Book Review: The Mask of Sanity by Jacob M Appel

mask of sanity

Dr Jeremy Balint appears to have it all. A successful and highly respected cardiologist, he has a professional reputation envied by many, is a supportive husband, doting father and model son. When his personal life and idyllic family set up are threatened, however, Balint’s Mr Hyde soon comes to the fore, the doctor making it clear that a sociopathic, and murderous, alter-ego is lurking beneath the suburban façade.

In this modern day, middle class version of Jim Thompson’s The Killer Inside Me, the reader joins Balint as he explores the darker side of his own character. Discovering his wife is having an affair with one of his colleagues, Balint sets out to kill his rival. However, in order to do this without detection, the doctor determines that a series of killings are his only option. Thus begins the calm and calculated killing spree of the so-called ‘Emerald Choker’, carried out, mostly, without regret or remorse.

Keeping us closely tied to the mind of his protagonist at all times, Jacob M Appel invites the reader to spectate as Balint attempts to save his family, his personal life, rather ironically, beginning to slowly unravel whilst he is busy killing people. While his behaviour is often unforgiveable, the reader, I suspect, in most cases, is very much on Balint’s side. Although this learn-on-the-job killer seems to, somewhat unrealistically at times, very much pull the wool over the eyes of the authorities, his colleagues and his loved ones, that is exactly what we want him to do. Whilst we know he should be held accountable for these awful crimes, it’s actually the last thing we are hoping will happen.

The title of the novel says it all: Dr Jeremy Balint does indeed wear the Mask of Sanity and he wears it well. Is he discovered? That is for the potential reader to find out, and to hope for or against. There seem to be differing opinions about the ending of this book, with some readers not liking Appel’s decision to leave the interpretation to the reader and other fans hoping the last line might lead to a sequel. For me, however, the unexpected twist that the end of Jeremy Balint’s story brings is perfect just as it stands, even if it did start my mind racing….

The Mask of Sanity is published by Permanent Press and is available to buy now.