Small’s black and white pen and ink drawings are endlessly perceptive as they portray the layering of dream and imagination onto the real-life experiences of the young boy. Small’s intuitive morphing of images, as with the terrible post-surgery scar on the main character’s throat that becomes a dark staircase climbed by his mother, provide deep emotional echoes. Some understanding is gained as family secrets are unearthed, but for the most part David fends for himself in a family that is uncommunicative to a truly ghastly degree.