The structure of No Telephone to Heaven combines naturalism and lyricism, and traverses space and time, dream and reality, myth and history, reflecting the fragmentation of the protagonist, who nonetheless seeks wholeness and connection. In this deply poetic novel there exist several levels: the world Clare encounters, and a world of which she only gradually becomes aware - a world of extreme poverty, the real Jamaica, not the Jamaica of the middle class, not the Jamaica of the tourist. And Jamaica - almost a character in the book - is described in terms of extraordinary beauty, coexisting with deep human tragedy.

The violence that rises out of extreme oppression, the divided loyalties of a colonized person, sexual dividedness, and the dividedness of a person neither white nor black - all of these are truths that Clare must face. Overarching all the themes in this exceptionally fine novel is the need to become whole, and the decisions and the courage demanded to achieve that wholeness.