The novel describes the life of Martin Blom, who is shot while walking to his car and consequently goes blind.

While his doctors assure him he has Anton's syndrome, he believes adamantly in his ability to see, even going so far as to disguise it from others who think him still blind.

The novel's title is a pun on the use of the word "insult" to describe traumatic brain injury and refers to the shock of losing one's sight as the ultimate insult.

In her The New York Times review of the novel, Michiko Kakutani praised Thomson as talented and capable of writing beautifully, while calling The Insult a self-indulgent and incoherent novel.

[2] In 2009, The Guardian included The Insult on its "1000 novels everyone must read" list.