An informative survey of America's evolving responses to the question of society's obligation to the mentally ill and how best to meet that obligation. Grob (History of medicine/Rutgers) has previously published scholarly works on the history of the care of the mentally ill. Here, he reaches out to a larger audience with a highly readable account that begins in the colonial days. Back then, ``lunaticks'' were primarily a family responsibility, and those without families to care for them were seen as a social and economic problem, not a medical one. Public almshouses took them in, along with widows, orphans, and others needing public assistance. By the middle of the 18th century, the Enlightenment, with its faith in reason and science, gave rise to the idea of treating and possibly curing the mad, and insane asylums began to appear in cities. Grob recounts the efforts of Dorothea Dix to persuade state legislatures to set up mental hospitals, and by the middle of the 19th century, most states had at least one. But the 20th century found these optimistically founded institutions overcrowded and largely custodial in function. Exposure of conditions in these ``snakepits'' led to calls for new approaches, and the claim that community care and treatment were superior became an article of faith in the 1960's. The author points out that the federal government's current community mental-health policy has overlooked the need for supportive services to ensure proper housing, food, and social services, and he notes that since the 70's new problems have been created by a subgroup of the mentally ill—young, alienated substance-abusers. Grob's historical perspective gives him a balanced view that cautions against both unrealistic expectations and defeatist paralysis. Clear, engaging account of a persistent social problem, full of humanity and wisdom.
Pub Date: March 15, 1994
ISBN: 0-02-912695-9
Page Count: 300
Publisher: Free Press
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Jan. 1, 1994
BOOK REVIEW
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
PERSPECTIVES
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