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The book states plainly that both its speaker and the speaker's mother have suffered near deadly head injuries. However, rather than let a taxonomy like ""family curse"" sit unquestioned, Green writes toward the fugues (the condition of having one's identity questioned) by making a kind of fugue (interweaving song).

What are we to do with anger? What are we to do with love? What are we to do with one another, given all that happens and has happened between us? These are a few of the questions that haunt Matthew Minicucci's deeply original and profoundly moving poems.