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Grips you from the first page. The first few chapters of a lone traveler settling in a town offer some good character development and interesting story. Then you learn about The Institutionalization, where the book gets its name. This, too, offers excellent character development and imaginitive story. You wonder, though, HOW can these two completely different stories (in two very different parts of the country) related?? Well, we the reader certainly find out. What follows is a wild ride, for sure. Excellent story. Disturbing in every delicious way.