Creating doubt, building tension

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I have been reading This Much I Know is True by Wally Lamb. Chapter 17 is an excellent example of a literary device that really builds tension and explores character.

Dominick Birdsey, the novel’s protagonist and POV character, is listening to recordings of his identical-twin and schizophrenic brother in a conversation with psychologist, Dr. Patel. On the tape Thomas is recounting incidents of extreme abuse perpetrated by their stepfather Ray on their mother and themselves. The incidents are deeply disturbing, and unbelievably violent.

So when Dominick insists they never really happened, but are hallucinations of his brothers disturbed mind, the reader is inclined to agree. However, as Dr. Patel questions Dominick more closely, he seems hesitant and vague with his denials, and the suspicion grows that he might be concealing (either intentionally or subconsciously) what are possibly true accounts of a brutalized past.

The tension in these encounters pries open Dominick’s character, breaking through the hardbitten persona he presents to the world, and revealing a tortured soul.

The overall tone of this book doesn’t appeal to me, but this one chapter has demonstrated a literary technique I certainly want to have in my repertoire!It’s a brilliantly written episode.