by Joanna Bourke ‧ RELEASE DATE: Sept. 1, 2014
Bourke has done a fine job of detailing the story of pain and the folly it reveals. Sadly, the folly has not gone away.
A scholarly treatise on how pain and those who suffer from it have been regarded over the past three centuries in the Western world.
Bourke (History/Birkbeck Coll., Univ. of London; What It Means to Be Human: Historical Reflections from the 1800s to the Present, 2011, etc.) claims that pain should not be considered an objective entity but rather as a unique part of a person’s being. As such, there is always a context, history or cultural milieu that colors the individual’s unique experience. That setting is her focus as she plumbs the literature and includes copious quotes from philosophers and practitioners, preachers and patients. It is infuriating to read that the Christian position was that pain was punishment for original sin (plus others you accrued) and that you had better grin and bear it if you hoped for a better hereafter. Or how about the phrenologists’ discovery of a “destruction” bump, which gave them the power to amputate mercilessly rather than show any hesitancy born of compassion in the pre-anesthetic days? Attitudes changed with the advent of ether and chloroform in the 1840s, but what about class, education or gender? Women were considered more sensitive and emotional, while the lower classes and blacks were considered inferior and less sensitive to pain (a great comfort to slave owners). It was not until the 1960s that medical practice came around to recognizing that newborns and infants could feel pain. To be sure, there were always voices raised against conventional beliefs, and there have been critical advances in the neuroscience of pain. Bourke charts this progress, but the truth remains: Medical education on pain is severely deficient, and race and gender issues continue to prevail. Patients themselves can be their own worst enemies, fearing addiction or condemnation as a complainer.
Bourke has done a fine job of detailing the story of pain and the folly it reveals. Sadly, the folly has not gone away.Pub Date: Sept. 1, 2014
ISBN: 978-0-19-968942-2
Page Count: 416
Publisher: Oxford Univ.
Review Posted Online: July 12, 2014
Kirkus Reviews Issue: Aug. 1, 2014
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by Paul Kalanithi ‧ RELEASE DATE: Jan. 19, 2016
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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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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by Abhijit V. Banerjee & Esther Duflo ‧ RELEASE DATE: Nov. 12, 2019
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.Pub Date: Nov. 12, 2019
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
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