A sanitorium in the Swiss Alps reflects the societal ills of pre-twentieth-century Europe, and a young marine engineer rises from his life of anonymity to become a pivotal character in a story about how a human's environment affects self identity. In this dizzyingly rich novel of ideas, Mann uses a sanatorium in the Swiss Alps, a community devoted exclusively to sickness, as a microcosm for Europe, which in the years before 1914 was already exhibiting the first symptoms of its own terminal irrationality.