
To me, the novel ended up feeling small, even confined, as a result, even though it deals with some of the biggest questions there are. But the colloquial first-person narration was ultimately too chatty and artless for me: Yoli / Toews is neither a great writer nor a great thinker, so not only is the prose mostly quite pedestrian but the novel does not expand beyond Yoli and Elf to explore the abstract problem their conflict dramatizes. The family members and friends are vivid and lifelike, with their eccentricities and tensions and intertwined histories, and there’s tenderness, too, along with the laughter, as they do their best, as we all must, to get from one day to the next.

The novel is not all crisis all the time, though: something else Toews does well is mix in humor, sometimes to nicely ironic effect - which can certainly happen when we’re dealing with sad or scary things in real life too. Toews does Yoli’s voice well: by the end I definitely felt as if I’d been up close and personal with her trauma. The ending hints that Yoli would have decided for Switzerland, but it’s suggestive, not definitive: it may be that she is just wishfully comparing the orderly Swiss process she imagines to the jarring reality. Yoli is dedicated to saving Elfrieda from her “weariness of life.” But does saving Elf mean keeping her alive or letting her die - or even helping her find a way to die? Much of the novel turns on Yoli’s deliberations about whether and how she might do the latter: sneaking away to Mexico for a final toxic cocktail by the beach, or going boldly to Switzerland, where “mentally ill people … have the same rights as anybody else who wants to die.” “The core of the argument for ,” Yoli explains to a friend, “is maximizing individual autonomy and minimizing human suffering,” but she herself remains irresolute about whether it’s better for Elf to live or die, or about whose choice that is to make, and ultimately she is saved from decisive action by the unwitting intervention of other characters. But this seems right in any case, since Elf’s point of view and feelings are, almost by definition, not neatly explicable: if they were, she wouldn’t be so tormented, not to mention so frequently hospitalized, medicated, and restrained.

Because Yoli’s perspective necessarily dominates, we never understand Elf’s feelings as clearly as we do Yoli’s rage and grief and love and baffled desperation. Elfrieda, like Toews’s sister, is a pianist the novel is narrated by Yolandi, who (like Toews) has dealt for much of her life with her sister’s depression and suicide attempts. Miriam Toews’s conspicuously autobiographical novel All My Puny Sorrows is the story of two sisters, Elfrieda and Yolandi - from a Mennonite community, like Toews, and with a father who, like Toews’s, committed suicide. We had to go back and retrace our steps in the dark which I suppose is the meaning of life.
