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Several years ago, I read the novel Push written by performance poet, Sapphire.  I remember climbing into bed one night to read it and finishing it at about 5 AM.  Several times I had to put the book down for a few minutes, just to get myself together, to breathe.   Once I put the book down for the final time, I still couldn't sleep: I was emotionally wrung out and deeply disturbed.  It's hard to recover from a book that opens with: "I was left back when I was twelve because I had a baby for my fahver..."