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At the start of the 20th century, James Piper sets fire to his dead mother’s piano and heads out across Cape Breton Island to find a new place to live, eventually eloping with 13-year-old Materia Mahmoud, the daughter of wealthy, traditional Lebanese parents. And so, from early on, Ann-Marie MacDonald establishes some major themes: racial tension, isolation, passion and forbidden love, which will gradually lead to incest, death in childbirth, and even murder. At the centre of this epic story is the nature of family love, beginning with the Piper sister who depend on one another for survival. Their development as characters - beautiful Kathleen, the promising diva; saintly Mercedes; Frances, the mischievous bad girl, who tries to bear the family’s burden; and disabled Lily, everyone’s favourite - forms the heart of the novel. And then there is James, their flawed father.
Moving from Cape Breton Island to the battlefields of World War I, to Harlem in New York’s Jazz Age and the Depression, the tense and enthralling plot of Fall on Your Knees contains love, pain, death, joy, and triumph. The structure of the narrative is multi-faceted, richly layered, and shifts back and forth through time as it approaches the story from different angles, "giving it a mythic quality that allows dark, half buried secrets to be gracefully and chillingly revealed" (The New York Times Book Review). As the details of the labyrinthine plot are pulled together, the question of whether it is possible to escape one’s family history gradually raises itself.