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When Sheila says that she’d “never really left” the prison camps, she sheds light on the effects of trauma. Having experienced something truly terrible, she now feels as if she can’t escape its memory. Of course, it would perhaps be easier for her to process what happened if she could depend upon someone who was willing to speak openly and warmly about her past, but even Bridie refuses to do this, so she’s forced to go on living with her pain in a very real, visceral way.