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 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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