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Part 4, Chapter 10
Themes
Key
LitCharts assigns a color and icon to each theme in The Silent Patient, which you can use to track the themes throughout the work.
Empathy, Identification, and Boundaries
Tragedy and Destiny
Honesty vs. Deception
Childhood Trauma
Silence vs. “The Talking Cure”
Summary
Analysis
Theo pushes Alicia to try and explain her silence. At first, she claims that she has nothing to say—after the murder, she tried to speak, but nothing would come out. Alicia then tells Theo that she is willing to talk only because she feels that he believes her about the man: “I want you to understand,” she explains. Alicia then informs Theo that the man inside her house was not actually the anonymous man at the window; it was Jean-Felix, come to talk about the exhibition.
Alicia’s desire to speak so that Theo can “understand” marks a stark departure from her normal mode of being, both at the Grove and before. It also affirms Ruth’s talking cure method: rather than being medicated away from her pain, Alicia seeks someone who can really grasp what she is going through.
Themes
As the session progresses, the topic of conversation widens. Theo and Alicia talk about their childhoods, and specifically about their abusive fathers. Theo acknowledges that he and Alicia are swapping roles, confusing the boundaries between who is a therapist and who is a patient. “Soon it would be impossible to tell who was who.”
