Hanya Yanagihara’s 2015 novel A Little Life can be briefly summarized as the story of four college roommates, their enduring friendship and soaring careers, but it is so much more than a big-city Bildungsroman. About 100 pages in to the book’s 720, Jude St. Francis, the most reserved member of the group, recalls the first of his “episodes,” bouts of physical agony that continue for the rest of his life: …the pain had been so awful—unbearable, almost, as if someone had reached in and grabbed his spine like a snake and was trying to loose it from its bundles of nerves…