In this photo taken Tuesday, April 27, 2010, American author Lionel Shriver poses for a photograph at her home in southeast London. Five years since winning the Orange Prize for "We Need to Talk About Kevin," soon to be a movie starring Tilda Swinton, her latest book "So Much for That" traces the arc of a crumbling marriage revived in the face of illness, then slowly undermined by resentments and the colossal cost of medical care in America. (AP Photo/David Azia)