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Blue Asylum Reading Guide & Discussion Questions

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Blue Asylum by Kathy Hepinstall

Blue Asylum

A Novel

by Kathy Hepinstall
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  • First Published:
  • Apr 10, 2012, 288 pages
  • Paperback:
  • Apr 2013, 288 pages
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Book Club Discussion Questions

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For supplemental discussion material see our Beyond the Book article, A History of Sanibel Island and our BookBrowse Review of Blue Asylum.


Please be aware that this discussion guide will contain spoilers!

  1. When you first meet Iris, Wendell, and Ambrose in chapter 1, do they seem mad to you? How do they see one another, and how true do you think their first impressions turn out to be? Use examples from the novel to support your opinion.

  2. Throughout Blue Asylum, attempted rescue is a recurring theme: Wendell and the lamb, Iris and the baby, Iris and Ambrose, Dr. Cowell and Iris. Do you think Iris had any influence over whether Ambrose lived or died? What lessons do you think she learned by the end of the story?

  3. Describe Dr. Cowell's criteria for a "sane" wife. Then, compare Dr. Cowell's relationship with his wife, Mary, to what the doctor tells his women patients they should be to their husbands. How well does his own marriage hold up to his proposed ideal? How do these expectations, fairly representative of Americans in the late nineteenth century, influence the behavior of the women in this novel? How did it make you feel to learn some of the circumstances under which women were committed to asylums during this time period?

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  1. How does the author develop themes of identity and belonging throughout the narrative?
  2. What role does the setting play in shaping the characters' decisions and relationships?
  3. Discuss how the ending reframes the events of the story. Were you surprised?


Unless otherwise stated, this discussion guide is reprinted with the permission of Mariner Books. Any page references refer to a USA edition of the book, usually the trade paperback version, and may vary in other editions.

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Beyond the Book:
  A History of Sanibel Island

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