The feminist writer explores the extreme borders of motherhood and humanity; In this memoir-novel, a narrator who resembles Helene Cixous obsessively recounts an incident - the premature death of her first born child, a Down's Syndrome baby left in the care of the clinic in Algeria where her midwife mother works. She uses this event to probe her family history and her relationship with her mother, a refugee from Nazi Germany; her dead father, after whom the baby is named; and her medical-student brother, who takes on some of the duties of a father figure. Cixous's elusive writing bears all the trademarks of her poetic, provocative style, vivid with word play, intense feeling and a stream-of-consciousness that moves freely over time and place. The narrator's mother claims not to remember what happened, and the brother tries to fill in some gaps in the story. By the end of the book we understand the significance of the title: one day Cixous's mother returned to the clinic to find the baby on the brink of death. Rather than attempt to save him she chose to end his suffering. By closing the door to the imaginary clinic at the end, the narrator at last resolves the feelings of guilt.