Dysfunctional families 
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"Eleanor and Esmerelda are identical twins with a secret language all their own, inseparable until a terrible accident claims Esme's life. Eleanor's family is left in tatters: her mother retreats inward, seeking comfort in bottles; her father reluctantly abandons ship. Eleanor is forced to grow up more quickly than a child should, and becomes the target of her mother's growing rage. Years pass, and Eleanor's painful reality begins to unravel in strange...
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Interweaves the events of Tom Wingo's summer in New York and his relationship to Susan Lowenstein, his sister Savannah's beautiful psychiatrist, and the complex history of the South Carolinian Wingo family, from World War II through Vietnam.