"The Secret Scripture" is a deeply moving tale of Roseanne McNulty, a centenarian who has spent most of her life in a mental institution in Ireland. As the institution is about to be demolished, her psychiatrist Dr. Grene must determine whether she's fit to be released. As he delves into her past, Roseanne reveals her life story through a secret memoir she's been writing. The narrative alternates between Roseanne's recollections and Dr. Grene's observations, revealing a tragic and complex history of Ireland's social and political changes, while also exploring themes of memory, identity, and sanity.

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