A provocative, urgent look at a severely dysfunctional system, with children as the victims.
A sociological study on the contemporary practice of adoption.
As a researcher at Advancing New Standards in Reproductive Health, Sisson has spent years studying reproductive health, abortion, and adoption. In an opening case study, the author describes a young woman who was physically abused by her boyfriend and had no familial support, requiring her to join “a cohort of American women that is remarkably small,” numbering only about 19,000, forced to “relinquish” their newborns. Most adoptive parents are white and prosperous enough to devote time and resources to raising families, which poor mothers do not have. The number is small because, in many cases, abortion is preferential to carrying a child through to birth. Not all of Sisson’s many subjects are poor: The 100 women in her sample sets “represented the full range of American life—their paths had all led them to adoption at one point, one way or another, but they were often on different trajectories.” Interestingly, she notes, poor families are not less capable of raising children, contrary to conservative arguments; it is access to resources that makes for differentials of outcome. The author also shows how adoption is a big business. More than half of the adoption centers in the U.S. are affiliated with evangelical churches, and they receive millions of dollars in public funding in many states. A built-in contradiction exists in the ideology of adoption: The women who keep their children are often considered inadequate to be mothers, but by giving up their babies, “they are better parents because they do not parent their child; the permanent separation rendered by adoption redeems them of their deviations and deficiencies.” Sisson concludes by deeming adoption the product of inequalities that speak to “social and systemic failure.”
A provocative, urgent look at a severely dysfunctional system, with children as the victims.Pub Date: Feb. 27, 2024
ISBN: 9781250286772
Page Count: 320
Publisher: St. Martin's
Review Posted Online: Jan. 17, 2024
Kirkus Reviews Issue: Feb. 15, 2024
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
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
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