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THE MEASURE OF MADNESS

INSIDE THE DISTURBED AND DISTURBING CRIMINAL MIND

A welcome inside account.

Courtroom experiences of a forensic psychologist.

Paradis has spent more than two decades evaluating mentally ill and violent individuals and giving expert testimony in court. Here she details criminal cases in which the prosecution or defense asked her to establish whether defendants were competent to stand trial, or to vet such psychiatric defenses as insanity and extreme emotional disturbance. The cases, all tried in New York City, are fascinating, unsettling and often horrifying. A mentally ill Manhattan man (“The Butcher of Tompkins Square Park”) killed, dismembered and cooked his roommate. A former mental patient shot wildly into a group of sanitation workers, wounding two of them, in the belief that they were alien invaders. A resident in a single-room occupancy building who claimed to be a supreme being working for the CIA stabbed and killed an elderly neighbor. The author also discusses the psycho-legal issues of cases involving juveniles and abused wives. To make her evaluations, Paradis conducts interviews, administers psychological tests, studies hospital records and searches for any other information that will help answer key questions: Is a defendant ill (delusional, paranoid, schizophrenic, etc.) or faking mental illness? What was the mental state at the time of the crime? She notes that many cases pose moral dilemmas: “If a man obeys the voice of God instructing him to attack his mother, for example, is he really guilty and responsible for committing this crime? And should he be imprisoned or sent to a psychiatric hospital?” Paradis offers broad insights into mental illness and the courts. Most defendants who go to trial pleading insanity, she writes, are found guilty and stay in forensic hospitals for years. No matter what the psychiatric testimony, juries are always swayed by personal feelings toward the defendant. A defendant’s state of mind is best determined from his videotaped statement made immediately after his arrest; those who are psychotic when committing an offense may be on medications and much improved when interviewed weeks later.

A welcome inside account.

Pub Date: July 1, 2010

ISBN: 978-0-8065-3105-2

Page Count: 320

Publisher: Citadel/Kensington

Review Posted Online: June 3, 2010

Kirkus Reviews Issue: May 15, 2010

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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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