opening introduction to the wider world.” — New York Times
“If this honest book sends new readers out in search of Grealy’s memoir, Patchett will have served her friend’s memory well.” — USA Today
“In her first nonfiction, novelist Patchett paints a deeply moving portrait of friendship between two talented writers, illuminating the bond between herself and poet Lucy Grealy...a tough and loving tribute, hard to put down, impossible to forget.” — Kirkus Reviews (starred review)
“Dazzling in its psychological interpretations, piquant in its wit, candid in its self-portraiture, and gracefully balanced between emotion and reason, this is an utterly involving and cathartic elegy that speaks to everyone who would do anything for their soul mate.” — Booklist (starred review)
“[Truth & Beauty] shares many insights into the nature of devotion...This gorgeously written chronicle unfolds as an example of how friendships can contain more passion and affection than any in the romantic realm.” — Publishers Weekly
“...lyrical, lovely...Patchett has preserved her friend’s talent in this book, and provided more evidence of her own.” — BookPage
“{a} loving, clear-sighted portrayal..” — Elle
“A contemporary story of friendship and the writing life at once intense, honest, and heartbreaking. Highly recommended.” — Library Journal (starred review)
“An exquisite account of the close yet painful friendship...This is an intimate look into the lives of two successful writers, and the psychological demands of an extremely close friendship that ultimately ends in tragedy.” — Chicago Tribune
“Patchett’s is a book with a vortex at the center, and it’s magnetic.” — Boston Globe
“The reader mourns not only the loss of Lucy but the loss one feels when the pages of an enthralling book begin to thin and, as if suddenly, there is no more to read.” — Wall Street Journal
“...a moving companion to Grealy’s [Autobiography of a Face].” — The New Yorker
From the Back Cover
Ann Patchett and the late Lucy Grealy met in college in 1981, and, after enrolling in the Iowa Writers’ Workshop, began a friendship that would be as defining to both of their lives as their work. In Grealy’s critically acclaimed memoir, Autobiography of a Face, she wrote about losing part of her jaw to childhood cancer, years of chemotherapy and radiation, and endless reconstructive surgeries. In Truth & Beauty, the story isn’t Lucy’s life or Ann’s life, but the parts of their lives they shared. This is a portrait of unwavering commitment that spans twenty years, from the long winters of the Midwest, to surgical wards, to book parties in New York. Through love, fame, drugs, and despair, this is what it means to be part of two lives that are intertwined . . . and what happens when one is left behind.
This is a tender, brutal book about loving the person we cannot save. It is about loyalty, and being lifted up by the sheer effervescence of someone who knew how to live life to the fullest.
About the Author
Ann Patchett is the author of novels, most recently the #1 New York Times bestselling Tom Lake, works of nonfiction, and children's books. She has been the recipient of numerous awards, including the PEN/Faulkner, the Women's Prize for Fiction in the UK, and the Book Sense Book of the Year. Her novel The Dutch House was a finalist for the Pulitzer Prize. Her work has been translated into more than thirty languages, and Time magazine named her one of the 100 Most Influential People in the World. President Biden awarded her the National Humanities Medal in recognition of her contributions to American culture. She lives in Nashville, Tennessee, where she is the owner of Parnassus Books.
Excerpt. © Reprinted by permission. All rights reserved.
Truth & Beauty
A FriendshipBy Patchett, AnnPerennial
ISBN: 0060572159Chapter One
The thing you can count on in life is that Tennessee will always be scorching hot in August. In 1985 you could also pretty much count on the fact that the U-Haul truck you rented to drive from Tennessee to Iowa, cutting up through Missouri, would have no air-conditioning or that the air-conditioning would be broken. These are the things I knew for sure when I left home to start graduate school. The windows were down in the truck and my stepsister, Tina, was driving. We sat on towels to keep our bare legs from adhering to the black vinyl seats and licked melted M&Ms off our fingers. My feet were on the dashboard and we were singing because the radio had gone the way of the air conditioner. "Going to the chapel and we're -- gonna get mar-ar-aried." We knew all the words to that one. Tina had the better voice, one more reason I was grateful she had agreed to come along for the ride. I was twenty-one and on my way to be a fiction writer. The whole prospect seemed as simple as that: rent a truck, take a few leftover pots and pans and a single bed mattress from the basement of my mother's house, pack up my typewriter. The hills of the Tennessee Valley flattened out before we got to Memphis and as we headed north the landscape covered over with corn. The blue sky blanched white in the heat. I leaned out the window and thought, Good, no distractions.
I had been to Iowa City once before in June to find a place to live. I was looking for two apartments then, one for myself and one for Lucy Grealy, who I had gone to college with. I got a note from Lucy not long after receiving my acceptance letter from the Iowa Writers' Workshop. She said that initially when she heard I had gotten into the workshop she was sorry, because she had wanted to be the only student there from Sarah Lawrence. But then our mutual friend Jono Wilks had told her that I was going up early to find housing and if this was the case, would I find a place for her as well? She couldn't afford to make the trip to look herself and so it went without saying that she was on a very tight budget. I sat at the kitchen table and looked at her handwriting, which seemed oddly scrawny and uncertain, like a note on a birthday card from an elderly aunt. I had never seen her writing before, and certainly these were the only words she had ever addressed to me. While Lucy and I would later revise our personal history to say we had been friends since we met as freshmen, just for the pleasure of adding a few more years to the tally, the truth was we did not know each other at all in college. Or the truth was that I knew her and she did not know me. Even at Sarah Lawrence, a school full of models and actresses and millionaire daughters of industry, everyone knew Lucy and everyone knew her story: she had had a Ewing's sarcoma at the age of nine, had lived through five years of the most brutal radiation and chemotherapy, and then undergone a series of reconstructive surgeries that were largely unsuccessful. The drama of her life, combined with her reputation for being the smartest student in all of her classes, made her the campus mascot, the favorite pet in her dirty jeans and oversized Irish sweaters. She kept her head tipped down so that her long dark blond hair fell over her face to hide the fact that part of her lower jaw was missing. From a distance you would have thought she had lost something, money or keys, and that she was vigilantly searching the ground trying to find it.
It was Lucy's work-study job to run the film series on Friday and Saturday nights, and before she would turn the projector on, it was up to her to walk in front of the screen and explain that in accordance with the New York State Fire Marshal, exits were located at either side of the theater. Only she couldn't say it, because the crowd of students cheered her so wildly, screaming and applauding and chanting her name, "LOO-cee, LOO-cee, LOO-cee!" She would wrap her arms around her head and twist from side to side, mortified, loving it. Her little body, the body of an underfed eleven-year-old, was visibly shaking inside her giant sweaters. Finally her embarrassment reached such proportions that the audience recognized it and settled down. She had to speak her lines. "In accordance with the New York State Fire Marshal," she would begin. She was shouting, but her voice was smaller than the tiny frame it came from. It was no more than a whisper once it passed the third row.
I watched this show almost every weekend. It was as great a part of the evening's entertainment as seeing Jules et Jim. Being shy myself, I did not come to shout her name until our junior year. By then she would wave to the audience as they screamed for her. She would bow from the waist. She had cut off her hair so that it was now something floppy and boyish, a large cowlick sweeping up from her pale forehead. We could see her face clearly. It was always changing, swollen after a surgery or sinking in on itself after a surgery had failed. One year she walked with a cane and someone told me it was because they had taken a chunk of her hip to grind up and graft into her jaw.
We knew things about Lucy the way one knows things about the private lives of movie stars, by a kind of osmosis of information ...
Continues...Excerpted from Truth & Beautyby Patchett, Ann Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.
Product details
- Publisher : Harper Perennial; Reprint edition (April 5, 2005)
- Language : English
- Paperback : 257 pages
- ISBN-10 : 0060572159
- ISBN-13 : 978-0060572150
- Reading age : 14 - 18 years
- Item Weight : 2.31 pounds
- Dimensions : 5.63 x 0.68 x 8.25 inches
- Best Sellers Rank: #57,674 in Books (See Top 100 in Books)
- #409 in Women's Biographies
- #1,336 in Memoirs (Books)
- #3,385 in Literary Fiction (Books)
- Customer Reviews:
About the author

Ann Patchett is the author of six novels, including Bel Canto, which won the Orange Prize for Fiction. She writes for the New York Times Magazine, Elle, GQ, the Financial Times, the Paris Review and Vogue. She lives in Nashville, Tennessee.
Customer reviews
Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them.
To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzed reviews to verify trustworthiness.
Learn more how customers reviews work on AmazonCustomers say
Customers find the memoir compelling and honest. They describe the writing as well-written and easy to read. Readers appreciate the author's insight and passion for recounting their journey. While some find the story enjoyable and worth reading, others find it hard to read or unpleasant.
AI-generated from the text of customer reviews
Customers find the memoir compelling and honest about life, friendships, love, and facing challenges. They describe it as a vividly written story that is hard to put down. Readers appreciate the author's writing style and consider it an excellent literary memoir.
"...to me and I found it very deep and beautiful, a sad but true story if deep friendship...." Read more
"Beautifully and vividly written story of a friendship...." Read more
"...Afterwards I felt that it was one of the most honest accounts of life, friendships, love and facing the rough with the smooth that I had ever read...." Read more
"...I can't fault the book for the quality of the writing. Patchett is an engaging writer, and I'd like to check out some of her fiction...." Read more
Customers find the book well-written and easy to read. They appreciate the honest account of a 20+ year relationship, and the subtle yet moving details about a loyal friendship.
"...read tom lake, which was slightly disappointing, but I loved Truth and beauty." Read more
"...Ann Patchett is a marvelous writer, I could visualize myself there and see it all in my minds eye." Read more
"I very much enjoy this authors, writing and style of writing,..." Read more
"...Yikes, Patchett is a bit of a scoundrel! The book is competently written in a ChatGPT kind of way." Read more
Customers enjoyed the book's insight and analysis. They found it entertaining, meaningful, and revealing about a complex friendship. The author's understanding and recounting of the journey was appreciated.
"...Her explanation of their life was crystal clear. I felt like I was almost there with them...." Read more
"This is a beautifully written book about a complex, intellectual, and deep friendship between two extraordinary women...." Read more
"...The author's insight, understanding, and ability to recount their journey is (and, please, pardon the use of this word) amazing...." Read more
"...It became a very interesting and passionate analysis of the main character's personality and behavior...." Read more
Customers appreciate the author's honesty in the book. They find it a lovely account of life, love, truth, and beauty in real life. The book is delivered in a journalistic, spare manner.
"...It was far more than that and was delivered in a generally journalistic, spare manner...." Read more
"...I thought this book was well-written and honest...." Read more
"...She’s not afraid to be brutally honest. I read this book in 2 days." Read more
"A beautifully descriptive, very honest account of the 20+ year relationship between writer Ann Patchett and a writer friend." Read more
Customers find the book touching. They recommend it and say the love for Lucy is moving.
"...Her unwavering love for Lucy was so touching. Might read this one again!" Read more
"...of this friendship sometimes confusing, sometimes pathological, sometimes touching...." Read more
"Thoughtful and touching. Ann Patchett's an excellent writer and her novel reflects her authentic and unique style and voice." Read more
"Touching and beautifully told, this is memoir at its best. After reading this, I immediately wanted more Ann Patchett memoirs to read...." Read more
Customers have different views on the book's readability. Some find it an unforgettable, interesting read worth reading for men and women. Others find the story hard to read and the life-death story not pleasant. Overall, opinions are mixed regarding the book's readable quality.
"This book was highly recommended to me and I found it very deep and beautiful, a sad but true story if deep friendship...." Read more
"...This book was just so sad and difficult towards the end, it is hard to separate the writing from the subject, so I'm giving it a three...." Read more
"...A story of great depth and sadness that I enjoyed immensely." Read more
"...Overall, it was an unforgettable read. Whether or not we find love from the opposite sex depends so much on how we look." Read more
Customers have mixed opinions about the character development. Some find it full and historical, while others say Lucy is portrayed as selfish, self-absorbed, rude, arrogant, and a drug and sex addict. There's also a strange combination of condescension and jealousy with Grealy.
"...It is well written: personalities, locations, experiences are all set out in a vey readable fashion...." Read more
"...She writes well enough, but there's a certain strange combination of condescension and jealousy with which she writes of Grealy...." Read more
"...I love Ann's writing. Her character development is superb...." Read more
"...this relationship as if she were writing another novel with full character development, historical connections and both sadness and delight around..." Read more
Top reviews from the United States
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- Reviewed in the United States on December 6, 2023This book was highly recommended to me and I found it very deep and beautiful, a sad but true story if deep friendship. I had previously read tom lake, which was slightly disappointing, but I loved Truth and beauty.
- Reviewed in the United States on March 18, 2024Beautifully and vividly written story of a friendship. We should all be so blessed to have just one friendship like this in our lifetime, the good, the bad and the ugly. It is the truest human experience to love and loss. Ann Patchett is a marvelous writer, I could visualize myself there and see it all in my minds eye.
- Reviewed in the United States on October 5, 2024This was my first Ann Patchett non-fiction and I was concerned it would be a tearjerker, an ode to a lost friend.
It was far more than that and was delivered in a generally journalistic, spare manner. The focus was on what LG did accomplish, rather than a sad review of what she couldn’t achieve.
- Reviewed in the United States on April 29, 2005I gave this book 5 stars because I read it in one sitting. I've read Grealy's book as well and felt great sympathy for her after finishing it-after reading this I've concluded she was the friend from hell, and I have to say that as I get older I have less tolerance for self destructive emotional vampires like Lucy Grealy.
Instead of enjoying life she chose to complain about how no one loved her, Ann didnt love her best, etc. To me she came off as someone who was deeply disturbed. Not to minimize her enormous suffering-no one should have to go throught what she went through with her cancer and it seems that her medical care was mismanaged. She also seemed to follow the bad advice of many of the surgeons; most if not all of her operations proved useless. But- she seemed addicted to surgery and as one other reviewer put it, addicted to the attention she received because of these surgeries. Lucy seemed like the type of person who wanted any typr of attention even if it was negative attention. She became a drug addict; I find it disturbing that she could kick cancer but succumb to heroin. Maybe it was the pain of all those surgeries-I could never judge her. She just doesnt seem like someone who anyone could stand being friends with because of her self destructive behavior. That's not to say I don't feel sorry for her.
I enjoyed the book (though it was a real downer), but was disturbed by aspects of their weird friendship, especially Lucy's disregard for a life that so many loved ones fought to preserve. I don't quite understand Ann-there didnt seem to be any redeeming qualities in the friendship so I just don't know what drew her to Lucy.
- Reviewed in the United States on January 21, 2024I very much enjoy this authors, writing and style of writing,
This is a memoir, so perhaps that is why there was much more detail, unnecessary at that, then I have found in her novels.
If I had to hear one more word about Lucy, feeling unlovable, I was going to stab my eyeballs. and not just Lucy feeling unlovable, but her erratic emotional state. We definitely did not need it drummed our head like a water torture treatment.
She still is a favorite author of mine, and I wanted to give this book 5 stars but by the last hundred pages I knew I would not be able to.
- Reviewed in the United States on April 18, 2013To say that this novel was about truth and beauty undermines the underlying meaning of the story, where in fact, it was about the pursuit of these elusive obsessions by writer Lucy Grealy, and her friend, the author, Ann Patchett, and their failure to realize, “the (only) thing you can count on in life is that Tennessee will always be scorching hot in August …”, and that something will go wrong like the air conditioner that is broken in the rental truck that the author is driving to Iowa, everything else is mutable. (Patchett, 1). The obsession by Lucy to fix her face so that she can be ‘beautiful’ is the concrete purpose that propels the action, but that yearning to be normal so that she can be loved is the theme that is weaved throughout this novel. Patchett realizes that the love that they both have sought so desperately to find was right there all of the time, and failed to see it until it was too late; She admits: “that was my mistake.” (Patchett, 257).
Truth & Beauty is the story of the intricate, and sometimes complicated female friendship between the two main characters, the author (Ann Patchett), and fellow writer Lucy Grealy, from their first encounter at Sarah Lawrence to the prestigious Iowa Writers Conference, and through their illustrious careers as teachers, and successful writers. The plot moves around the devotion, and shared moments two friends spent with each other, during many of Lucy’s thirty eight operations to restore the lower jaw and the beauty she had lost to the numerous treatments, and deforming surgeries; her multiple sex partners, love interests, a suicide attempt, and substance abuse.
Although there is a raw callousness to the manner Patchett reveals the intimate secrets shared with readers about her friend that may seem disingenuous at times, there is truth and beauty in the relationship she that reveals in her pages. Patchett put personal letters in her novel that the two friends sent to each other during the years of friendship; Lucy writes:
Dearest anvil [] [] dearest deposed president of some now defunct
but lovingly remembered country, dearest to me, I can find no suitable
words of affection for you, words that will contain the whole of your wonderfulness to me. You will have to make due with being my favorite
bagel, my favorite blue awning above some great little café where the
coffee is strong but milky and had real texture to it. (Patchett: Grealy, 7).
The letter reveals a depth of affection Greally had for Patchett, combined with a description that revealed Patchett’s character, and love as having real texture to it.
Theme is some central idea that is recurring throughout the novel, a thread to hold the fabric of the plot together, 'one action' as Aristotle had phrased it hundreds of years ago. There appears to be more than one theme in this memoir, one of a complicated friendship between two women, where love is not revealed until it’s too late, and the other Lucy’s drive for beauty, or yearning to become normal so that she can be loved.
Although the story is about the friendship, and moments shared between two authors, during their formative years, the novel centers on a young woman, an aspiring poet, who is disfigured by Ewing Sarcoma, and the radical, and multiple treatments and surgeries to put her back together. Lucy Grealy’s obsession with recapturing the beauty she lost is really her struggle to be able to live a normal life, drives the external plot of the novel; while the need to be normal, to be loved, as any other woman, drives the internal story.
Lucy gives up her virginity to a man she met in a consignment shop when she first gets to Iowa, a man who doesn’t love her, and introduces her to dominance and bondage; (Patchett, 12) another man she meets abroad “D— …and [][] drunk and trying to have sex on the bench in a rainstorm (unsuccessfully);” (Patchett, 14) and a slew of lover’s thereafter to the point where the character Ann notes, Lucy had more sex than most people who did not suffer her affliction. It was apparent to Ann that Lucy was assimilating sex as a replacement for love: “she was slowly figuring out that wanting sex was knotted together with wanting love…the only avenue she had with B— was sex, and she tried frantically to use it to make him love her. It was a bad habit she established, and it stayed with her for the rest of her life…” (Patchett, 13). To achieve her desire, and attract more men, Lucy struggled to keep her body in shape, and she longed to retrieve that beauty she lost from the treatments of her illness. She put in breast implants using her student loans, and pursued every new treatment possible to restore her face. Lucy believed that when the surgeons “would get the business of her face finished up once and for all, and then, life, real life, would begin. Lucy felt that she …would have friends and fall in love and go dancing every night.” (Patchett, 85). Patchett reveals that on one trip to Europe to have an experimental operation, Lucy has to stretch her lower face with saline injections so it swells up like a balloon, and her drive to be beautiful (that she associates with normal) is so great that she endures gawking, and harassment from strangers. As further exposition, she publishes Lucy’s letter to her describing one of her operations: “I look like I had a good right cross to the chin and lip. I had some fat from my hip grafted into my lower lip, so now I’ve got what will hopefully be a bridget Bardot lip, though it’s doubtful it will last more than a few months, meaning I’ll have to decide then if I want to do it again.” (Patchett, 89). And of course it doesn’t last and she attempts suicide by slitting her wrists, but survives, and Ann learns that she has a severe heroine addiction. There is a period when the two friends are mad at each other, but later reconcile. Ann learns other things that she once thought were certain, turned out to be wrong. Ann thinks that her friend is invincible, having been through all kinds of surgeries, an attempted suicide, and believes Lucy will always be there, but learns after her untimely death that Lucy was as fragile as the bird that she uses in her metaphors to describe her, and realizes too late that she has made a mistake. Thus, the central theme of some deep female friendship that lay unknown to each of them to its bitter end is revealed.
In writing the book, Patchett appears to reveal her naïve beliefs that Lucy’s nature, and spirit were indestructible, and that she was tough enough to endure the scrutiny of her uniqueness. In an excerpt of Lucy’s radio comments about her novel Autobiography of a face, she writes: “a lot of my suffering was emotional suffering…my story is really not so much [][] about being disfigured, it’s about having a face that changed, so continuously that I never really identified myself as connected to it.” (Patchett, 136). Lucy reveals also that her own face repulsed her; when she looked into a mirror, “the visage I saw staring back at me was undeniably repulsive.” (Patchett, 136). Ann recognizes that this is why her favorite questions were “Do you love me?” and “will I ever have sex again?” The foil in her character, where her face was constantly deteriorating, being restored, changing, drove the tragedy of the inner story to become beautiful (normal) completing the theme at her death with the revelation that she already was beautiful—where she is loved for whom she is. (Patchett, 257).
#
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Truth & Beauty: a friendship. Ann Patchett. Harper Collins. New York. 2004.
From Where You Dream. Robert Olen Butler. Grove Press. New York. 2005.
Top reviews from other countries
Mr TG Russell-JonesReviewed in the United Kingdom on March 23, 20245.0 out of 5 stars Poignant
A beautiful and profound portrayal of a friendship so unique and special.It became more a d more painful to read.I could not put it down.I
Jane MacEwenReviewed in Canada on September 11, 20205.0 out of 5 stars Prompt delivery. Book as described, used very good.
I liked the prompt delivery and condition of book as described.
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RocíoReviewed in Spain on November 14, 20195.0 out of 5 stars Genial
Lo compré como regalo porque a mi me encantó en su momento. Creo que es un libro entrañable, duro y auténtico, te pone bastante los pies en la tierra y te hace recordar tus propios momentos difíciles con tus amigos. Merece mucho la pena.
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DK13000Reviewed in France on May 26, 20134.0 out of 5 stars roman autobiorgraphique
Intéressant, mais je préfère ses autre romans (en fait, celui là n'en est pas un). Mais toujours très bien écrit et intéressant.
NixieReviewed in Canada on July 23, 20214.0 out of 5 stars Interesting examination of take and give.
Well, that is dedicated friendship, for sure. But I became increasingly less clear what Ann was getting from it. She is a very generous soul. I found myself feeling tired by the end, and less interested in Lucy.



![Autobiography of a Face [Thirtieth Anniversary Edition]](https://images-na.ssl-images-amazon.com/images/I/81yK7U+cZSL._AC_UL165_SR165,165_.jpg)




