Many students have difficulty discovering the theme(s) of a work of literature, so you're not alone. I teach my students to ask a few questions after reading it, such as "What is the author saying about the main topic of the work?", or "Why do you think the author wrote this?". Try to find the message the author is giving us about life and people. In this case, the main character suffers horrific abuse and neglect from those people in his life he should have been able to trust. I think the author is talking about the strength of the human spirit and that it's possible to overcome even the most difficult of circumstances. Another possible theme might be that Dr. Finch is an example of what happens when a medical professional abuses his responsibilities to his patients and society.
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