Patricia Cornwell, novelist: Imagination saved me

23 Jun 2026 · 23 min · 8 chapters

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In short

Patricia Cornwell discusses how childhood trauma, imagination, and research experiences shaped her crime writing, including her memoir’s therapy function and her path to fame. She also describes security concerns from threats and stalkers.

Guests

Patricia Cornwell, best-selling crime novelist (120+ million books sold). She previously worked in journalism and did research at medical examiner offices; she collaborates with law enforcement and has a history of threats/stalkers requiring security.

Key claims

Imagination helped her survive early abuse and instability; writing was “therapy.” She had childhood “premonitions” (books in a store window; a dream of Agatha Christie saying “you will take my place”). She withheld some memoir details to protect others and avoid retraumatizing herself.

Notable examples

molested at age five with a grand jury proceeding; eating disorder hospitalization (down to 89 pounds); Postmortem rejected by major New York publishers; later game-changer award presented by Princess Margaret; stalker-driven security measures.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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Patricia Cornwell's Journey

0:00 to 1:01

Patricia Cornwell discusses her traumatic childhood and its influence on her writing.

“This BBC podcast is supported by ads outside the UK.”

Patricia Cornwell's Journey

2:26 to 3:01

Patricia Cornwell discusses her traumatic childhood and its influence on her writing.

“These companies don't really, they don't care what governments do.”

Impact of Trauma on Creativity

3:01 to 6:17

Exploration of how early trauma shaped Cornwell's perspective and writing.

“So I had a lot of things start very young with me that caused me to have a different perspective on life, I think, than a lot of people would have.”

Imagination as an Escape

6:17 to 8:00

Cornwell shares how she used imagination to cope with her difficult life.

“I would just make up one of my own and I would spend my time there.”

Premonitions and Dreams

8:00 to 10:15

Discussion about Cornwell's premonitions and dreams throughout her life.

“And sometimes we would walk through it just a window shop.”

Unusual Dreams and Their Meanings

10:15 to 12:55

Cornwell reflects on her dreams about Agatha Christie and Princess Diana.

“And she looked up at me and she said, you will take my place.”

Sharing Personal Experiences

12:55 to 14:36

Cornwell discusses the decision of what to include in her memoir.

“And I walked in to get a coffee or something, and I saw her sitting over there, and she seemed unbelievably distressed.”

Patricia Cornwell's Dramatic Life Journey

14:44 to 26:00

Patricia Cornwell shares her experiences from struggling with her early novels to her rise in the literary world.

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Transcript

Automatic transcript. May contain errors.

0:00Patricia Cornwell:This BBC podcast is supported by ads outside the UK.

0:29Patricia Cornwell:CFO. LinkedIn has a word for that. Bull spend. Now you can invest in what looks good to your CFO. LinkedIn ads generates the highest ROAS of all major ad networks. You'll reach the right buyers because you can target by company, industry, job title, and more. So cut the bull spend. Advertise on LinkedIn, the network that works for you. Spend$250 on your first campaign on LinkedIn ads and get a 250 credit for the next one. Just go to linkedin.com slash broadcast. That's linkedin.com slash broadcast. Terms and conditions apply. Decisions made in Washington can affect your portfolio every day. But what policy changes should investors be watching?

1:17Patricia Cornwell:Listen to Washington Wise, an original podcast for investors from Charles Schwab to hear the stories making news in Washington right now. Host Mike Townsend, Charles Schwab's Managing Director for Legislative and Regulatory Affairs, takes a non-partisan look at the stories that matter most to investors, including policy initiatives for retirement savings, taxes and trade, inflation concerns, the Federal Reserve, and how regulatory developments can affect companies, sectors, and even the entire market. Mike and his guests offer their perspective on how policy changes could affect what you do with your portfolio.

1:54Patricia Cornwell:Download the latest episode and follow at schwab.com slash Washington Wise or wherever you listen. Hello, I'm James Kamarasamy and this is the interview from the BBC World Service. The best conversations coming out of the BBC. People shaping our world from all over the world. I want to get freedom. I like their freedom.

2:19Jamie Coomarasamy:A gender equal world would be a better world for men too. We need to ceasefire. We need healing. We need trust.

2:26Patricia Cornwell:These companies don't really, they don't care what governments do. This is a war. The first thing that we want is the war to end. For this episode, I speak to Patricia Cornwell, one of the world's best-selling crime writers, whose books have sold more than 120 million copies worldwide. She reflects on a childhood marked by trauma, instability and family mental illness. Patricia tells me how those experiences shaped her life and her writing and how the events of her childhood would later influence the stories that made her famous.

3:00Jamie Coomarasamy:A lot of people, because I've written about crime and I have all these tough characters and Scarpetta's such a hero and all the rest of it, a lot of people wouldn't imagine that I myself was a victim of crime at the age of five and even had a grand jury proceeding and everything that I still remember because of being molested by an area security guard. So I had a lot of things start very young with me that caused me to have a different perspective on life, I think, than a lot of people would have. And unfortunately, I've kept, you know, I kept a lot of journals. I wrote an autobiographical work when I was in college, you know, like a 300-page manuscript because of the details in it that I wouldn't necessarily remember today about my early years.

3:50Patricia Cornwell:Welcome to The Interview from the BBC World Service with Patricia Cornwell.

3:55Jamie Coomarasamy:A lot of the stories that I tell, they're painful and they're not necessarily something that you easily share with people. It was therapy for me. This was how I vented, how I dealt with a lot of these traumas. It was, let me think, 1976. I was 19 years old, and I'd just gotten out of that psychiatric hospital where I was being treated for a terrible eating disorder that was only worse after I got out, not better. And my surrogate mother, Ruth Graham, that's Billy Graham's wife, she really tucked me under her wing at that point when I was 19. And she said, I want you to write your story. You have quite a story, and I believe you're talented, and I want you to write it.

4:36Jamie Coomarasamy:And she gave me a journal. and next thing you know I was typing up this manuscript that I worked on all through college but for example that it was also a way for me dealing with I mean I couldn't believe that I had to be hospitalized for two months and was down to 89 pounds and this is somebody who had been a tournament tennis player and I thought what is I you know it was literally I think I was

5:00Patricia Cornwell:trying to kill myself back then well I did well you'd I mean you had such a traumatic as you've said, early life. I mean, you mentioned that case when you were molested. I mean, as you said, you had to, I think, see the red pair of shorts that you were wearing passed around in court. Yeah, the table.

5:19Jamie Coomarasamy:I remember being humiliated by that even then at the age of five. I was embarrassed. And this goes to show you that victims, we really do, when you're victimized, you blame yourself. And it's not right that we do that. But imagine me blaming myself at age five because I thought, well, I should have gotten away from him. I should have run home quicker or I shouldn't have been talking to him because he was the neighborhood patrolman and he'd stop his car. And I was running wild because my mother was depressed and never leaving the bedroom and my dad was gone. And it's a wonder I didn't end up murdered, really, truth be told.

5:54Jamie Coomarasamy:But all of this was paving the road for me to do what I do in life. And I will tell people, and I hope that they will read this memoir and get encouragement from it, where sometimes the things that seem so bad about what's happened to us may end up being your greatest gift, if you can turn it into something that matters, or if it makes you stronger, more resilient.

6:16Patricia Cornwell:Yes. I mean, the traumas, for people that don't know, I mean, your mother, she was institutionalized, wasn't she? A couple of times, she burnt all your brother's clothing think at some point your father left you on the family on Christmas Day I mean a lot to take in for a young girl I mean at that point how were you coping with all that well I escaped in my

6:39Jamie Coomarasamy:imagination that is what I did from the earliest time that I can remember I was writing stories and drawing pictures and escaping into my imagination and I learned early on when the world is too difficult. I would just make up one of my own and I would spend my time there. And that gift or that talent or that ability to do that and stay like Alice going through the looking glass and going to an imagined place, that was a power that I developed out of survival instinct. But it's also made it possible for me to spend so much of time alone writing books. You can't be an author, I don't think, if you're not able to spend a lot of time alone.

7:22Patricia Cornwell:And they were particular stories. I think you said by the age of nine, I was telling scary stories that made the neighborhood children cry and run home.

7:29Jamie Coomarasamy:I know. I remember the first time that happened and I felt mortified, like I'd done something very wrong. But then the kids would come back and they wanted more. And then I said, OK, you want to go running home crying again? Come right on up here. I'll do it.

7:44Patricia Cornwell:and I'm fascinated by some of the you talk quite a lot about premonitions and dreams that you've had I think you're aged what 11 or so that you had a premonition you were driving past a bookstore and you saw just dozens of your own books in the window that was weird I was really weird um and

8:04Jamie Coomarasamy:and I almost didn't want to tell that story because it sounds so kooky but I still remember to this day, and I was probably 11 or 12, as you said, and I was with my mom and we were walking through, there was a shopping center in Asheville. And sometimes we would walk through it just a window shop. I mean, mom couldn't really afford to buy much of anything, but we would enjoy browsing. And on this particular day, we were walking past and there was a bookstore and I looked at it and suddenly the window was filled by books that were by me. I don't know. I mean, And I wasn't even thinking of being a writer at that stage.

8:40Jamie Coomarasamy:I wanted to be a tennis player. And so I thought, what in the world is that? And I didn't even tell my mother because I thought she would think I was weird. But that and then, of course, roll ahead many, many, many years later, I would be back in Asheville doing book signings. And yes, indeed, bookstores were filled with my books.

9:00Patricia Cornwell:Well, you also had a dream that Agatha Christie came to you and said, you will take my place.

9:05Jamie Coomarasamy:Yeah, well, we know that that didn't happen, that I took her place, but I did have the dream. I think Agatha felt horribly sorry for me and was trying to make me, you know, not feel so down on myself. But that that is true. What happened? This was probably 1984. I had finished the Ruth Graham biography. I was I was starting in the morgue, the medical examiner's office, doing research, trying to write my first murder mystery. And I just couldn't figure I couldn't seem to figure out how to tell the story. and I was really in despair. I thought, I'm not going to be able to do this. At night, I was asleep and I bet some people can relate to this.

9:41Jamie Coomarasamy:I was having a dream and I couldn't open my eyes, but yet I was conscious while I was dreaming and I was lying in bed and I was waiting in this long line in this dream and I thought, what am I doing in this line? I don't wait in line. I hate lines. And then I realized the line was approaching a table and Agatha Christie was doing a book signing and I thought, well, this is weird because I knew in my dream she wasn't alive anymore. So I finally got up to the table and I said, it's quite an honor. And she was signing a book and she said, you will take my place. And I said, excuse me? And she looked up at me and she said, you will take my place.

10:19Jamie Coomarasamy:And poof, she was gone and the dream was gone. And I woke up and I thought, okay, now that is really odd. And the thing that's even stranger about it is I had a lot of Agatha Christie overlaps. I mean, when postmortem came out and I went to Paris to get the book award, they presented for it over there. When I walked in the publisher's lobby, all the showcases were filled with postmortem and Agatha Christie. And then when I won the gold dagger in the UK, one of the judges was Agatha Christie's daughter. And the presenter, the person who presented the award was the grandson. So I don't know what that means.

10:56Jamie Coomarasamy:And I have hesitated to tell the story over the years in other interviews because it sounds very presumptuous. And I'm very quick to say we all know that nobody's going to take Agatha Christie's place. Not me, not anyone, not even J.K. Rowling with as many books as she's sold. I mean, Agatha is in a category all by herself. But maybe that was the universe trying to tell me not to give up.

11:20Patricia Cornwell:It's interesting you raise that point about previously just not talking about it. How did you go about choosing which parts of your very eventful life to include and which to leave out?

11:34Jamie Coomarasamy:Well, there's some things I would leave out because it's just not appropriate to tell. It's not fair to the person. You know, everybody, you have things with people in life, but it doesn't necessarily represent the whole of who they are. And you have to pick and choose what you decide to make public if you're doing something like this. But the other thing is there are things that in my research and in my years of working at the medical examiner's office, to be honest with you, there are horrors that I've seen that I don't share with anybody. I will never write about them. I won't talk about them because I don't need to have somebody traumatized the way I was when I had to witness certain things about violence, particularly when you see recordings and things of people who are alive when terrible things are being done to them.

12:21Jamie Coomarasamy:And so but but for the most part, I mean, I've shared a lot of things in this memoir that I have never talked about to the media, like the Agatha dream, because it it sounds strange. But at the same time, it really did happen. I did have that dream. I also had the weird dream of Princess Diana when I was doing the primetime television special on her death. And she was in the corner of a cafe, wasn't she? Yes. She was sitting there at a table all by herself, and it was in the UK. This is in my dream. And I walked in to get a coffee or something, and I saw her sitting over there, and she seemed unbelievably distressed.

13:01And finally, she got up to leave, and then weirdly, there was an elevator in the middle

13:06Jamie Coomarasamy:of the room. And I said, are you okay? Is there anything I can do for you? Would you like me to go with you? And she said, you can't go where I'm going. And then she was gone. Now, I don't know what that meant, but that was right when I was doing this special. And so, you know, I don't know the meaning of all these things, but I'm going to share them with people because I'm not the only one who's had experiences like this.

13:31Patricia Cornwell:You're listening to The Interview from the BBC World Service with me, James Kamarasamy.

14:02Patricia Cornwell:The CFO LinkedIn has a word for that. Bull spend. Now you can invest in what looks good to your CFO. LinkedIn ads generates the highest ROAS of all major ad networks. You'll reach the right buyers because you can target by company, industry, job title, and more. So cut the bull spend. Advertise on LinkedIn, the network that works for you. Spend$250 on your first campaign on LinkedIn ads and get a 250 credit for the next one. Just go to linkedin.com slash broadcast. That's linkedin.com slash broadcast. Terms and conditions apply.

15:03Patricia Cornwell:26 for these limited time offers. Start planning today at applevacations.com or contact your travel advisor.

15:17Patricia Cornwell:As Patricia Cornwell's memoir makes clear, her life has had a rather dramatic, you might say, novelistic arc. And that helps to explain why I had to do the interview remotely rather than face to face as we'd originally planned. She has a history of threats and stalkers thanks to her public profile and her close collaboration with law enforcement agencies as part of her research. And that has made her acutely aware of her own safety. She has long employed a team of security guards. And so, when the UK authorities raised the country's terror threat level to severe, just days before she was due to fly to London, her team advised her against travelling.

15:57Patricia Cornwell:For me, it was a last-minute plot twist. For her, it was probably par for the course. OK, let's return now to my conversation with Patricia Cornwell. You mentioned Postmortem, your first novel. It took you some time to get that published, didn't it? I mean, people looking at your career now and the amazing success and the number of books you've sold, I think might be quite surprised to know it took you quite some time to get that published. And you detail that in a lot of detail in the memoir.

16:26Jamie Coomarasamy:Well, that's right, because when I left journalism and then I did the biography of Ruth Graham, my neighbor and surrogate mother. Then I decided to try to write crime novels, which took me to the medical examiner's office where I really thought I would be in and out of there for like one month doing research. And then I'd write a murder mystery that people wanted to read. Well, that didn't happen. I wrote one and nobody wanted it. I wrote two, another one, nobody wanted it. I wrote a third, nobody wanted it. And by now I'd been in the medical examiner's office four years and I was a full-time employee.

17:02Jamie Coomarasamy:There was nothing else for me to do. I became their computer programmer. And then I wrote post-mortem and about almost every major house in New York rejected that as well until finally Scribner took it on by a wing and a prayer for the big first printing of 6 ,000 copies. And I got paid$6 ,000 for it. And then the first book review that came out about it was horrible. And then it got banned from Richmond by a Richmond bookstore because of being too graphic. So I thought, well, this is starting off with a bang. You know, your career is not looking too good. You might end up working the morgue the rest of your life the way things are going.

17:39Jamie Coomarasamy:And then it, you know, like I said, it got published. And but the big thing that was a game changer was really thanks to the to Great Britain, because when I was presented the Best First Crime Novel Award by the Crime Writers Association, and it was presented by Princess Margaret, that was a huge game changer for me.

17:59Patricia Cornwell:It's quite amusing, the section when you write about that and making small talk with her and realising perhaps you've said a bit too much. It must have been quite a moment for you.

18:09Jamie Coomarasamy:Oh, my goodness. If there was a stage hook, it would have come out. I had no, I'd never, listen, I had to learn how to curtsy. I didn't know anything about meeting royalty. I was, you know and so I I had to learn to curtsy but the people who taught me to curtsy in this shop where I bought my little fancy outfit that I couldn't zip up by myself once I got there um they they didn't they didn't bother to mention that you don't chat with royalty you don't you don't lay on the southern charm and say well now how are you today and how are things in your family and are you still riding horses that's what I asked her and that's when I got told you know escorted away.

Read the full transcript

18:46Patricia Cornwell:But of course, there are different sorts of royalty. And you've talked about your surrogate mother, as you've called her, Ruth Graham, the wife of Billy Graham, a name that listeners will have definitely heard of, you know, the very famous evangelist. And I mean, it's quite a story of how you came to know her. This was because of your mother and her illness, wasn't it?

19:12Jamie Coomarasamy:Well, that is, I mean, if you put this in a novel, it would sound contrived. But what happened is when I was about five, or I think I was four on the verge of turning five, and my mother went to a Billy Graham crusade in Miami, Florida, where we lived then. And she became saved and very deeply spiritual. And she almost idolized Billy Graham. And when she decided to get away from my father, she was afraid for us. And after I'd been molested and she didn't want us living down there anymore, she decided to move us to the same little teeny tiny town where Billy Graham and his family lived in North Carolina.

19:50Jamie Coomarasamy:She literally put us in the car and drove us there having no place to stay. Nobody was expecting us. And then about two years later, after we'd been living there for a little while, when she had her first major psychotic break and burned all our clothes in the fireplace and was doing all sorts of very bizarre things. She started walking us up the road in the snow. And the Grahams lived on top of the mountain and their caretaker saw that we were in distress and something weird was going on. And he drove us up there. And the Grahams did not know us from, I mean, they'd never heard of us. My mother was a stranger and she tried to give her three children to them.

20:29Jamie Coomarasamy:That's my first introduction to Ruth Graham when I was nine, is my mother is walking in through her front door and sitting in her living room before this huge fire in the fireplace and my mother handing her a note and asking the Grahams to raise her three children in their kingdom because she was going to sail away. There was going to be a big flood or something. But that began my relationship. I mean, I didn't really see much. I didn't become friendly with Ruth till I was a little older. But until you wrote a biography. Right. But first, she really befriended me when I was 19 and I dropped out of college with an eating disorder.

21:05Jamie Coomarasamy:And Ruth took me under her wing and encouraged me to write, gave me a journal and wanted to read everything that I was writing. And she changed my life.

21:15Patricia Cornwell:It's interesting. You wrote the biography. Clearly, there was a lot of concern in the family about her biography being written. And you don't think she ever actually read it?

21:25Jamie Coomarasamy:I don't think she did. And she absolutely didn't want it written. When I talked her into it, I think this was Ruth's gift to me. She gave me an opportunity to write a book and get started. And look, I mean, it got published by Harper and Row, which is like HarperCollins today. I was paid$40 ,000 advance. And in 1981, that was a lot of money for me anyway. And she gave me an opportunity. But the truth is, I'd never written a book before. And my claim to fame was investigative journalism on a police beat. That doesn't exactly qualify you for writing about Ruth Graham. And so her family was extremely concerned about her letting me do this.

22:08Jamie Coomarasamy:And I don't blame them. I mean, her son, Franklin, and I were sort of like brother and sister. And we laugh about it because he goes, well, you weren't exactly qualified to do that at that stage in life when you were in your early 20s and all the rest. I said, no, I wasn't. I agree. If someone tried to do that to me, we'd have lawyers calling their phone off the hook, telling them to stop.

22:28Patricia Cornwell:And his brother was your first crush, I think.

22:31Jamie Coomarasamy:Oh, well, the both of the Graham sons. Oh, my goodness. I had. Yes, they were the best looking things you ever saw. And I don't know any girl that didn't have a crush on Ned and Franklin.

22:44Patricia Cornwell:I want to turn to to the journalism, because, as you say, you know, your daily writing was on the crime beat. And that's what really got you into the research. But at heart, you say you wanted the crimes to be solved. I mean, you're sort of a hybrid, aren't you, of journalist, cop and writer?

23:06Jamie Coomarasamy:I think that's true. Maybe I'm just a frustrated everything. That could be the answer. But yes, I remember one of the earliest things on the police speak, there was a little girl who had vanished. vanished. She was out doing something. This little girl, I think she's like five or six, and she disappeared. And later they found her. She'd been murdered. Her body was dumped on this lakeshore. I would go there when I wasn't busy on my beat and I would just go stand on that lakeshore. I'd drive the staff car there and I would look around taking in every detail. And I thought there must be something this person left that will help us figure out who did this horrible thing.

23:44Jamie Coomarasamy:And I got really immersed in that case. I visited the little girl's family and the mobile home they lived in. And I even had Ruth Graham write a letter of condolence to try to make the mother feel better. I did everything I could. And I was so upset that the police couldn't solve it. I mean, eventually, I think they did many years later. But I had an investment in the cases that was not really normal. It wasn't just me wanting to tell what I thought was a great newspaper story. but I wanted to make a difference. And so later on, when I became a volunteer police officer, when I started doing research in Richmond and went to the ME's office and all the rest, I loved being a volunteer cop.

24:25Jamie Coomarasamy:I was just sorry I couldn't really arrest anybody.

24:29Patricia Cornwell:You've been mixing with the great and the good for many, many years. But you're still a very, I mean, you're a private person. You take a great deal of care about your security, don't you? I that is that something that has come from your your childhood just from you know being famous

24:43Jamie Coomarasamy:and feeling more threatened but what is it um I started having trouble with stalkers or you know it's the world we live in and I've just always was a big believer in having security because this was not your average author experience it was so huge in the 90s in particular there wasn't anything else like it out there. In fact, really, it was unrivaled in terms of the popularity until guess who came along? Her name is J.K. Rowling, and I bet you know who that is. Up until that point, I was probably the biggest selling female author in the world until Harry Potter appeared on the horizon. But that's why I started doing the security.

25:30Jamie Coomarasamy:And then, of course, there were many other reasons stalkers like I said I had people you know I had to have burglar alarms and and try to keep if possible be in a gated community because people drive to my house and park across the street and leave things on my doorstep I had people you know I had almost someone breaking in on Christmas morning so I've always been security minded and these days you especially have to be.

25:59Patricia Cornwell:Thank you for listening to The Interview. You'll find more in-depth conversations on The Interview wherever you get your BBC podcasts, conversations with artist Tracey Emin and former Australian Prime Minister Julia Gillard and many others. Until the next time, bye for now.

26:53Patricia Cornwell:Transcription by CastingWords great conversation with the CFO. LinkedIn has a word for that. Bull spend. Now you can invest in what looks good to your CFO. LinkedIn ads generates the highest ROAS of all major ad networks. You'll reach the right buyers because you can target by company, industry, job title, and more. So cut the bull spend. Advertise on LinkedIn, the network that works for you. Spend$250 on your first campaign on LinkedIn ads and get a 250 credit for the next one. Just go to linkedin.com slash broadcast. That's linkedin.com slash broadcast. Terms and conditions apply. Are you really buying a car online on AutoTrader right now?

27:38Patricia Cornwell:Really? I can get super specific with dealer listings and see cars based on my budget. You can really have it delivered or pick it up. I think your kid is walking up the slide. Really?

27:48Jamie Coomarasamy:AutoTrader, buy your car online. Really?

From the publisher

“I escaped into my imagination. That is what I did from the earliest time that I can remember. I was writing stories, and when the world was too difficult, I would just make up one of my own and I would spend my time there. That was a power that I developed out of survival instinct, but it's also made it possible for me to spend so much time alone writing books.” Jamie Coomarasamy speaks to Patricia Cornwell, one of the world’s best-selling crime writers, whose books have sold more than 120 million copies worldwide. She reflects on a childhood marked by trauma, instability and family mental illness, and the lasting impact those experiences have had on her life. Her imagination became a refuge during difficult years, shaping the stories and characters she would later create. The Interview brings you conversations with people shaping our world, from all over the world. The best interviews coming from the BBC, including episodes with Google CEO Sundar Pichai and and author Sir Salman Rushdie. You can listen on the BBC World Service on Mondays, Wednesdays and Fridays at 0800 GMT. Or you can listen to The Interview as a podcast, out three times a week on BBC Sounds or wherever you get your podcasts. Presenter: Jamie Coomarasamy Producer: Osman Iqbal Editor: Damon Rose Get in touch with us on email TheInterview@bbc.co.uk and use the hashtag #TheInterviewBBC on social media.

(Image: Patricia Cornwell. Credit: Getty)

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