Left Neglected by Lisa Genova: A Book Review on Neglect

Author: Tsara Shelton
Published: 16 Jul 2024 - Updated: 4 Nov 2026
Publication Type: Literature / Review

Table of Contents:
Synopsis - Definition - Overview - FAQs - Insights, Updates - Related Content

Synopsis

This paper is a personal book review by Tsara Shelton of Left Neglected, the 2011 novel by Lisa Genova, author of Still Alice, about Sarah, a high-achieving working mother who develops left neglect after a car accident injures the right side of her brain. The reviewer draws on her own mother's brief experience of the same condition after a head injury, describing how a person with neglect believes they see everything while missing whatever lies on the left. The review follows Sarah through therapy, a difficult reunion with her own mother, a new bond with her son and adaptive snowboarding with the New England Handicapped Sports Association. It is useful for readers interested in brain injury, disability identity and adapting to sudden change, including stroke and brain injury survivors and their families.*

At a Glance

• 1 - The paperback edition has 352 pages.
• 2 - Left Neglected was first published in 2011.
• 3 - Sarah struggles with whether accepting adaptive tools means giving up.
• 4 - In the novel, Sarah can eat everything on the right of her plate while believing the whole plate is empty.

Topic Definition

Hemispatial Neglect

Hemispatial neglect, often called left neglect, is a condition in which a person fails to notice or respond to things on one side of space, most often the left, after damage to the opposite side of the brain, usually from a stroke or head injury. It is not blindness: the eyes may work normally, but the brain does not pay attention to that side, so a person may eat food from only half a plate, shave half their face or bump into objects without realizing anything is missing.

Overview

Left Neglected is the second novel by Lisa Genova, author of Still Alice. Both books center on super successful women who are compelled to reframe their own versions of success when confronted with neurological dysfunctions.

I didn't think my mom was lying exactly. It's just - I don't know, I couldn't fathom it. I mean, she couldn't see anything on her left? Only on her left?

My mom's left-side (hemispatial) neglect - the result of an injury to the right hemisphere of her brain (she hit her head hard while working in Paris) - was short lived and minimally disabling, in part because mom is a brain and behavior expert with the skills, tools, and knowledge of how to help herself immediately.¹ Due to my mom's ability to turn things around and make good use of them, it became like so many things happening to my mom: something that makes her seem weird while giving her a deeper knowledge and understanding of brain and behavior.

However, for so many others (including Sarah, the main character in Left Neglected) it is far more life changing and challenging.

Left Neglected is the second novel by Lisa Genova, author of Still Alice. Both books center on super successful women who are compelled to reframe their own versions of success when confronted with neurological dysfunctions.

In Still Alice, the dysfunction is early-onset Alzheimer's disease.

For Sarah in Left Neglected it is left neglect, an arguably less famous but still significant condition.

The novel begins by dropping readers into the non-stop chaos of Sarah's home and work life. Both Sarah and her husband, Bob, are competitive high achievers. They have three adorable children (I fell in love with them instantly!) and their oldest - a first grader - is struggling both at school and at home to follow directions and complete assignments. With both parents working all hours and paying for two homes they are blessed to also have the help of a twenty-two-year-old nanny, Abby. She lives ten minutes away, has a degree in psychology, and adores the children.

The pace of their life, of the story, of Sarah's inner dialogue, is go go go. There is always something needing to be done, someone needing to be delegated to do it, and goals to keep an eye on. It is hurried, but not unhappy. The group works well as a team and though they rarely take a moment to enjoy it, they are enjoying it. It fits into the dream they have for their lives.

However, Sarah is in an accident on her way to work and wakes up missing the entire left side of her vision. She cannot see or attend to anything on her left. The speed with which she moved through her life is no longer available to her.

It is hard to describe what it's like to have left neglect. In Sarah's experience (as in my mom's) she thinks she's seeing everything. Everything appears whole to her, yet she is consistently unable to see, feel, or attend to the left. For example, she'll finish eating all the food on her plate, be certain it is all gone, yet everything on the left remains. She is not seeing it, but she also cannot recognize that she is not seeing it. Walking and dressing are nearly impossible at first because her left side does not exist for her. It isn't paralyzed, it isn't missing, it just isn't.

In therapy she practices focusing on moving, seeing, feeling, and being aware of the left. These descriptions are fascinating and hard to hold onto. As a reader I both could and could not quite understand. Which, of course, is true of trying to understand anything completely foreign to our experience.

As the story goes on, now hindered by Sarah's inability to see the left, we slow down. (Though Sarah does not do so easily! As in keeping with her character she plans to beat this thing; to impress everyone with her ability to win therapy.) In slowing down we see new things. Sarah's mom reenters her life and it is a turbulent reunion. Sarah has anger toward her mother for not being available to her as she grew up. She struggles to allow her to be there for her now.

Sarah's hardships inspire a new kind of connection with her oldest son, and together they discover creative ideas for their challenges with homework and reading.

Sarah's internal debates about being handicapped are candid. At first, she refuses to accept herself as a disabled person. She feels certain that she can push and work her way out.

Hence, as adaptations are presented, she wrestles with the question of whether it is giving up to accept tools designed to assist her as a disabled person. Is it giving up to snowboard with assistance when she really wants to ski without it? Will she become complacent? Will she stop insisting on healing?

Lucky for us she chooses to accept the opportunities offered by the New England Handicapped Sports Association (NEHSA)² - a real organization - and we go snowboarding. Sarah's world becomes bigger.

With this new movement, this new momentum and adaptations, Sarah sees a new idea for a different life that might suit her and her family well.

The book does a lovely (though not exactly subtle) job of reminding readers that many of us are voluntarily neglecting entire aspects of our own lives, for a variety of reasons in a variety of ways.

Because of Sarah's brain trauma she gains a new beautiful relationship with her mom, she finds time and meaningful ways to be with her children, she accepts employment that feels holistically fulfilling. She does not judge the life she was living before, and indeed misses elements of it. However, by adapting she has also created something more suitable and sustainable for her family.

It is a nice reminder that we can be proud of who we were even when we choose to be someone new, evolving and progressing does not have to include disliking or disapproving of the past.

Left Neglected is a good book with a lovely message: that left neglect is a real thing so maybe my mom wasn't making it up when she said she couldn't see anything on the left.

(Hmmmm? Pardon me? I see, I'm being handed a note that tells me my mom was not, in fact, the moral of the story. I will rewrite that.)

Left Neglected is a good book with a lovely message: that a single moment can derail everything you're becoming but if you do the work of adapting, if you do not neglect the opportunities and people around you, life can become a different yet equal success.

If you are interested in my mom's work as a brain and behavior expert, or simply curious about such a weird and wonderful mom of eight, you can visit her websites to see books, videos, and so much more, here: lynettelouise.com / brainbody.net

Book: Left Neglected
Author: Lisa Genova
Publish date: July 2011
Paperback Pages: 352

Frequently Asked Questions

NOTE: Researched FAQs by Disabled World (DW)

What causes left neglect?

Left neglect is most often caused by a stroke or injury affecting the right parietal lobe of the brain, which helps direct attention to the left side of space.

Is left neglect the same as losing vision on one side?

No, vision loss on one side is called hemianopia and the person usually knows about it. In neglect the brain ignores one side, and the person is often unaware of the problem.

Can people recover from neglect?

Many people improve over weeks or months, especially with therapy, though some have lasting difficulties. Recovery depends on the size and location of the brain injury.

What therapies help with neglect?

Approaches include visual scanning training, prism adaptation, cueing to the neglected side and arranging the home so important items start on the stronger side and are gradually moved.

Is Still Alice also about a disability?

Yes, Still Alice, also by Lisa Genova, follows a professor living with early-onset Alzheimer's disease and was adapted into an Oscar-winning film in 2014.

Who is Lisa Genova?

Lisa Genova is an American novelist with a PhD in neuroscience who writes fiction about people living with neurological conditions.

What is adaptive snowboarding?

Adaptive snowboarding uses specialized instruction and equipment, such as outriggers or tethers, so people with disabilities can learn and enjoy the sport safely.

How can families support someone with neglect at home?

They can approach and speak from the person's stronger side at first, gently remind them to look to the neglected side, and remove trip hazards on that side.

Insights, Analysis, and Developments

Editorial Note: Neglect is one of the most puzzling effects of brain injury because the person usually does not know anything is missing, which makes it hard for families to understand and easy to mistake for carelessness or stubbornness. Novels like Left Neglected help by letting readers experience the condition from the inside, while also exploring the harder emotional work of accepting a disability and changing life plans. The review highlights a theme many disabled readers will recognize: the tension between pushing to recover and accepting tools that make life fuller now. Families coping with neglect after a stroke or head injury can ask the rehabilitation team about scanning training and home safety strategies.*

Author Credentials: Tsara Shelton, author of Spinning in Circles and Learning From Myself, is a contributing editor to Disabled World. She is also the oldest daughter of international brain change and behavior expert Dr. Lynette Louise ("The Brain Broad"). Raised alongside four adopted autistic brothers and now the mother of four sons, Tsara brings lived family experience of autism to her writing. Through Tsara's Column, she explores inclusion, acceptance, and becoming comfortable with difference, often examining her own reactions and inviting readers to share theirs. Explore Tsara's complete biography for comprehensive insights into her background, expertise, and accomplishments.

* Editorial additions by Ian C. Langtree.