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Richard Power's 2006 National Book Award-winning novel is an ambitious effort to pack as many neuropsychiatric syndromes as possible into a fictional form. In the novel, Mark, brother of protagonist Karin and a truck customizer, slaughterhouse technician and near-professional driver, is involved in an auto accident that produces in him a Capgras Syndrome. This is the classic “Body Snatchers” misidentification syndrome that leads the patient to believe his or her closest interpersonal objects have been replaced by identical imposters (“Kopy Karin,” “Karbon-Karin,” and “the woman who would be Karin” are nicknames Mark has for his sister). As I have discussed previously (Forrest 1991, 2005, 2007), the syndromes dissect object relations. “You always double the one you love” (p. 177). The book follows the vicissitudes of Mark's condition with much neuropsychiatric verisimilitude, set against lively images of the movements of birds at an avian refuge. Not content with Capgras Syndrome, Powers works in a laundry list of others: akinetopsia, or motion blindness; Ribot's Law that old memories are more resilient; hemispatial neglect, prosopagnosia, object relations with paralyzed limbs, Anton's syndrome (belief one can see while blind), reduplicative paramnesias generally, Klüver Bucy, changing cortical maps ´ la Ramachandran (see Forrest, 2000), phantom limbs, Frégoli syndrome (several people are a single person of changing appearance), idioglossia (sibs share a language), intermetamorphosis (bodies and minds are interchanging), pain asymbolia (excruciating pain doesn't bother one), seasonal affective disorder, mirror neurons, bilateral hippocampal ablation