Max Tivoli's father proudly declares him a "gnome" at his birth, and throughout the course of his backwards life Max will constantly question his "monstrous" blood. Indeed, his unique disability forces upon him choice after choice in which he must wound others if he is to experience any happiness of his own. It both ruins his relationship with Alice, his obsession and the love of his life, and offers him the bittersweet opportunity for another chance with her when she no longer recognizes the man who youthens, rather than ages. Max's relationships with Alice divide the book into thirds: first, he is her elderly-seeming landlord, then for a few short years he is her contemporary, and finally, as the book is told in flashback, Max returns to his old love in the guise of a child.
There's something depressing about a book in which you simply cannot bring yourself to love any of the main characters. With a single exception, the characters in "Max Tivoli" are selfish and self-centered, occasionally cruel and often insensitive, and delving into pathetic every time they reach for sympathy.
The exception is Hughie, who befriends Max when he is a child of six and looks like an old man, and stays with him his entire life until he is an old man in the body of a child. Hughie is almost the only person outside Max's family to know the truth, and his steadfast loyalty and unquestioning friendship were more heartwarming than anything else in this book. Forget the love story between Max and Alice - the truest love here is between Max and Hughie.
The first part of the book is richly steeped in the atmosphere of late nineteenth century San Francisco. It's full of lush detail and is firmly rooted in a sense of time and place; critical when you're dealing with a story such as this one, where time is of such vital importance. And yet, by the second third of the book, we start to drift apart from the setting, losing the essence of the era just as Max himself is starting to recognize what time is going to mean for him. Was this deliberate? Maybe. I can see the author transitioning, allowing Max's own life to become the yardstick by which we measure the passage of time, rather than the events of the outside world. But if so, it's a decision I don't agree with.
That's a minor quibble, though, and a question of style. And even the most unlikable characters are beautifully drawn, complex and all too human. Max's unusual lifespan is the frame upon which the story is built, and it's an original and interesting one, supporting the book without overwhelming it. I could go on and on about the parts that bugged me, but when I set the book down, my overall impression was Wow, that was a great book. In the end, that's all that matters.