Yet, after years of working with shell-shock cases at Craiglockhart, Rivers is forced to confront the true definition of madness. Is Sassoon mad for rebelling unwisely against the war? Or is Rivers the one who is truly crazy? He is the one who works to heal people with the sole aim of returning "cured" patients to service, where they only face death. Rivers is forced to consider that he might be mad for working to defend a state that could sacrifice its own children so mercilessly. The questions of right and wrong, duty and honor are mingled and confused in the chaos of war.