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Paterson was born in China in 1932 to missionary parents and grew up in the American South, moving eighteen times before she was 18. After graduating from King College in Bristol, Tennessee, she herself became a missionary in Japan. She returned to the U.S. to attend the Union Theological Seminary in New York, where she met and married John Paterson, a Presbyterian minister. Her first book, “The Sign of the Chrysanthemum,” was published in 1973. Katherine Paterson currently lives in Barre, Vermont.