A psychiatrist explores the legacy of American racism in this second edition of his nonfiction book.

“The problem with America is not that there are too many non-White people,” author D’Agostino asserts. “The problem is that White people are afraid of change and have given up on democracy.” As a white Catholic born in 1940s Chicago, the author notes, he “almost always voted Republican” in Illinois state elections, and he sees himself as “representative of elderly White American males.” After the election of Donald Trump and the growth of the racial justice movement after the death of George Floyd, the author began a journey of self-reflection and contemplation about race in America. The book includes a discussion of how he grappled with Robin DiAngelo’s book White Fragility (2018), and explicitly offers white readers a “primer” on how America’s racial history continues to affect the present. The book’s emphasis on precise terminology will be useful for readers who are unfamiliar. This well-researched book draws on the work of contemporary academics who challenge the conflation of the term racism with prejudice. Prejudice, they note, refers to an unfavorable opinion towards a group, often based on stereotypes, but racism historically manifests as an institutionalized doctrine through government policy. Much of the book centers on the American history of Black and white people, but D’Agostino also devotes chapters in this updated edition to prejudices against women, immigrants, Muslims, and LGBTQ+ communities.

The author has a solid grasp of U.S. history and uses it to explore such topics as the connection between wartime propaganda and Japanese internment camps, and the role of the eugenics movement in fostering racist policies. Perhaps most convincing is the book’s argument that there’s “both financial and political gain in maintaining inequality, and racial inequality sells best,” noting that for many white men, there’s a “tangible benefit” in preserving the status quo. This is the reason, according to the author, that many white Christians “are willing to give up on democracy” to embrace an “authoritarian government,” as they see it as their “only way to preserve their vision of culture.” The book won’t be revelatory for readers who are already aware of the insidious legacy of racism, but it excels at introducing the subject to its intended audience of skeptical white men. Its concluding chapter, “The White Man’s Dilemma,” offers a poignant reflection on the concept of white guilt, highlighting differences between guilt and shame and reminding readers that the purpose of the latter is to “behave better in the present.” D’Agostino admits that he’s not a scholar on the subject of racism or prejudice, but his background as a medical doctor and former president of the Illinois Psychiatric Society brings a learned approach, which blends nuanced analysis with a down-to-earth, conversational writing style. The stories of his personal history with race and prejudice may not appeal to those whose backgrounds and identities differ from his, but they may offer a valuable perspective to his target audience.

An accessible introduction to institutional racism in the United States and its ongoing effects.