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Still Alice Reading Guide & Discussion Questions

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Still Alice by Lisa Genova

Still Alice

by Lisa Genova
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  • First Published:
  • Jan 6, 2009, 320 pages
  • Paperback:
  • Jan 2009, 320 pages
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Book Club Discussion Questions

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For supplemental discussion material see our Beyond the Book article, Alzheimer's Disease and our BookBrowse Review of Still Alice.


Please be aware that this discussion guide will contain spoilers!

  1. When Alice becomes disoriented in Harvard Square, a place she's visited daily for twenty-five years, why doesn't she tell John? Is she too afraid to face a possible illness, worried about his possible reaction, or some other reason?

  2. After first learning she has Alzheimer's disease, "the sound of her name penetrated her every cell and seemed to scatter her molecules beyond the boundaries of her own skin. She watched herself from the far corner of the room" (pg. 70). What do you think of Alice's reaction to the diagnosis? Why does she disassociate herself to the extent that she feels she's having an out-of-body experience?

  3. Do you find irony in the fact that Alice, a Harvard professor and researcher, suffers from a disease that causes her brain to atrophy? Why do you think the author, Lisa Genova, chose this profession? How does her past academic success affect Alice's ability, and her family's, to cope with Alzheimer's?

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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 Pocket 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:
  Alzheimer's Disease

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