INSANE

AMERICA'S CRIMINAL TREATMENT OF MENTAL ILLNESS

An eye-opening book that cries out for change—but can policymakers show the resolve to make that change?

A searing exposé about the criminalization of mental illness that features a simple underlying theme that a society attempting the same disastrous policies over and over but expecting a different outcome is where the actual craziness resides.

Former Marketplace reporter Roth goes broad and deep, first explaining why the United States has never devoted adequate resources to dealing with its millions of mentally ill inhabitants, then using case studies to demonstrate why incarcerating the mentally ill in jails or prisons often makes no sense and does more harm than good. Because compassionate, well-trained, readily accessible professionals are unavailable to most severely mentally ill individuals—those with schizophrenia and/or bipolar disorder especially—when those individuals appear as threats to themselves or others, the first responders are usually police officers or others unequipped to deal with such situations. Too often, Roth explains, encounters between the mentally ill and armed police result in serious injury or death. As for the mentally ill who survive such encounters, their incarceration without medical treatment is quite likely to result in the worsening of the disease, until no amelioration seems possible or suicide results. Although Roth expresses pessimism about the future of mental illness treatment—especially when poverty and race and lack of education enter the equation—she shares rare positive examples of community-based care that is adequately funded as well as the laudable work of a few law enforcement agencies mounting sincere efforts to treat inmates humanely and effectively. In the instances where an incarcerated mentally ill individual enters an actual courtroom, Roth explores how judges can aid in solutions rather than compounding an already fraught situation. Though the subject matter dictates that much of the book is relentlessly depressing, the author is such a talented information gatherer and fluid stylist that the narrative becomes compulsive reading.

An eye-opening book that cries out for change—but can policymakers show the resolve to make that change?

Pub Date: April 3, 2018

ISBN: 978-0-465-09419-6

Page Count: 320

Publisher: Basic Books

Review Posted Online: Jan. 21, 2018

Kirkus Reviews Issue: Feb. 1, 2018

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BETWEEN THE WORLD AND ME

NOTES ON THE FIRST 150 YEARS IN AMERICA

This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”

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The powerful story of a father’s past and a son’s future.

Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”

This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”

Pub Date: July 8, 2015

ISBN: 978-0-8129-9354-7

Page Count: 176

Publisher: Spiegel & Grau

Review Posted Online: May 5, 2015

Kirkus Reviews Issue: July 1, 2015

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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