Zoë Brigley's third collection Hand & Skull draws on early memories of the Welsh landscape and the harshness of rural life as well as on her later immersion in the American landscape and her perception of a sense of hollowness in particular communities there. Other strands include the horror of violence, especially violence towards women, contrasted with poems which offer comfort by working as beatitudes or commentaries on life as it exists now, seeking a way of being that is more beautiful, often in relation to her children. There are also epistolary poems, letters to or from real, imagined and remembered women like the artist Georgia O'Keeffe, Thomas Hardy's Tess, and Edna Pontellier from Kate Chopin's The Awakening.