Dr. Rebecca Temple has just returned to practice in an old converted house in the Kensington Market area of Toronto, six months after the death of her artist husband, when she's confronted with the violent murder of a patient she had earlier diagnosed as paranoid. Sylvia Warsh's accomplished first novel explores the decades-old deceptions and plots that go back to World War Two Poland and underlie the murder of Goldie. Even as Rebecca struggles with guilt over the misdiagnosis which may have led to her patient's death, she becomes the killer's next target.