1) THE HAND THAT FIRST HELD MINE shifts between two time frames: the 1950s/1960s and the present day. How convincingly does Maggie O’Farrell evoke these two particular periods of time?   

2) When we first encounter Elina, something is very clearly wrong. How successfully does Maggie O’Farrell convey this very intense emotional state?

3) At the beginning of the novel, Lexie is very young and impetuous. Did your feelings for her change at all as she matures?

4) Innes is remarkably charming, but he also betrays his family for Lexie. How did you feel about Innes, and did you find that you were able to forgive him for his infidelity?

5) How did you feel about Gloria and Margot? Were you able to understand their motivations for behaving in the way they did? Are you able to feel at all sympathetic towards them?

6) As Elina gradually becomes less vulnerable throughout the course of the novel, there is a shift as she – and the reader –  become increasingly concerned about Ted. At what point in the novel did you feel that Elina began to take more control over her situation?

7) Lexie and Elina’s experiences of motherhood are different in some ways, yet complimentary in others. To what extent do you think this difference can be accounted for by the different periods in which each woman is living?

8) The linked stories gradually come together. At what point did you become aware of the connection between Elina and Lexie? How effectively did you feel the interlocking narratives were handled by the author?

9) What did you think of Ted? Is this a sympathetic portrayal of fatherhood?

10) THE HAND THAT FIRST HELD MINE deals with themes of creativity and motherhood. On the basis of this novel, how would you say the author feels that parenthood affects one’s ability to create art?

11) The idea of suppressed childhood memory features strongly in the novel. What does Maggie O’Farrell’s treatment of this subject tell us about childhood and parenthood?

12) Elina’s discovery about the paintings is a turning point in the novel. What do the paintings mean to Elina and Ted? What does it mean for Ted that he has been denied this connection with his past?

13) What did you think of the ending? Did the fact that the novel ends with the act of writing have any particular significance for you?