Girl, Interrupted Reading Guide & Discussion Questions

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Girl, Interrupted by Susanna Kaysen

Girl, Interrupted

by Susanna Kaysen
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  • Apr 1994, 168 pages
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Book Club Discussion Questions

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Please be aware that this discussion guide will contain spoilers!

The questions that follow are designed to enhance your group's reading of Susanna Kaysen's Girl, Interrupted. We hope they will provide you with new ways of looking at--and talking about--a book whose style and subject matter are equally provocative. As she recounts her two-year sojourn in a Boston psychiatric hospital and her experience of what she calls the "parallel universe" of madness, Kaysen compels readers to consider how thin the line is that separates "madness" from "sanity," deviance from normalcy, and treatment from control. Her memoir forces us to ask what role Kaysen's gender had in her diagnosis and hospitalization. And it makes us wonder whether some forms of mental disturbance are not really illness, but, rather, new names our society has given to unhappiness and confusion, states that are common enough in teenage girls or, for that matter, in anyone who possesses an interior life.


  1. The voice that narrates Girl, Interrupted may at first strike readers as cool, intellectual, rational, and controlled, qualities normally associated with sanity. It is a voice full of humor, characterized by an understatement that leaves much to the imagination. How, as we go deeper into the book, does the voice play against what it is describing--or heighten it? What is the overall effect of this voice?

  2. At what point, if any, does your perception of the narrator (whom for convenience we call "Susanna") change? Does Susanna's "unreliability" as the narrator suggest something about the nature of madness itself?

  3. What does the author accomplish by juxtaposing her actual medical records and case notes with the narrative? How do these documents contribute to your impression of Susanna's psychic state? How would this book be different without them?

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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 Vintage. 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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