Standing on a railway platform in a Swiss resort town, sensibly clad in his Burberry raincoat and walking shoes, a man thinks he may be looking at the woman for whom he ruined his life many years earlier. Alan Sherwood, a quiet English solicitor, remembers back to a time when he stepped briefly out of character to indulge in a liaison with Sarah Miller, an intriguing but heartless distant relative — only to find himself in a series of absurd situations that culminated in his marriage to Sarah's clinging, childlike friend Angela.

With her compassionate portrait of a man who has paid a terrible price for his folly, Anita Brookner gives us a novel that it at once harrowing and humane. In the traditions of Henry James and Thomas Mann, Altered States is a beautifully rendered tale of loneliness, guilt, and erotic obsession.