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The first full length study of Patrick McCabe’s work, We Won’t Make It Out Alive, examines the mental instability and carefully constructed childhoods that McCabe has crafted for his various characters—the one eyed quasi Al Pacino, the sequin studded transvestite, the bachelor farmer who routinely exhumes his dead mother for a chat.

Beneath the grotesque and often very funny narratives of Irish border town life lurks startlingly similar pasts for these characters, spanning all of McCabe’s catalogue. As children, they were subject to the cruelty of the orphanage/workhouse or...