A Mouthful of Air Review & Ratings

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A Mouthful of Air Review

Koppleman has written a harrowing story of a young woman's struggle with post-partum depression. In low key prose that reflects Julie Davis' desire to live a quasi-normal life after surviving a recent suicide attempt, Julie seems, on the surface, to have an enviable life: a successful husband, a baby boy and an upscale New York apartment. But Julie's troubles dwell below the surface, sometimes not even visible to her.
Julie's mother is a desperate woman, obsessed with her own fading youth, divorced by her womanizing husband after 27 years of marriage. For his part, Julie's father has exhibited inappropriate behavior around his daughter throughout her life, confusing her sexual identity and blurring boundaries. These parents have deeply affected their daughter's self-image, leaving their daughter vulnerable to an overwhelming downward spiral after the birth of her son.
Medication and therapy offer significant improvement in Julie's depression. But when she discovers that she is pregnant again, after only a year, the young couple is faced with a serious dilemma. Julie's obstetrician believes her antidepressant will not harm the fetus, but her psychiatrist disagrees. To protect the baby, Julie suspends the medication until after the birth of her child. With live-in help and therapeutic supervision, the young woman directs all her energy toward maintaining a healthy and stable pregnancy, physically and emotionally.
Over the years, Julie has developed the skills necessary for maintaining a secret life, first mastering the intricate rituals of an eating disorder in her teens. Once the emotional demons are unleashed, however, they are powerful and patient. Even Julie forgets how cleverly her mind works to defeat her best intentions: "She learned to cry in the womb of her antidepressant. Mistakenly, from this accomplishment, she thought she had survived."
Koppleman's brave and important novel speaks for women without voices, so tormented by negative ideation that their families suffer the worst possible consequences, suicide and infanticide. A passionate plea on behalf of such women, A Mouthful of Air serves as a reminder to a society often oblivious to the silent suffering of others. In the character of Julie Davis, Koppleman's story is an expression of hope, that any young mother, riddled with self-loathing and nameless fears, may live in the daylight, released from the dark confines of a treatable disease. Luan Gaines/2003.

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