Koontz was born on July 9, 1945, in Everett, Pennsylvania, the son of Florence (née Logue) and Raymond Koontz. He has said that he was regularly beaten and abused by his alcoholic father, which influenced his later writing, as also did the courage of his physically diminutive mother in standing up to her husband. In his senior year at Shippensburg State College, he won a fiction competition sponsored by Atlantic Monthly magazine. After graduation in 1967, he went to work as an English teacher at Mechanicsburg High School in Mechanicsburg, Pennsylvania. In the 1960s, Koontz worked for the Appalachian Poverty Program, a federally funded initiative designed to help poor children. In a 1996 interview with Reason magazine, he said that while the program sounded "very noble and wonderful, ... [i]n reality, it was a dumping ground for violent children ... and most of the funding ended up 'disappearing somewhere.'" This experience greatly shaped Koontz's political outlook. In his book, The Dean Koontz Companion, he recalled that he
In his spare time, Koontz wrote his first novel, Star Quest, which was published in 1968. Koontz went on to write over a dozen science fiction novels. Seeing the Catholic faith as a contrast to the chaos in his family, Koontz converted in college because faith provided existential answers for life; he admired Catholicism's "intellectual rigor," saying it permitted a view of life that saw mystery and wonder in all things. He says he sees Catholicism as English writer and Catholic convert G. K. Chesterton did: that it encourages a "joy about the gift of life". Koontz says that spirituality has always been part of his books, as are grace and our struggle as fallen souls, but he "never get[s] on a soapbox".
In the 1970s, Koontz began writing suspense and horror fiction, both under his own name and several pseudonyms, sometimes publishing up to eight books a year. Koontz has stated that he began using pen names after several editors convinced him that authors who switched back and forth between different genres invariably fell victim to "negative crossover" (alienating established fans and simultaneously failing to pick up any new ones). Known pseudonyms used by Koontz during his career include Deanna Dwyer, K. R. Dwyer, Aaron Wolfe, David Axton, Brian Coffey, John Hill, Leigh Nichols, Owen West, Richard Paige, and Anthony North. As Brian Coffey, he wrote the "Mike Tucker" trilogy (Blood Risk, Surrounded, Wall of Masks) in acknowledged tribute to the Parker novels of Richard Stark (Donald E. Westlake). Many of Koontz's pseudonymous novels are now available under his real name. Many others remain suppressed by Koontz, who bought back the rights to ensure they could not be republished; he has, on occasion, said that he might revise some for republication, but only three have appeared — Demon Seed and Invasion were both heavily rewritten before they were republished, and Prison of Ice had certain sections bowdlerised.

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