Blackouts by Justin Torres

Juan Gay is on his deathbed. He has decided to spend his last days in The Palace: a monumental, fading institution in the desert, which was an asylum in another lifetime. There, a young man tends to this dying soul - someone who Juan met only once, but who has haunted the edges of his life ever since. As the end approaches, the two trade stories - resurrecting lost loves, lives, mothers and fathers - and their lives are woven, ineluctably, into a broader story of pathology and oppression.