The prose has the washed-out tone of a writer who has suffered too much for too long. Bleary-eyed, Harvey tends to ramble. She loosely corrals her thoughts in many stylistic kennels: stream of consciousness, the future tense, therapeutic fragments, a case study of herself; or in philosophical wanderings about, for example, the word great in British culture or how the language of the Amazonian Pirahã tribe has no way of expressing abstraction or recursiveness. Harvey also includes shards of fiction...The book’s shagginess is surely intentional—art mirroring life, as advertised in the title. Yet your patience for this strategy will depend on how much you recognize yourself in Harvey’s burnt-at-both-ends protagonist, as well as on your taste for very dry gallows humor.