The novel is set in the greater Boston area. Palmer goes to great lengths to provide detailed accounts of geography, neighborhoods, and auto travel. An author of fiction can take all manner of liberties, such as creating fictional places or renaming real ones. In this book, the fictional psychiatric hospital clearly is McLean Hospital. If an author portrays places as they actually are, he or she needs to avoid inaccuracies. For example, specific driving routes are mentioned in the narrative, but the roads on these Massachusetts routes don't actually connect; exits on the Massachusetts Turnpike are misnumbered, and names are misspelled—Worchester for Worcester, for example. Such inaccuracies are distracting to those who know the region. Next time, Palmer should skip such details or pay closer attention to them.