The Silent Patient
The Silent Patient
by Alex Michaelides

The Silent Patient: Part 2, Chapter 29 Summary & Analysis

Summary
Analysis
A blonde woman in her mid-60s, decked out in perfume and plastic surgery, is complaining to Stephanie that she has been waiting in the Grove’s reception area. Theo recognizes the woman as Barbie Hellman, Alicia’s neighbor who heard the gunshots on the night of the murder. Theo assesses that Barbie is spoiled and wealthy, and he feels a pang of sympathy for Stephanie.
If Theo prides himself on a great deal of empathy, he has no patience for self-involvement: and Barbie, with her money and her plastic surgery, is almost a comical stereotype of a narcissistic woman. Moreover, since Barbie and dishonest, self-involved Kathy are the only Americans in the story, there is now a repeated, light-hearted critique of Americans throughout the novel.
Active Themes
Empathy, Identification, and Boundaries Theme Icon
Hoping to relieve the tension, Theo introduces himself to Barbie as Alicia’s therapist. Immediately, Barbie explains that she and Alicia were “best friends”; though she has been in the U.S. visiting family, she frequently visits Alicia at the Grove. After threatening to scream, Barbie gets her way: Yuri brings her back to see Alicia.
By now, anyone who claims to have an easily-defined connection to Alicia—whether it is Jean-Felix pretending to adore her or Max Berenson pretending to hate her—has been shown to be lying. And based on Alicia’s quiet, anxious temperament in her diaries, it is unlikely that she and Barbie were nearly as close as Barbie says.
Active Themes
Childhood Trauma Theme Icon
Alicia shows no sign of emotion at seeing Barbie, though Barbie immediately launches into a long monologue about her family and friends. Barbie prepares to leave, but before she does so, she tells Theo that she was one of Alicia’s closest confidantes (“she told me things you wouldn’t believe”). Theo wants to know more, but Barbie refuses to tell him in the hospital, instead inviting him over to her house for drinks that evening.
Active Themes
Childhood Trauma Theme Icon
Silence vs. “The Talking Cure” Theme Icon