The Comforts of Madness

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The Comforts of Madness is the debut novel of English author Paul Sayer. It won the 1988 Whitbread Award for both Best First Novel, and Book of the Year. Written while the author was working as a psychiatric nurse in Clifton Hospital in York, and drawing on his own experiences it is a first-person account of a speechless, catatonic patient in a hospital therapy unit.