Still Alice

by Lisa Genova

Anna Howland Character Analysis

Alice and John’s oldest child; Lydia and Tom’s sister. Anna is a successful lawyer, has recently married a man named Charlie, and is actively trying to conceive their first child. Anna struggles with infertility issues, leading her to choose in vitro fertilization, which initially fails. When Alice is diagnosed with Alzheimer’s, Anna gets genetic testing done and learns that she carries the same mutated gene and will inevitably develop Alzheimer’s one day, as well. Because of this, Anna chooses to have fertilized embryos tested for the same gene before being implanted, resulting in her pregnancy with twins Allison Anne and Charles Thomas. Anna and Alice are drawn closer together after Alice’s diagnosis, and Anna frequently spends the night at Alice and John’s home when John is away. When John is offered a new position in New York City, Anna insists that Alice be left with her, Charlie, and Tom in Cambridge so they can take care of her. When John does leave, Anna comes over with the twins and Lydia every day to take care of Alice.

Anna Howland Quotes in Still Alice

The Still Alice quotes below are all either spoken by Anna Howland or refer to Anna Howland. For each quote, you can also see the other characters and themes related to it (each theme is indicated by its own dot and icon, like this one:
Ambition and Success Theme Icon
).

December 2004 Quotes

They talked about her as if she weren’t sitting in the wing chair, a few feet away. They talked about her, in front of her, as if she were deaf. They talked about her, in front of her, without including her, as if she had Alzheimer’s disease.

Related Characters: Dr. Alice Howland, Dr. John Howland, Tom Howland, Anna Howland
Page Number and Citation: 225
Explanation and Analysis:
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Anna Howland Character Timeline in Still Alice

The timeline below shows where the character Anna Howland appears in Still Alice. The colored dots and icons indicate which themes are associated with that appearance.
October 2003
Ambition and Success Theme Icon
Illness, Marriage, and Family Theme Icon
Alice and John walk together to a restaurant for Alice’s 50th birthday dinner. Their daughter, Anna, and her husband, Charlie, are already there. Both Anna and Charlie are successful lawyers at... (full context)
Ambition and Success Theme Icon
Illness, Marriage, and Family Theme Icon
Alice’s worry for Anna’s career if she gets pregnant is rooted in her own experience. She thinks back to... (full context)
Ambition and Success Theme Icon
Illness, Marriage, and Family Theme Icon
Alice, John, Anna, and Charlie all exchange pleasantries while they wait for Tom, to arrive. Tom, Alice’s son,... (full context)
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...not menopause-related, but potentially something much more serious. Terrified, Alice begins sobbing in the bathroom. Anna hears her, knocks on the door, and asks if she’s okay. (full context)
December 2003
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
Anna, Charlie, Tom, and John are in the living room and Lydia is talking to Alice... (full context)
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...remember her words, but she can’t remember all of them. Lydia is still talking, and Anna calls in to ask Alice where the wine opener is. Alice tries to ignore the... (full context)
February 2004
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...and Alice tells her she hasn’t. Stephanie urges her to tell them soon, especially because Anna and Charlie are trying to conceive. (full context)
March 2004
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
In her office, Alice reads an email from Anna rescheduling a dinner they planned to have together. Alice struggles to think of how to... (full context)
April 2004
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
With all the kids arriving home, Alice notes that Anna is turning down mimosas and a Bloody Mary in favor of water. However, she tells... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
When Alice tells Tom, Anna, and Lydia about her Alzheimer’s, and that she had been formally diagnosed several months before,... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
Anna asks if they can get tested and Alice says that they can, but Anna is... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
Anna announces that she wants to get tested and Tom agrees that he wants to, as... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
Anna sends Alice an email telling her that the insemination has failed, and she isn’t pregnant.... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
Although Tom tested negative, he looks “pale, shaken, fragile.” Anna’s news has dampened the relief he must have felt over his results because “they [are]... (full context)
May 2004
Ambition and Success Theme Icon
Loss of Identity Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...wants from the life she has and realizes what she really wants is to hold Anna’s baby, see Lydia act, see Tom fall in love, and have another sabbatical with John.... (full context)
Loss of Identity Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...test her long-term memory. It contains questions about the month, her home and office addresses, Anna’s birthday, and how many kids she has. A daily alarm will remind her to take... (full context)
July 2004
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...will be home and then when Anne will be home. Confused, Lydia tells Alice that Anna is in Boston, but Alice says she’s asking about Anne. Lydia is forced to tell... (full context)
August 2004
Illness, Marriage, and Family Theme Icon
Tom walks into the house and apologizes for being late. With everyone gathered around, Anna announces that she is pregnant with twins. Everyone is thrilled even though Anna warns them... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...starts an argument between Tom (who thinks Alice should not worry about remembering anything) and Anna (who thinks Alice should be trying harder to remember everything), while Lydia argues that they... (full context)
Loss of Identity Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...else that summer. There is an uncomfortable silence, but the actor answers her questions. Finally, Anna tells Alice that this actress is “Lydia, your daughter.” (full context)
September 2004
Loss of Identity Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...the questions, she leaves out key details, including part of her address and the year Anna was born. (full context)
October 2004
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...confidence in this knowledge.” On the other hand, when she looks over at Tom and Anna she can “automatically connect them” with her memories of them. She remembers Lydia’s childhood, but... (full context)
Loss of Identity Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...Alice they want to give her a birthday present: DVDs full of stories told by Anna, Tom, Lydia, and John about their memories of her and each other. There is even... (full context)
November 2004
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...front of the door. She can’t remember when or how it was made, but then Anna calls and tells her she’ll be over later to bring her dinner because John is... (full context)
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...she hears the door open. She goes out to see who it is and sees Anna “standing on the hole!” Confused, Alice bends down to feel the hole and realizes it’s... (full context)
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...on her BlackBerry, she can no longer provide her full address or the day of Anna’s birth, but remembers what month it is and that she has three kids. (full context)
December 2004
Loss of Identity Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...offered a new job at Sloan-Kettering in New York City. There is a silence before Anna asks him if he’s actually thinking of taking it and he says he is. Anna... (full context)
January 2005
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...doesn’t want to move to New York because she wants to be in Cambridge when Anna’s babies are born. Alice says that she feels “safe” in Cambridge and worries she’ll lose... (full context)
March 2005
Loss of Identity Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...the podium to give her presentation, Alice looks out into the crowd and notices John, Anna, Charlie, Tom, Mary, Cathy, Dan Sullivan, and Dr. Sullivan. She touches her butterfly necklace and... (full context)
April 2005
Ambition and Success Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...and she becomes excited when she sees Alice and John.  Alice realizes the woman is Anna. (full context)
Ambition and Success Theme Icon
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
Anna introduces the babies as Allison Anne and Charles Thomas. The young man hands one baby... (full context)
May 2005
Illness, Marriage, and Family Theme Icon
Alzheimer’s, Quality of Life, and Happiness Theme Icon
...calendar in a long time, so she’s unable to answer him. John asks her about Anna’s birthday, but she isn’t able to answer that either. Alice looks at a building across... (full context)