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Handle with Care
A 2009 novel by Jodi Picoult.

When Charlotte and Sean O'Keefe's daughter, Willow, is born with severe osteogenesis imperfecta, or brittle bone disease, they are devastated as she will suffer hundreds of broken bones as she grows, a lifetime of pain. As the family struggles to make ends meet to cover Willow's medical expenses, Charlotte thinks she has found an answer. If she files a wrongful birth lawsuit against her ob/gyn for not telling her in advance that her child would be born severely disabled, the monetary payouts might ensure a lifetime of care for Willow. But it means that Charlotte has to get up in a court of law and say in public that she would have terminated the pregnancy if she'd known about the disability in advance - words that her husband can't abide, that Willow will hear, and that Charlotte cannot reconcile. And the ob/gyn she's suing isn't just her physician - it's her best friend.

Tropes:

  • Amoral Attorney: Guy Booker, Piper's malpractice insurance lawyer.
  • Artistic License - Law: Picoult admitted to taking liberties with the way juries are selected in order to make that section of the novel more interesting.
  • Be Careful What You Wish For: The whole drama of the novel centres around Charlotte claiming, in a court of law, that she wishes her youngest daughter wasn't in her life. Diabolus ex Machina ensures that her wish is granted — in the most grim way possible.
  • Black and White Morality: Both Charlotte and Piper describe Sean as viewing the world this way.
  • The Caretaker: Charlotte, of the narcissistic variety. She's so singularly focused on making Willow's life better that she's willing to sue her best friend and risk destroying her marriage to ensure that Willow's care is paid for. And that's not even including the degree to which she neglects her other child, Amelia.
  • Chekhov's Gun: The pond at the O'Keefe's house.
  • Child by Rape: Marin.
  • Child Prodigy: Willow.
  • Children Are Innocent: Zigzagged with Willow. She spouts some surprising wisdom at times, but there are also plenty of moments where it's apparent that she's still a little kid.
  • Collateral Angst: A big part of the book is the fact that while Willow is physically injured for most of the book (she has brittle bone disease), it's her mother, Charlotte, that does all the angsting- and it's her mother's lawsuit that threatens the family, not Willow's disease. Even Charlotte is forced to realize that the court case she's set in motion is more about herself than Willow.
  • Contrived Coincidence: The jury pool for Charlotte's trial just happens to include Marin's biological mother.
  • Deus Angst Machina: The whole family, but especially Amelia.
  • Diabolus ex Machina
  • Downer Ending: Charlotte has effectively driven herself and Amelia into near-complete isolation, Piper loses her career, and Willow drowns in the skating pond, essentially rendering the entire lawsuit pointless.
  • Driven to Suicide: Piper's husband Rob had an older brother with bipolar disorder who committed suicide at the age of seventeen. Later, it's subverted with Willow. She ends up in the hospital after slashing her wrists and everyone thinks that she was trying to kill herself - except Amelia, who figures out that Willow was just imitating her.
  • Eating Lunch Alone: Amelia, once Charlotte's lawsuit causes her to lose all her friends.
  • Emo Teen: Amelia.
  • Et Tu, Brute?: Charlotte backstabbing her loyal friend, Piper, ruining her entire career in order to get money from the ensuing lawsuit. It's a Kick the Dog moment for Charlotte, but in-universe, Piper comes off worst; the last we hear of her she's working part-time at a free clinic, having lost her former position, and judging by the stilted conversation she has with Willow and Sean, this is not where she wants to be.
  • Good Girls Avoid Abortion: Analyzed heavily. What a wrongful birth lawsuit basically says is that the parents, had they known their child had a debilitating illness, would have aborted. In the flashbacks to Charlotte's pregnancy, it's shown that Charlotte did think about abortion, not wanting her child to have such a difficult life - but her fellow practicing Catholic husband, Sean, was obviously not at all receptive to the idea, and so she never brought it up to him. After speaking with a nearby neighbor who had had an abortion a couple of years prior for similar reasons and regretted it, Charlotte ends up deciding to keep Willow.
  • Happily Adopted: Marin, which is why she didn't even consider looking for her biological parents until shortly before the novel began. After the trial, she ends up getting a Happily Adopted son named Anton.
    • Also, Amelia. Her biological father was a drug addict who left Charlotte during her pregnancy, but she clearly considers Sean to be her father, although she sometimes feels that he couldn't possibly love her as much as Willow, his biological daughter.
  • Honor Before Reason: Because that substantial check certainly wouldn't benefit anyone else...say, other children suffering from brittle bone disease.
    • Or, for that matter, Amelia. The family still has medical bills to contend with, Willow's and Amelia's. Charlotte's willing to make incredible emotional sacrifices to obtain the payout for Willow, but can't bring herself to hold onto it for Amelia?
  • Ill Girl / Littlest Cancer Patient: Willow.
  • Innocent Inaccurate: Willow's portrayal of the trial from the last chapter, which is told in her point of view.
  • It's All About Me: Charlotte, as a narcissistic caretaker, comes across this way. She dwells on all the sacrifices she has had to make, while dismissing everyone else's woes because she doesn't think that they count for as much. Even Willow's feelings are summarily dismissed at key points in the novel. In the course of the story, even she is forced to recognise how selfish her actions have been.
  • Knight Templar Parent: Charlotte, who pretty much ruins the life of everyone around her in order to secure Willow's future.
    • In fact, the Aesop of the entire book is about precisely why it's bad to be a Knight Templar. It may seem alright to do horrible things in the service of a noble cause, but they're still horrible things and if the entire reason you did them becomes moot then all you're left with is the consequences of your own atrocities. It's basically C. S. Lewis' famous speech on the doctrine of the second coming with more words and less religion.
  • Marital Rape License: Done very creepily when Sean rapes Charlotte while telling her that he loves her, as a way of demonstrating that words don't make actions any better.
  • Multiple Narrative Modes: All chapters but one are in second person perspective, using "you" to refer to Willow. The final chapter is told from Willow's first person perspective.
  • Parental Abandonment: Marin was adopted at birth and has never known her biological parents. After months spent trying to track them down, she ends up getting her biological mother as a juror in Charlotte's trial, and subsequently discovers that her mother gave her up because she was the result of a brutal rape.
  • Parental Favoritism: As in all of Jodi Picoult's novels. Charlotte's daughter from her previous marriage, Amelia, is forgotten about. She eventually starts cutting herself and develops bulimia. The person who notices, in fact, is not Charlotte or Sean but Piper, the ob/gyn they are suing.
  • Pyrrhic Victory: The outcome of the lawsuit for Charlotte.
    • In more detail, Charlotte is left friendless, with no social life, having betrayed her best friend through the lawsuit, and without her daughters. Amelia is left equally isolated by her mother's actions, having lost her best friend - Piper's daughter - who has turned all her classmates against her as well. She's also been shipped away to a clinic to sort out her bulimic and self-harming issues. Piper has lost her job and her reputation is destroyed. The O'Keefes never get around to cashing the cheque that Charlotte overturned their lives for, since Willow drowns in a freak accident and Charlotte puts the cheque in her coffin, making the Pyrrhic victory complete.
  • Self Harm: Amelia is a cutter. Willow almost dies emulating Amelia later in the book.
  • Shoot the Shaggy Dog: Willow drowns in a freak accident at the end of the book, as detailed under Pyrrhic Victory, rendering the main plot pointless. Everyone else winds up worse off than before, making it a glorious example of shaggy-dog shooting.
  • Too Good for This Sinful Earth: Many reviews criticize Willow's death for being this.
  • The Unfavourite: Amelia, since Willow is basically the centre of the O'Keefe family. For the most part, Amelia is not allowed to do things that Willow can't do. For example, the trip to Walt Disney World, where Amelia is only allowed to go on the rides that Willow can go on, rather than her parents taking them on separate rides. To add insult to injury, by the end of the book, with Amelia left friendless, neglected and self-recriminating, Charlotte and Sean subject her to a tirade of abuse when Amelia's self-harming and bulimic problems are revealed, complaining that they "don't understand" what her problem is.
  • Your Cheating Heart: Sean and Piper share a kiss while Piper's fallen out with her husband and Sean is separated from Charlotte.
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