"W-3" by Bette Howland (1974)

I've never seen someone with such rich observations and such rich material (observing the characters around her in a Chicago psychiatric ward following a suicide attempt) keep repeatedly tripping over their own writing. It's almost heartbreaking because the book is crazy interesting, if only you can get past a writer who can pull a pretty good (if often ill-timed) turn of phrase but who also appears to constantly, seemingly inadvertently, confuse you. Two stars.