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The narrative switches to Marah’s point of view. She lives a bohemian lifestyle in Portland, Oregon where she works at a New Age bookstore. After ignoring calls from Johnny, Marah finally returns his call when he notifies her via text that the matter is an emergency. Marah asks a roommate, Paxton, to fly to LA with her.
During the flight, Marah recalls the numerous times before Kate’s cancer diagnosis when they fought—often about Marah’s clothing or her desire to spend time with friends. She then recalls the gathering at her home after the funeral. After her friends paid their condolences, Kate snuck out to join them for a movie. Finally, she recalls being angry at Johnny for forcing her to attend the Hawaii trip and for moving the family from Seattle to Los Angeles.
Marah recalls moving to Los Angeles. She longs for her familiar house, furniture, and friends, making no effort to fit in or make friends at her new school. Marah goes through the motions of school, content to be invisible to everyone, including Johnny. She remains close to Tully, feeling that Tully is the only one who is honest with her about the pain Kate’s death has caused. In her depression, Marah begins cutting herself with a small knife. On the day of her commencement ceremony, she cuts too deeply and reveals her wound to her father and Tully. Johnny is confused, but Tully understands instantly what Marah has been doing. Tully plans to take Marah to Seattle to be seen by a psychiatrist Tully knows.
Tully takes Marah to the psychiatrist—Dr. Harriet Bloom—speaking with her about her own grief over Kate’s death as they walk. Tully shares with Marah her use of pills and alcohol as coping mechanisms. Marah does not speak much during the session. The doctor speaks briefly of Marah’s cutting and encourages her to attend a grief support group for teens that she runs. On the way out of the office, Marah has a brief conversation with a troubled-looking teen who ends up being Paxton, her roommate in the present timeline.
Marah does not wish to speak about the session with Tully, but, when she recognizes that Tully is hurt, agrees to attend the teen grief sessions. She retreats to Tully’s guest room where she cuts herself. The next morning, Marah’s three best friends from her Seattle school arrive, having been invited by Tully as a surprise for Marah. Marah spends the day with them but realizes they have drifted apart and now live very different lives.
Before Marah leaves for the group session, Tully dresses her in a fitted blouse. Tully insists that Marah has been trying to hide, and Marah admits to herself that this is true. At the session, Marah shares that her mother died, but not much else; it seems most of the teens are reluctant to speak. Paxton is there, in attendance after a court order due to the death of his sister.
Paxton speaks briefly with Marah after the session has ended, revealing the scars on his hand to show her that he too cuts himself. Dr. Bloom cautions Marah to be careful around Paxton.
Back at Tully’s condo, Marah explains that she does not wish to return to either the sessions or to meetings with Dr. Bloom, feeling as though neither will help her. Tully emphasizes her promise to Kate to care for Marah.
Johnny arrives the next day, and Marah begs to stay in Seattle with Tully. Johnny reveals that he plans to move back to Seattle and meant to surprise Marah with this news. Reluctantly, he agrees to let Marah remain in Tully’s care.
The chapter ends with Marah at a session with Dr. Bloom. After the session ends, Marah encounters Paxton in the waiting room. He asks Marah to meet him at midnight.
Marah meets Paxton at Pioneer Square, an area of the city where homeless individuals congregate. He takes Marah via bus to a gasworks factory where he has hidden a bottle of absinthe. As they drink, they talk about Paxton’s sister’s death and Marah’s certainty that no one truly cares how she is doing. Paxton suggests they take drugs to forget their grief and Marah agrees.
The narrative returns to the present as Marah’s plane lands in Seattle. Marah meets Johnny and her grandmother—Kate’s mother—at the hospital, then Johnny leads her to Tully. Being in the hospital causes Marah to recall Kate and the numerous visits she made when Kate was receiving chemotherapy. Seeing the condition Tully is in causes Marah to feel remorseful for selling the story about her to Star magazine; Marah is certain that whatever has happened to Tully is a result of the article.
As Marah apologizes, the point of view shifts to Tully, still in a half-alive state where Kate is present with her. Tully recalls a time in June 2008, just before Marah’s high school graduation. She has finally been given a chance at another television job by an ABC affiliate with whom she worked decades ago. He reminds her, however, how she selfishly looked after only her own interests during her career. Tully is upset, but knows she has little choice but to take the job.
The narrative continues from Tully’s point of view in 2008. She researches the eighteen-year-old host of the new teen show she will co-host, then arrives on the set early the next morning. The teen host, Kendra Ladd, is not happy to see Tully, insulting her about her weight. Tully leaves the studio and has a panic attack, then hails a taxi to rush her to the hospital.
She is seen by the same doctor as before, who unwillingly agrees to refill Tully’s Xanax prescription and encourages her to undergo testing for perimenopause and therapy for her depression. Tully waives him off. As she leaves the hospital, she passes a bookstore and is struck with an idea: she calls her agent, telling him she wishes to write a memoir.
That night, Tully sits down to begin the book, but has difficulty getting started. She decides to look through the things from her childhood which she has stored away. In the storage unit, memories of her grandmother and her mother—who later abandoned Tully—come flooding back and Tully quickly leaves the storage unit.
Tully recounts Marah’s graduation day and the first few visits Marah has with Dr. Bloom. Tully feels strongly about keeping her promise to Kate to take care of Marah. She tries to coax Marah into talking about her grief but knows that she too has failed to deal with her grief in a healthy way. During Marah’s first few days at Tully’s condo, Tully’s agent calls with a book deal offer, and, though it is less money than Tully would have made on an advance in the past, she accepts the offer.
A few nights later, Tully decides to work on the memoir when she cannot sleep. She decides to return to the storage unit to dig through the mementos for the purpose of research. The items bring back memories of her mother and Tully wonders if the memoir is a good idea.
Marah continues therapy sessions as she lives with Tully. Tully tries to work on her memoir but wants to know more about the details of her past. She discovers her mother is still living in the house Tully owns in Snohomish and goes to visit her. Tully waits for her mother, but their meeting is short when her mother finally arrives. Tully returns to Seattle, distracted. She heads to a bar after texting Marah, who tells Tully she is home in bed.
Back at her condo, Tully discovers Marah is missing. She soon stumbles in, having been drinking. She tells Tully she has been hanging out with the members of the support group, including Paxton. Tully agrees not to tell Johnny about Marah drinking or spending time with Paxton.
Marah’s point of view appears for the first time in this section. The way she is Coping with Grief and hurt from her mother’s death has come to define her. She feels alone and unsupported, certain that the adults in her life do not truly care about how she is feeling. As she sinks further into depression, Marah’s pain manifests itself by her cutting. Hurting herself provides a kind of emotional release, and performing this activity becomes Marah’s primary coping mechanism. Though she concedes to individual and group therapy sessions, she is adamant that they will prove unhelpful and seems determined to enter further into her grief through unhealthy coping mechanisms. The friendship that develops with Paxton aids in this spiral. Marah recognizes that though they are outwardly quite unalike and that their backgrounds appear different, she can empathize with the pain and self-blame Paxton feels. She is drawn to him because his exterior appears defiant due to his punk aesthetic. In spending time with Paxton, Marah begins to rebel against the person she has been raised to be. In some respects, her relationship with Paxton has the potential to help Marah, as she is finally able to open up about her grief with someone—something she has refused to do up until now. Yet, Paxton’s reliance on absinthe and drugs to dull his emotions mirrors Marah’s cutting. They are both trying to escape Confronting the Past. It seems inevitable that these actions will have negative results.
The present-day scenes provide insight into Marah’s life on her own. As she lives on very little money and is being threatened with eviction, Johnny’s worst fears for Marah are coming to fruition. She does not enjoy her job, nor does she seem to have any goals. She does not have a future to look forward to as she struggles to merely get through each day. Paxton, however, has remained in her life, though the extent of emotional support he provides is unclear. He serves as an antagonist to Johnny, insisting to Marah that her family does not truly care for her. He encourages Marah to forget her previous life and to separate herself from it completely. Yet, Marah notes Paxton’s hypocrisy: though he is critical of Johnny and the rest of Marah’s family, he benefits from the financial help Johnny provides Marah. Indeed, Marah’s strained relationship with Johnny persists in 2010 and it is only the news of Tully’s condition that prompts Marah to return to Seattle.
The parallels between Marah and Tully are vital aspects of each woman’s character during their time together in 2008. Both relied heavily on the support, love, and guidance of Kate. In Kate’s absence, neither knows how to cope and so turns to each other, albeit hesitantly in Marah’s case. Tully longs to share stories and words of advice from Kate with Marah—as per Kate’s instructions to Tully to protect Marah—but Marah, for the most part, is not ready for this. Reminders of her mom are too painful. Tully, though she wants desperately to fulfill her promises to Kate, admits she has no experience parenting and often feels ill-equipped to be an authority figure in Marah’s life. Tully is afraid she can’t live up to Kate, developing the theme of Models of Motherhood. She tries to take the role of friend, then, and at times Marah seems to appreciate this. Indeed, there are moments when Tully is empowered by her role as Marah’s caretaker, as it provides her with a sense of purpose that she has been lacking since her television career ended.
Tully, too, continues to struggle with her grief. She denies that her panic attacks are something to be concerned about and instead continues to rely on Xanax and other chemical means to cope with each day. Tully acknowledges her use of pills, confessing this to Marah. It is evident, then, that to some extent Tully. Like Marah, chooses this self-destructive behavior willingly. Importantly, though, Tully takes steps to bring meaning back into her life. Though no one is interested in hiring her, Tully does not give up in her pursuit of a job. Finally, she humbles herself by taking a job far beneath the acclaim she once had. When it falls through, Tully sees writing a memoir as her only remaining option. Doing so, however, involves Confronting the Past, which is painful, and Tully resists this. The hurt she feels over her mother’s abandonment and neglect is something of which Tully is highly aware. Rooting her memoir in her friendship with Kate reveals just how significant Kate’s role has been.
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By Kristin Hannah