On Elisa Albert’s website, you see a woman in a straitjacket, pencil clamped tightly in her bright red lips. That’s how Albert writes, despite pressure to conform or live a lie. Albert is all about brutal honesty. In her newest novel, After Birth (Houghton Mifflin Harcourt, 2015), a young woman learns how to cope with becoming a mother. It isn’t pretty. But when reviewers peg her book as being about post- partum depression, Albert pushes back.