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On its surface, the book recounts a psychologically abusive relationship that marked Machado's life in many ways. However, just below the surface, the narrative continually shape-shifts and at times becomes a play, an academic look at female queerness in mainstream media, a choose your own adventure book, and a sharp deconstruction of the mechanisms of psychological abuse. That said, the total is more than the sum of its parts and In the Dream House is the kind of book that burrows under the reader's skin while simultaneously forcing her to inhabit the body of the writer.