Synopses & Reviews
In this novel of family and redemption, a mother struggles to save her eighteen-year-old daughter from the devastating consequences of mental illness by forcing her to deal with her bipolar disorder. New York Times best-selling author Bebe Moore Campbell draws on her own powerful emotions and African-American roots, showcasing her best writing yet.
Trina suffers from bipolar disorder, making her paranoid, wild, and violent. Watching her child turn into a bizarre stranger, Keri searches for assistance through normal channels. She quickly learns that a seventy-two hour hold is the only help you can get when an adult child starts to spiral out of control. After three days, Trina can sign herself out of any program.
Fed up with the bureaucracy of the mental health community and determined to save her daughter by any means necessary, Keri signs on for an illegal intervention. The Program is a group of radicals who eschew the psychiatric system and model themselves after the Underground Railroad. When Keri puts her daughter's fate in their hands, she begins a journey that has her calling on the spirit of Harriet Tubman for courage. In the upheaval that follows, she is forced to confront a past that refuses to stay buried, even as she battles to secure a future for her child.
Bebe Moore Campbell's moving story is for anyone who has ever faced insurmountable obstacles and prayed for a happy ending, only to discover she'd have to reach deep within herself to fight for it.
"This powerful story of a mother trying to cope with her daughter's bipolar disorder reads at times like a heightened procedural. Keri, the owner of an upscale L.A. resale clothing shop, is hopeful as daughter Trina celebrates her 18th birthday and begins a successful-seeming new treatment. But as Trina relapses into mania, both their worlds spiral out of control. An ex-husband who refuses to believe their daughter is really sick, the stigmas of mental illness in the black community, a byzantine medico-insurance system all make Keri increasingly desperate as Trina deteriorates (requiring, repeatedly, a '72 hour hold' in the hospital against her will). The ins and outs of working the mental health system take up a lot of space, but Moore Campbell is terrific at describing the different emotional gradations produced by each new circle of hell. There's a lesbian subplot, and a radical (and expensive) group that offers treatment off the grid may hold promise. The author of a well-reviewed children's book on how to cope with a parent's mental illness, Moore Campbell (What You Owe Me) is on familiar ground; she gives Keri's actions and decisions compelling depth and detail, and makes Trina's illness palpable. While this feels at times like a mission-driven book, it draws on all of Moore Campbell's nuance and style. Publishers Weekly (Starred Review) (Copyright Reed Business Information, Inc.)
"Campbell's clearly trying to make a few specific points, but while doing so she's created a story that is universally touching." San Francisco Chronicle
"Stark, incisive and often harrowing, 72 Hour Hold brings the trauma of mental illness vividly to life. Campbell's characters are wholly believable, her tale, exceptionally well crafted." Baltimore Sun
"This is a wonderful, enlightening story told with the utmost tenderness and sensitivity." Orlando Sentinel
"[T]he novel is as fast-paced as its title implies. And at no point did Campbell become preachy. She let her commanding storytelling pull me in, and she kept me riveted during this timely tale of a mother's roller coaster ride to hell and back." Chicago Sun-Times
"[72 Hour Hold] reveals the pain behind the statistics, the bewilderment of repetitive loss, the ebb and flow of hope against hope and, finally, the necessity of acceptance." Washington Post
Trina is eighteen and suffers from bi-polar disorder, making her paranoid, wild, and violent. Frightened by her own child, Keri searches for help, quickly learning that the mental health community can only offer her a seventy-two hour hold. After these three days Trina is off on her own again. Fed up with the bureaucracy and determined to save her daughter by any means necessary, Keri signs on for an illegal intervention known as The Program, launching them both on a terrifying journey.
About the Author
Bebe Moore Campbell was the author of several New York Times
bestsellers: Brothers and Sisters
, Singing in the Comeback Choir
, What You Owe Me
, which was also a Los Angeles Times
Best Book of 2001, and 72 Hour Hold
. Her other works include the novel Your Blues Aint Like Mine
, which was a New York Times
Notable Book of the Year and the winner of the NAACP Image Award for literature. Bebe Moore Campbell died in 2006.
Reading Group Guide
1. The novel is narrated from Keris point of view. How does she present herself as a character in the opening chapter? What are the traits that have made her a successful businesswoman? How does her character contrast with that of her teenage daughter?
2. Dr. Ustinov tells Keri, “your daughter is bipolar” [p. 25]. Consider the terms in which Dr. Ustinov presents Trinas illness to Keri [p. 29]; his approach is purely factual, while hers is psychological and filled with guilt. Does Keri begin to lose her guilt about Trinas illness as the novel proceeds, or does she continue to feel that in some sense, its “always Mommys fault” [p. 30]?
3. Friendships between women are important in this novel. What kinds of support and strength do women offer each other? Discuss examples of the loyalty and love shared between female characters in the story.
4. How does Keris history with her mothers alcoholism affect her approach to Trinas illness? In what ways is Keris refusal to forgive her mother understandable, and in what ways does she refuse to realize that her mother might also be considered to have a brain disease? How does Keri eventually make the choice to let her mother back into her life?
5. In what ways does 72 Hour Hold help readers question the phenomenon that having a perfect child (high-achieving, popular, talented, beautiful, etc.) contributes greatly to a parents self esteem and social status? Does Keri eventually let go of these ideas? If so, how?
6. What is the effect of Campbells frequent use of the metaphor of slavery—its images, its terrors, its punishing psychology—throughout the novel? See, for instance, page 3 (“the hounds are tracking you”) and page 28 (“I embarked on my own Middle Passage that night, marching backward, ankles shackled”). If Keris experience with her daughters mental illness is like the experience of slavery, does the novel yield any sense of liberation from this condition?How does Keris relationship with Orlando differ from her relationship with Clyde? At a moment of extreme crisis in the story, it seems as though Keri will get back together with Clyde. Why does she ultimately choose Orlando instead?
7. How does Keris relationship with Orlando differ from her relationship with Clyde? At a moment of extreme crisis in the story, it seems as though Keri will get back together with Clyde. Why does she ultimately choose Orlando instead?
8. Just as Keri has to accept her daughters illness, Orlando has to accept P.J.s homosexuality. Why is this so devastating for Orlando? Does the description of the household Keri and Orlando share at the end of the novel suggest that both Keri and Orlando are at peace with their children?
9. What is the significance of Keris skill as a masseuse in her approach to healing both herself and Trina? Why is this mode of touching so important to the bond between the two of them?
10. The relationship between Keri and Orlando presents an example of the difficulties self-made women encounter when they find themselves with less-successful men. (Campbell has also written a nonfiction book on this topic.) Why is Keri impatient with Orlandos lack of success, and how does she come to terms with it?
11. The segment of the novel that describes the intervention, which involves a road trip and a good deal of suspense, adds an element of adventure to this story of family tragedy. What is the effect of these chapters, and how does Campbell make them such compelling reading?
12. Karl, the intervention leader, is the child of a mother who was mentally ill. What do his and Keris family histories tell us about the kinds of damage done by untreated mental illness? In what ways can Karl and Keri be seen as overcompensating for—or still reacting to—their painful childhood experiences?
13. In a significant conversation between Keri and Trina on pages 298-299, Trina acknowledges the pain of having to give up the college life she was on the verge of, even as she also acknowledges the danger of suicidal feelings. Does the end of the novel suggest a hopeful outcome for Trina?
14. What is the significance of the green pantsuit with the small stain, which Keri finally wears at Trinas performance [p. 318]? How is it related to the novels epigraph from a Leonard Cohen song: “Ring the bells that still can ring. / Forget your perfect offering. / There is a crack in everything. / Thats how the light gets in.”?
15. How does this novel open up the inside world of families dealing with severe mental illness? What did you find surprising about the story? How do other books on the subject of mental illness that members of your group may have read compare to 72 Hour Hold?
“Shatters our abstract notions about mental illness. . . . [Campbell] is a writer at the top of her form as a storyteller, culture keeper and astute social critic.” —Los Angeles Times
The introduction, discussion questions, suggestions for further reading, and author biography that follow are intended to enhance your groups discussion of 72 Hour Hold, a gripping novel of family tragedy and redemption by Bebe Moore Campbell.
Q: 72 Hour Hold takes on some taboo subjects in the African American community, among them mental illness and homosexuality. What made you want to explore this terrain?
A: I have both gay and mentally ill loved ones. I don’t think either group deserves to live marginal lives. Both groups are greatly stigmatized, particularly black people with mental illnesses. I feel that it’s my job as a writer to create a community dialogue when silence is killing us. And in the black community, silence about homosexuality and mental illness are resulting in death. The HIV rates in our community are astronomical, as are incarceration rates for black males. So often, mentally ill black men wind up in prison. In fact, the prisons are the largest mental health facilities in the nation. I’m hoping that my book will give all people permission to bring homosexuality and mental illness out of the closet and to become activist “stigma busters.”
Q: Why do you think the African American community has difficulty talking about these issues?
A: Many black people feel the historical stigma of race as a burden they still carry. To add something else to that weight, be it homosexuality or mental illness, can feel unbearable. In addition, the black community tends to be religiously fundamentalist. Often the church encourages taboos regarding homosexuality. Some churches may preach that prayer, as opposed to medication, will control mental illnesses. Often people are made to feel personal failure when they don’t get better.
Q: Do you hope that your novel will make it easier for people to speak more freely about their own experience?
A: I’ve written a work of fiction. I believe that the courage of real people telling their stories will spur others to share their own. I was really happy to learn about Jane Pauley going public about having bi-polar disorder. If my novel helps to create the atmosphere for more truth telling, that makes me proud.
Q: Where does the title 72 Hour Hold come from?
A: It refers to the three-day period when a hospital can hold a mentally ill person against his will, if he meets certain criteria: 1. The person is a danger to self; 2. The person is a danger to others; 3. The person is gravely disabled. During that time the person can be evaluated and medicated.
Q: This book is very much about relationships and families and the things that test those bonds. Do you think that the things that test families are also the things that bring out their greatest strengths?
A: I’ve come to believe that adversity is the only thing that can make a person strong if that person wants to be strong. Adversity can also mow down a person or a family. The person who gets destroyed is the one who tries to resist what’s happening. The person who bends, who takes the journey with an open heart and mind will ultimately wind up where he is supposed to be.
Q: At the center of the novel is a mother/daughter relationship. What is it about mothers and daughters that make that relationship such rich territory for a novelist?
A: The crux of the relationship, in all its myriad variations, is ultimately about acceptance, giving it, getting it, withholding it. After puberty, daughters have a really difficult time accepting mothers. Their rejection is always cruel, far worse than anything a lover or even a husband could mete out. The cruelty is interesting, the various ways it plays out. And the forgiveness is even more so. This mother/daughter stuff is like a gold mine for a writer.
Q: In an effort to help Trina, Keri endures incredible abuse--both physical and verbal--at the hands of her daughter. Would Keri have been wrong in deciding to turn her back on Trina? Are there any unforgivable acts between a mother and daughter?
A: I think any mother would have been justified in walking away from an abusive daughter. I’ve known women who have. But when a mother walks away, it’s never a permanent separation. Mothers don’t divorce their children. A mother’s leaving the volatility of dealing with a mentally ill child is the last resort, a way of enforcing boundaries. Her deepest desire is always to re-establish the relationship once the child begins to heal.
Q: In the novel, the son of Keri’s boyfriend reveals that he is homosexual, a fact which is accepted by everyone in his immediate family. This is not always the case. What does their reaction say about acceptance?
A: The universality of the acceptance says that Americans have come a long way. In spite of hate crimes, we are definitely a more open and tolerant society. My characters reflect the fact that in this society, we are beginning to accept the role that biology plays in sexuality.
Q: Mental illness, specifically bi-polar disorder, is something you’ve had to confront in your family. Is it difficult to write a work of fiction about this topic?
A: Writing a novel is a difficult job, regardless of the subject. Because I know about mental illness firsthand, I didn’t have to do as much research. I must say, I had a great deal of passion for what I was writing about. I cared a great deal about my characters and was tremendously invested in telling this story well. I was very conscious of not melding fiction and nonfiction. I didn’t live this story.
Q: What are the options for those suffering from mental illness?
A: The good news about mental illness is that recovery is possible. Brain diseases can’t be cured but lots of people suffering from depression, bi-polar disorder and schizophrenia can control their illnesses with medication and psychotherapy. The mental health system is still quite cumbersome and often unresponsive to the needs of the mentally ill. At times the system works against recovery. For example, the criteria for the 72-hour hold precludes bringing someone who may be acting in a very bizarre manner but isn’t a danger to self or others at the time police arrive. And 72 hours isn’t nearly enough time to turn around anyone in the midst of a manic episode. It takes at least 6-8 weeks before psychotropic medication can get into a patient’s system. Meanwhile, the hospital releases many after only 3 days. As more and more advocacy groups, such as the National Alliance for the Mentally Ill (NAMI) get initiatives on the ballot, my hope is that treatment will become more preventative.
Q: You are involved in speaking to groups about mental illness and the resources available to families struggling with the disease. How did you become involved in that outreach and how has that experience shaped your work?
A: I learned about NAMI after my family member became ill. NAMI offered a free, comprehensive 12-week course on the diseases of the brain, as well as support groups for those with mental illnesses and a separate one for family members. Some friends and I had formed our own support group for relatives of the mentally ill. Later, we all took NAMI’s 12-week Family-to-Family course. We decided to open our own NAMI affiliate in the African American community. In publicizing our work, we began to host mental health seminars at black churches. I wrote a children’s book called Sometimes My Mommy Gets Angry, about a little girl being reared by a mother with untreated bi-polar disorder. I had begun to go to mental health conferences and schools even before the book came out. Afterwards, I did a lot more. Being a mental health activist means that I’m committed to helping people find recovery, whether that person is a family member or a person with a mental illness. I think that activism has infused my writing. I want my work to change lives.
From the Hardcover edition.