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THE STORY OF PAIN

FROM PRAYER TO PAINKILLERS

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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A PEOPLE'S HISTORY OF THE UNITED STATES

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

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GOOD ECONOMICS FOR HARD TIMES

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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