Pain Management

Andrew Vachss’s previous novel, Dead and Gone, prompted the Rocky Mountain News to say, “Starting a Vachss novel is like putting a vial of nitroglycerine into your pocket and going for a jog.” With his latest thriller, Vachss turns the heat up a notch by dropping his career criminal and ultimate urban survivalist, Burke, in the middle of some of the most dangerously determined humans he has ever faced.

Burke has gone “missing-and-presumed” from his native New York City, following a failed assassination attempt. The shadowy man-for-hire is scratching out an existence in the Pacific Northwest, waiting to see if it is safe to return.

Without his underground network of contacts and connections, cut off from his own people, Burke is forced to abandon his trademark complex scams. Instead, he returns to what he refers to as “violence for money.” When Gem, the professional border-crosser who calls herself his wife, brings him a job tracking down a runaway teenager, Burke finds himself in a long, dark tunnel of lies—lined with more games than players.

Burke takes to the unfamiliar streets, quickly and brutally establishing a presence. The whisper-stream carries him to a fanatical group of criminal Samaritans dedicated to supplying adequate drugs for those suffering from chronic pain. Forced into a potentially deadly alliance, Burke walks the wire between betrayals, risking it all for a girl he has never met. Because the State-raised outlaw knows better than most that there are many kinds of pain. And many ways to “manage” it.

Andrew Vachss, an attorney in private practice specializing in juvenile justice and child abuse, is the country's best recognized and most widely sought after spokesperson on crimes against children. He is also a bestselling novelist, whose works include Flood (1985), Strega (1987), Blu Belle (1988), Hard Candy (1989), Blossom (1990), Sacrifice (1991), Shella (1993), Down in the Zero (1994), Footsteps of the Hawk (1995), False Allegations (1996), Safe House (1998), Choice of Evil (1999), and Dead and Gone (2000). His short stories have appeared in Esquire, Playboy, and The Observer, and he is a contributor to ABA Journal, Journal of Psychohistory, New England Law Review, The New York Times, and Parade. His new novel, Pain Management, will be published by Alfred A. Knopf in September 2001.

Vachss has worked as a federal investigator in sexually transmitted diseases, a caseworker in New York, and a professional organizer. He was the director for an urban migrants re-entry center in Chicago and another for ex-cons in Boston. After managing a maximum-security prison for violent juvenile offenders, he published his first book, a textbook, about the experience. He was also deeply involved in the relief effort in Biafra, now Nigeria.

For ten years, Vachss' law practice combined criminal defense with child protection, until, with the success of his novels, it segued exclusively into the latter, which is his passion. Vachss calls the child protective movement "a war," and considers his writing as powerful a weapon as his litigation.