Opening with "A Second Home", in which Mantel describes the death of her stepfather, Giving Up the Ghost is a wry, shocking, and beautifully written memoir of childhood, ghosts (real and metaphorical), illness, and family. Finally, at the memoir's conclusion, Mantel explains how a series of medical misunderstandings and neglect left her childless, and how the ghosts of the unborn have come to haunt her life as a writer.
My name is Ruby. I live with Barbara and Mick. They're not my real parents, but they tell me what to do and what to say. I'm supposed to say that my bruises and black eye came from falling down the stairs. But there are things I won't say. I won't tell them I'm going to hunt for my real parents. I'm going to be with my real family. And I'm not going to let Mick stop me.'