Brilliant physician Simão Bacamarte sacrifices a prestigious career to return home and dedicate himself to the budding field of psychology. Bacamarte opens the first asylum in Brazil hoping to crown himself and his hometown with “imperishable laurels.” But the doctor begins to see signs of insanity in more and more of his neighbors. . . .

With dark humor and sparse prose, The Alienist lets the reader ponder who is really crazy.