This haunting debut novel invites us to explore the boundaries between beliefs, desires, obsessions, and madness. Karen Salyer McElmurray's story is set in Mining Hollow, Kentucky, where we meet Ruth Blue Wallen; her husband, Earl; and their son, Andrew. Ruth longs to know God, the only escape she can find in a world that has shown her spiritual, emotional, and sensual defeat. Earl yearns for the music-making of his past, now lost as he makes a living as a coal miner. Andrew desires the affection of a boyhood friend, an expression of love considered sinful in rural Kentucky. And with the divinely inspired yet tormenting help of his mother, in a world of deeply and tragically conflicting desires, Andrew must choose to live or die—he must choose an uncertain love or nothing at all.