The Silent Patient

The Silent Patient

by

Alex Michaelides

Elif is one of the patients at the Grove. She is a physically imposing, erratic woman; Theo quickly learns that she has been placed in the Grove for suffocating both her sister and her mother to death. She has a particularly tense relationship with Alicia, whom she constantly taunts, especially about her closeness with Theo. After defacing one of Alicia’s paintings by writing the word “slut” over it, Elif is attacked by Alicia, who stabs her in the eye with a paintbrush. Elif exemplifies Theo’s theory that childhood trauma informs adult behavior: “Elif made you feel repulsion and hatred,” he explains, “because that was how her mother had made her feel.”
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Elif Character Timeline in The Silent Patient

The timeline below shows where the character Elif appears in The Silent Patient. The colored dots and icons indicate which themes are associated with that appearance.
Part 1, Chapter 5
Silence vs. “The Talking Cure” Theme Icon
Suddenly, a Turkish woman named Elif charges into the room, throwing what looks like spears into the center of the circle.... (full context)
Tragedy and Destiny Theme Icon
Theo and Indira are able to work together to shift the conversation, inviting Elif to discuss the difficulties of anger management. But Theo’s mind is elsewhere. He can’t stop... (full context)
Part 1, Chapter 8
Honesty vs. Deception Theme Icon
Theo returns to his freezing cold office, where the broken radiator makes him sympathize with Elif’s frustration over the pool cues. Reluctantly, he looks at Diomedes’s case notes on Alicia. The... (full context)
Tragedy and Destiny Theme Icon
...out to Theo in the files: soon after she was admitted, Alicia had violently attacked Elif, without clear motivation. Theo decides he will ask Elif about what really happened that day.  (full context)
Part 2, Chapter 3
Tragedy and Destiny Theme Icon
Silence vs. “The Talking Cure” Theme Icon
Elif comes into the station and begins hammering on the glass, asking to have her medication... (full context)
Part 2, Chapter 11
Empathy, Identification, and Boundaries Theme Icon
Childhood Trauma Theme Icon
With Yuri’s help, Theo seeks out Elif, intending to ask her about what happened with Alicia. Up close, Elif is even scarier... (full context)
Empathy, Identification, and Boundaries Theme Icon
Honesty vs. Deception Theme Icon
Theo suggests that he and Elif can play pool together, sharing a single cue, but she ferociously tells him to leave... (full context)
Part 2, Chapter 26
Empathy, Identification, and Boundaries Theme Icon
...visits the canteen, which is warm from the radiators and bustling with activity. He notices Elif sitting at a table with several other tough-looking patients, while Alicia sits alone, barely eating,... (full context)
Part 2, Chapter 31
Tragedy and Destiny Theme Icon
Honesty vs. Deception Theme Icon
Silence vs. “The Talking Cure” Theme Icon
...a woman screaming. He worries that Alicia has been hurt. But in fact it is Elif, bleeding from her eye. Quickly, Theo realizes that Alicia has stabbed her with a paintbrush.... (full context)
Part 2, Chapter 32
Silence vs. “The Talking Cure” Theme Icon
...Alicia, Theo and Yuri head to the makeshift studio. The whole thing immediately becomes clear: Elif has vandalized Alicia’s painting of the burning building, writing the word “SLUT” across the image.  (full context)
Empathy, Identification, and Boundaries Theme Icon
Theo visits Elif in the emergency ward, where she tells him to “fuck off.” When Theo makes it... (full context)
Part 4, Chapter 19
Childhood Trauma Theme Icon
...As he prepares to do so, he is shocked to notice Yuri dealing drugs to Elif in the fishbowl. And strangely, Jean-Felix has arrived and has been waiting for hours. Theo... (full context)