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63 pages 2 hours read

Anna Marie Tendler

Men Have Called Her Crazy

Nonfiction | Biography | Adult | Published in 2024

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Chapters 21-25Chapter Summaries & Analyses

Chapter 21 Summary

Content Warning: This section of the guide includes discussions of suicidal ideation, self-harm, mental illness, and gender discrimination. 

Six new women arrive at Dalby House, making Shawn, Caitlyn, and Tendler feel overwhelmed. They start watching Grey’s Anatomy, though the older woman scoffs at the younger new women for their choice of show. Tendler attends another meeting with her care team to set up her plan for after she leaves treatment. Beth will work as Tendler’s case manager for six months to monitor her suicidal ideation and self-harm urges and enroll Tendler in the hospital’s Intensive Outpatient Program, in which Tendler will attend three-hour DBT meetings three times a week for three months. Beth and Dr. Philips will also look for a better full-time therapist for Tendler.

Tendler has dinner with the Dalby House women and the Oscar men and overhears conversations about going to the gazebo to meet up and smoke. Back at Dalby House, Tendler and Shawn prepare for Shawn’s rock ceremony. Tendler agrees to pick a rock for Shawn and chooses a rock called “peace.” The new women sneak out of Dalby House to smoke with the Oscar House men, and Tendler goes to bed alone.

Chapter 22 Summary

Tendler began making more lampshades and posting them online. She began selling them, not for much money but for the satisfaction of making them. She also adopted Petunia. Tendler knew that French bulldogs often have health problems, but she thought since Petunia came from a reputable breeder, she would be safe. Petunia, however, had all of the problems associated with the breed. Regardless, Tendler loved Petunia deeply, though she often thought about Petunia’s mortality. Petunia is a loving and mischievous dog. Petunia showed signs of “resource guarding” anything that fell on the floor as hers, and this required Tendler to perform an intricate ritual to retrieve the item. Tendler once hired an animal communicator to help her understand what Petunia wanted to communicate with her. Tendler put Petunia near the phone and let the animal communicator read Petunia’s messages to Tendler, mostly communicating that Petunia loved Tendler and wanted to come with Tendler wherever she went. Petunia became Tendler’s constant companion as she continued her artistic practice, and Tendler hoped that if Petunia remained beneath her desk while she worked on sewing her fingers raw, making lampshades, she could keep Petunia safe.

Chapter 23 Summary

At the hospital, Tendler has a Zoom meeting with Dr. Karr to officially end their therapist-patient relationship. Dr. Karr starts kind, but she begins to make disparaging comments about Tendler’s supposed abilities to manipulate the male providers on her care team. Enraged, Tendler stiffly ends the call before she says something hurtful to Dr. Karr. She tells Dr. Philips and Beth about her encounter with Dr. Karr, both of whom reassure her that she is not a malicious or manipulative person. Tendler feels better, though she wonders about Dr. Philips’s ability to assess her as a female patient outside of the lens of his male experience. Tendler returns to Dalby and says goodbye to Shawn. Tendler’s mother then arrives with Petunia, who is thrilled to see Tendler. Tendler thanks everyone at the facility before taking Petunia in her car and driving away while listening to “Extraordinary Machine” by Fiona Apple.

Chapter 24 Summary

Tendler waits outside Petunia’s veterinary clinic, as they don’t allow anyone in due to COVID-19 precautions. The vet tech returns Petunia after an hour and gives Tendler instructions on how to care for her ear infection, a condition Petunia often develops. Tendler takes Petunia home and experiences her house for the first time since her hospitalization. Her mother filled her fridge and freezer with food, which Tendler gratefully eats. She lights the fireplace and some candles to create ambiance, a beauty that both she and Petunia appreciate.

Tendler logs onto Zoom for her first outpatient DBT group session. Shawn is in her group, which excites her. She texts Shawn to say hi as they begin their DBT exercises. One member of the group, Eric, frequently complains about his ex-wife and uses anti-feminist terms to describe her. He also makes jabs at Tendler. This irritates Tendler, who brings it up to Beth. She tells Tendler perhaps it is an opportunity to practice her DBT skills. Tendler and Petunia enjoy a snow day, and Tendler continues to treat Petunia’s ear infection. When Tendler logs onto the next DBT group, Eric says he is leaving the group to focus on regaining custody of his child, which Tendler finds somewhat sympathetic. He leaves his phone number for the group in case anyone wants to reach out, but Tendler does not write it down.

Chapter 25 Summary

During a date with a man named Reece, Tendler becomes incandescent with anger after he claims his friends called Tendler “crazy,” “soulless,” and “godless” for wanting to have female children over male children. Tendler reflects on her self-proclaimed hatred for men, stemming from their argumentative behavior that quickly turns into claims of being attacked when women present an alternate point of view. Tendler finds this behavior reprehensible and sees it in Reece during their argument about Tendler’s thoughts on childrearing and the pervasive nature of patriarchal ideas and misogyny that society pushes into young men, regardless of their backgrounds. Angry, Tendler slaps more than enough money on the table to pay for the meal and leaves. She sits in her car until she sees Reece leave, and then she reenters for a to-go coffee for her drive home.

Reece is the first man Tendler dates nine months after she leaves the hospital. She downloaded several dating apps to survey the romantic scene after her divorce. She finds many of the men off-putting or strange, but Reece is the first man with which she genuinely connects. Reece also has been to inpatient treatment in the past, so he has understanding and empathy for Tendler. She and Reece’s first date goes well until they return to his apartment. They make out, and Tendler makes a joke about mansplaining to echo something Reece joked about earlier. This offends Reece, which throws Tendler off. The date ends on a lighter note.



Their second date takes place in LA when Reece flies out to see Tendler. They have a brief idyllic time when Reece makes Tendler feel desired and beautiful, but things take a turn when Reece and Tendler argue over their political ideologies, with Reece often referring to Tendler’s belief as misandrist. Reece also criticizes Tendler’s master’s thesis and her photography. After the date Tendler walks out of, Tendler calls her friend Carmel, who validates her feelings. Reece apologizes and admits that he lied and his friends did not call her “soulless” and “godless.” They continue to date until Tendler shows Reece a documentary on Joan Didion, and he picks a fight about Didion by calling her anti-feminist. Tendler prods him into admitting he no longer wants to date her, and they break up. Tendler admits she thought she could change him, but she could not.

Chapters 21-25 Analysis

Tendler’s departure from Dalby House is a significant turning point in the narrative and Tendler’s life. This transition represents not only a physical departure from inpatient treatment but also a symbolic step toward a new phase of her healing process. In these chapters, there are also several thematic intersections, including between Mental Health and Societal Expectations and The Impact of Gender Dynamics on Personal Identity. When Tendler meets with Dr. Karr to end their therapist-client relationship, Dr. Karr accuses Tendler of manipulating her male doctors. Previously, Dr. Karr assured Tendler that the male doctors were professional, given Tendler’s hesitation about having men near her during treatment. Tendler notes Dr. Karr’s hypocrisy, writing, “Now, she either thinks they’re not so professional—easily deceived by a guileful female patient—or, she thinks my propensity for manipulation is so cunning, I’ve swayed doctors of psychology to run to my aid, when perhaps I don’t need help at all” (211). This exchange reveals how Dr. Karr weaponizes Tendler’s mental illness to undermine her credibility. In sharing this anecdote, Tendler highlights how women in therapy can be dismissed or disbelieved, including by their providers. Dr. Karr’s accusations against Tendler seek to cast Tendler in an unfavorable and untrustworthy light, utilizing her mental health as a way of discrediting her. The fact that other doctors disagree with Dr. Karr underscores their acknowledgment of the intersections of gender, power, and authority in therapeutic relationships, where unchecked providers can subject women to increased scrutiny.

Dr. Karr knows about Tendler’s apprehension about men; to either damage the credibility of the doctors who are helping Tendler or challenge the reality of her need for help is cruel and counterintuitive to Tendler’s health. Dr. Karr’s betrayal represents not only a personal affront to Tendler but also functions to critique the larger systemic issue of how women’s voices—including in healthcare settings—are often silenced or misrepresented. Both are rooted in gender dynamics, as Tendler is either a manipulative or “hysterical” woman seeking help for nonexistent problems. Tendler also wonders about the efficacy of male mental health providers in treating female patients in the context of Dr. Karr’s behavior. In Tendler’s lived experience, men “see [women] only in relation to themselves. How can a person with such limited scope of another objectively analyze them?” (213). Tendler’s rhetorical questioning serves to cast doubt about how possible it is for men to help women without fully understanding women as independent individuals. This further illustrates the connection between issues of gender and mental health.

The Process of Healing and Self-Discovery also intersects with Tendler’s reflections on gender. In her relationship with Reece, Tendler understands her reaction to his criticism of her master’s thesis and her ideological views, demonstrating a sense of self-awareness: “I knew at the root of my insecurity his comments triggered a need to qualify my achievements, my work, and my intelligence, something I had been doing my whole life. That realization, however, couldn’t override my instinct to engage” (240). This reflection reveals that she is not only healing emotionally but also intellectually, as she understands how her past behaviors and insecurities are closely tied to the way men in her life have shaped her identity and self-perception. Tendler understands and has discovered enough about herself during her journey toward healing and happiness to realize why Reece’s comments trigger her desire to convince him of her worth and intelligence. She cannot stop herself from engaging with Reece, but she understands her impulses. This illustrates her increased understanding of herself in the context of gender dynamics and relationships with men.

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