Themes
Key
LitCharts assigns a color and icon to each theme in The Silent Patient, which you can use to track the themes throughout the work.
Empathy, Identification, and Boundaries
Tragedy and Destiny
Honesty vs. Deception
Childhood Trauma
Silence vs. “The Talking Cure”
Summary
Analysis
After work, Yuri offers to take Theo out for a pint; Theo is hesitant to go, but he decides it will be useful to ask Yuri about Alicia. Yuri boasts that he has a better relationship with Alicia than anyone in the hospital, even Diomedes.
In addition to flagging, once again, Theo’s obsessiveness about Alicia, this exchange reveals that Yuri feels similarly connected to (or possessive of) her.
Themes
Yuri asks Theo if he is married, and Theo explains that he is. Yuri recounts his own failed marriage: he had a Latvian wife, but soon after they moved to England, he fell in love with another woman in the neighborhood. Yuri used to stand outside the woman’s door and watch her, captivated by her beauty. Eventually, Yuri’s feelings of love for this other woman were so strong—despite being unreciprocated—that he left his wife.
Thus far, the novel has focused mostly on parental betrayal. But here, Yuri’s confused feelings lead him to betray his wife; though he knows it is wrong (and to some degree pointless), he cannot stop fixating on another woman. Note the motif of a man watching through a window—it will become important later.
Themes
Yuri feels that Alicia will similarly need to “face the truth” about her marriage if she is going to talk. He asks Theo about his own wife, and Theo replies that her name is Kathy. Yuri advises Theo to “go home to your wife. Go home to Kathy, who loves you…and leave Alicia behind.”
Why has Theo not previously revealed that he has a wife? Is he concealing something from readers, or is he already so consumed by his work that he doesn’t think to mention her? And why does Yuri feel the need to compare Kathy and Alicia, as if both women are equally competing for Theo’s attention and attraction?
Themes
