Robert Dessaix wrote an extended review that although favourable argued that The Spare Room is not a novel, but closer to a piece of journalism or a report from a metaphorical battle front, particularly as the novel is highly focused on Helen's point of view and never on Nicola's interior experience. One noted some of the advantages of fiction, in that Garner was able to resolve the story in the novel in a way she could not in her major non-fiction works The First Stone and Joe Cinque's Consolation. Some reviewers found the strong similarities with Garner's life distracting. Points of interest included: Garner's simple and powerful prose style Garner's return to fiction after the sixteen years since her last novel and praise for her treatment of illness, mortality and the unattractive emotions it involves. The publication of The Spare Room received considerable media coverage and the novel was favourably reviewed in several major Australian metropolitan newspapers. Garner chose to use her own first name for the narrator character as she wanted to admit to the least attractive or acceptable emotions that she felt as her friend died. The events in the novel are based on Garner's spending a period caring for her friend Jenya Osborne when Osborne was dying. The narrator Helen lives next door to her daughter Eva and Eva's children, as Garner does with her daughter Alice Garner and her children, and plays the ukulele as Garner does. The novel draws heavily on both events and details from Garner's life. Nicola only truly embraces her death when a Buddhist friend tells her that in dying, she has something to teach them. A number of friends and family, including Helen, take turns as her caretaker. The novel flashes forward to the months ahead, where Nicola returns to Sydney and eventually dies. At the end of the novel, Nicola returns to mainstream oncology treatment, and the doctors find that some of her symptoms are due to cancer having destroyed part of her vertebrae. As the three weeks of the novel progress Helen becomes increasingly angry with Nicola for denying the seriousness of her illness, forcing those around her to do emotional work on her behalf in confronting her death, and in making light of them for doing so.
Helen is suspicious of the treatment and becomes more so as she sees its deleterious health effects. The cancer is considered terminal by her doctors. A friend Nicola, who is ill with bowel cancer, comes to stay with Helen in order to pursue alternative therapy for her disease. The novel is told from the first person perspective of a woman, Helen, who lives in Melbourne near her family. The Spare Room is a 2008 novel by Australian writer Helen Garner, set over the course of three weeks while the narrator, Helen, cares for a friend dying of bowel cancer.
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