Jeremy Bishop (whose amusement with Thorne's growing infatuation with Anne reveals a particular sort of passive-aggressive sadism), fuels Thorne's rising suspicion of him with verbal jousts. This romantic subplot becomes entwined with the main plot as Anne's colleague and paramour, Dr. Combining elements of both police and medical procedural thriller, the novel follows frayed, middle-aged London detective inspector Tom Thorne as he chases down a series of red herrings, gradually becoming more and more obsessed with the killer's masterpiece, 24-year-old Alison Willetts, and the seductive doctor, Anne Coburn, who cares for her. In a variation on the serial killer theme, newcomer Billingham's villain doesn't want to actually kill his victims (those who do die he considers mistakes ) so much as induce massive strokes that will leave them cerebrally conscious while otherwise in a completely comatose state known as locked-in syndrome.
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