A dedicated lawyer who advocates for mentally ill patients, Vivian, contending with the memories and aftereffects of her own bad childhood, makes a bold move during a family reunion that leaves her alone in new and terrifying ways, causing her to unravel.

"Quiara Alegria Hudes was the sharp-eyed girl on the stairs while her family danced in her grandmother's tight South Philly kitchen, "frizzy hair cut short, bangs teased into stiff clouds, sweat glistening in the summer fog, pamper-butt babies weaving between legs." Quiara was awed by her aunts and uncles and cousins, but haunted by the secrets of the family and the unspoken stories of the barrio -- even as she tried to find her own voice in the sea...

Alejandra no longer knows who she is. To her husband, she is a wife, and to her children, a mother. To her own adoptive mother, she is a daughter. But they cannot see who Alejandra has become: a woman struggling with a darkness that threatens to consume her. Nor can they see what Alejandra sees. In times of despair, a ghostly vision appears to her, the apparition of a crying woman in a ragged white gown. When Alejandra visits a therapist, she begins...