Consider the abuse of women that took place at the sanatorium. Using three examples, explain how Pearse presents the abuse of women through the years. How does abuse affect the female characters in the book?

Pick two characters from The Sanatorium and explore their struggles with mental illness. What are the similarities and the differences? How does their mental illness challenge them? How does mental illness effect the decisions that they make?

How does Pearse use red herrings in the book? How does the use of red herrings contribute to the building of suspense in the novel? Is it effective or ineffective?