Heaven-and-Earth House is a book of lyrical poems and dramatic monologues that attempts to explore the balance between the physical and the spiritual, the mind and the body. The book is set and grounded in Mary Swander's own Midwestern landscape. It follows her quest to find her sense of place within the surrounding Amish countryside of her native Iowa, and to find her sense of self within and without her physical body. Through gardening, tending goats and sheep, through her work with massage, over and over again she is put in touch with the five basic elements. Earth, water, fire, metal and air come to encompass not only a schema of medicine but a life process that seeks finally to find the hope of "worldly" transcendence. . Always close to the earth and its animals, always beautifully constructed, always masterly in the ways of storytelllng, Mary Swander's poems are experiences both moving and profoundly delightful.