This novel is thoroughly engrossing, filled with Barnes's trademark themes of identity and love, longing and loss, and ultimately, an examination of man's inhumanity to man. If you like Hitchcock, I think you'll enjoy it.
Who, in his turn, has had an agitated life which then has to pass through a tough trial: his wife, Touie, who suffers from tuberculosis, has become an invalid, and with time Arthur has fallen in love with the young Jean Leckie. Another side topic is the rise of spiritualism and Sir Arthur's involvement.
Apparently George's case helped bring about some significant improvements, including introduction of the Court of Appeals. You might also be interested in the novel Stars Shine After Dark, available in both paperback and Kindle. The voice is difficult to read at times because it is written in a British style with British terms and definitions, which helps support the characters' profiles, but offers a pitfall to those who are not familiar with that form of English.
They start out very differently. What makes you cringe?