A welcome contribution to the literature of crime and rehabilitation.
A physician recounts stories from her years at Broadmoor, Britain’s premier psychiatric institution.
Over a working life of more than 30 years, Adshead has served patients at Broadmoor, a place with “a history of housing some of the UK’s most notorious violent criminals.” As in the U.S., mental health facilities in Britain have been starved of funds in recent years, and those violent criminals are shut away instead in ordinary prisons, where they become predators and prey. Writing with Horne, Adshead notes that 70% of prisoners in the U.K. “are estimated to have at least two mental health issues, ranging from depression to substance misuse and addiction or psychosis.” While most people with mental health issues are not criminals, those who are often pose difficulties in securing treatment and taking medications. Before delivering a series of sometimes-discomfiting case studies of serial murder, child abuse, infanticide, and other horrific acts, Adshead observes that nations that have experienced military occupation, such as Norway and Holland, have been the most progressive in treatment of the mentally ill, perhaps because they consider mentally ill criminals to be ill first and criminals second. The protagonists of her case studies would seem to fit this description, though dark passages abound—e.g., an inmate who seemed to be on the path to recovery but committed suicide: “Ian had been unable to come to terms with himself, and in his mind, death became his best or only option.” Adshead’s interest is not lurid, though there are lurid episodes, and her overarching goal is to secure more funding for better treatment. “I wish for my psychiatric great-grandchildren to look back on this period as if revisiting medieval times…[which] did little to help people fix or rediscover their minds, inside and outside of institutions.”
A welcome contribution to the literature of crime and rehabilitation.Pub Date: July 20, 2021
ISBN: 978-1-982134-79-2
Page Count: 320
Publisher: Scribner
Review Posted Online: May 17, 2021
Kirkus Reviews Issue: June 1, 2021
A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.
Words that made a nation.
Isaacson is known for expansive biographies of great thinkers (and Elon Musk), but here he pens a succinct, stimulating commentary on the Founding Fathers’ ode to “life, liberty, and the pursuit of happiness.” His close reading of the Declaration of Independence’s second sentence, published to mark the 250th anniversary of the document’s adoption, doesn’t downplay its “moral contradiction.” Thomas Jefferson enslaved hundreds of people yet called slavery “a cruel war against human nature” in his first draft of the Declaration. All but 15 of the document’s 56 signers owned enslaved people. While the sentence in question asserted “all men are created equal” and possess “unalienable rights,” the Founders “consciously and intentionally” excluded women, Native Americans, and enslaved people. And yet the sentence is powerful, Isaacson writes, because it names a young nation’s “aspirations.” He mounts a solid defense of what ought to be shared goals, among them economic fairness, “moral compassion,” and a willingness to compromise. “Democracy depends on this,” he writes. Isaacson is excellent when explaining how Enlightenment intellectuals abroad influenced the founders. Benjamin Franklin, one of the Declaration’s “five-person drafting committee,” stayed in David Hume’s home for a month in the early 1770s, “discussing ideas of natural rights” with the Scottish philosopher. Also strong is Isaacson’s discussion of the “edits and tweaks” made to Jefferson’s draft. As recommended by Franklin and others, the changes were substantial, leaving Jefferson “distraught.” Franklin, who emerges as the book’s hero, helped establish municipal services, founded a library, and encouraged religious diversity—the kind of civic-mindedness that we could use more of today, Isaacson reminds us.
A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.Pub Date: Nov. 18, 2025
ISBN: 9781982181314
Page Count: 80
Publisher: Simon & Schuster
Review Posted Online: Aug. 29, 2025
Kirkus Reviews Issue: Oct. 1, 2025
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
SEEN & HEARD
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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