The prose of The Mind Reels does not evoke the inner experience of psychosis, like, for instance, the racing, associative sentences in Edward St. Aubyn’s Parallel Lines ... The writing is muddled at times by a certain narrative slippage wherein one cannot tell whether the biting observations about clueless classmates and pretentious doctors come from Alice or Mr. deBoer. The insertions of social criticism seem especially misplaced, because the core of this compact novel is so tough and powerful. It has the verisimilitude of a case study and the dread of an existential drama.