Truth and Beauty Reading Guide & Discussion Questions

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Truth and Beauty by Ann Patchett

Truth and Beauty

A Friendship

by Ann Patchett
  • Critics' Consensus (7):
  • Readers' Rating (7):
  • First Published:
  • May 1, 2004, 257 pages
  • Paperback:
  • Apr 2005, 272 pages
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Please be aware that this discussion guide will contain spoilers!

In Truth & Beauty, her frank and startlingly intimate first work of nonfiction, Ann Patchett shines a fresh, revealing light on the world of women's friendships and shows us what it means to stand together.

Ann Patchett and Lucy Grealy met in college in 1981, and, after enrolling in the Iowas Writers' Workshop, began a friendship that would be as defining to both of their lives as their work was. In her critically acclaimed and hugely successful memoir, Autobiography of a Face, Lucy Grealy wrote about losing part of her jaw to childhood cancer, the years of chemotherapy and radiation, and then the endless reconstructive surgeries. In Truth & Beauty, the story isn't Lucy's life or Ann's life, but the parts of their lives they shared. This is a portrait of unwavering commitment that spans twenty years, from the long, cold winters of the Midwest, to surgical wards, to book parties in New York. Through love, fame, drugs, and despair, this book shows us what it means to be part of two lives that are intertwined.

Topics for Discussion
  1. Ann and Lucy shared a deep and intimate bond. Is it only possible to form a relationship like that in early adulthood -- before careers are fully formed and long-term romantic relationships and children enter the picture? In what ways are our relationships with friends different than ones with our family members? Are they always different?

  2. How does Lucy's struggle with illness and her own body shape her way of dealing with life and with the people around her? Lucy was an enormously talented writer. Did she use that gift as a way to make sense of life? Do you think writers and artists see the world differently, or more clearly, than other people?

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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 Harper Perennial. 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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