As a successful young urbanite, Bridget Fox experiences the typical joys and struggles of youthful New Yorkers, and she has happy expectations for her new family. But when her daughter Maeve is diagnosed with autism, Bridget's life as she knew it and her idealistic images of the perfect family are shattered. She tries to lean on her husband, her father, her best friend, but none can help her reconstruct her world as other tragic challenges begin to surface. But as she tries to choose between insanity and oblivion, Bridget discovers that matters are not nearly so simple-or so hopeless-as she once believed. Elizabeth Burns weaves the beauty and imagery of her poetic voice into a story of pain, humor, struggle and ultimate redemption. Bravely intimate, astonishing in its honesty, Tilt walks a path that most "normal" novels fear to tread as it follows the journey of a woman desperate enough to fall-and strong enough to survive.