A compelling warning about gay culture and the imperative need for a change in beliefs and behavior, issued by a gay activist and journalist. Rotello, a founding editor of Outweek magazine and former columnist for New York Newsday, once promoted the belief that it was simply an accident that in the United States AIDS first manifested itself among gay men. Here he dismisses that notion with persuasive scientific and epidemiological data. The term ``sexual ecology'' refers to all the biological and behavioral factors that influence the spread of sexually transmitted diseases. According to Rotello, ``the simultaneous introduction of new behaviors and a dramatic rise in the scale of old ones produced one of the greatest shifts in sexual ecology ever recorded,'' one that had ``a decisive impact on the transmission of virtually every sexually transmitted disease, of which HIV was merely one, albeit the most deadly.'' The new behaviors that Rotello cites are multipartner anal sex, particularly in core groups centered in commercial sex establishments, widespread abuse of recreational drugs, and high intakes of immune-system-compromising antibiotics to deal with high rates of hepatitis, herpes, syphilis, and other sexually transmitted infections. The key to AIDS prevention, cautions Rotello, lies not in technological fixes but in changes in the way gays live. Rotello's message that absolute sexual freedom has been biologically disastrous for gay men and that behavioral changes are crucial has been carefully and convincingly laid out. In his closing, Rotello offers up for discussion his own suggestions for building a healthy and positive gay culture. Well aware that his call for increased sexual restraint will be seen as reactionary and homophobic by those who cling to an orgiastic view of gay liberation, he anticipates their arguments and answers them persuasively in this impressive analysis of a pressing social problem. (Author tour)
Pub Date: April 21, 1997
ISBN: 0-525-94164-9
Page Count: 352
Publisher: Dutton
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Feb. 15, 1997
For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.
Pub Date: Jan. 1, 1979
ISBN: 0061965588
Page Count: 772
Publisher: Harper & Row
Review Posted Online: May 26, 2012
Kirkus Reviews Issue: Jan. 1, 1979
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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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