A provocative new perspective on the diagnosis, and therefore treatment, of mental illness.
Brothers Joel Gold (Psychiatry/NYU School of Medicine) and Ian Gold (Philosophy and Psychiatry/McGill Univ.) suggest that to treat delusions simply as manifestations of psychosis, without regard to their cognitive function, is insufficient.
The authors examine the possibility that delusions are symptomatic of a malfunctioning cognitive system whose positive evolutionary function has been protection against social threats. This leads them to conclude that it is necessary to view delusions as a malfunctioning response to “social environment on its own terms and not as an illusion waiting to be reduced to biology.” Their content can be traced to a need to deal with environmental stresses and are, in part, a reflection of the culture. Turning to the field of evolutionary psychology, the Golds suggest the existence of a hypothesized brain system, the “Suspicion System,” whose purpose is to protect the individual from threats; this would have served a useful purpose in alerting our ancestors to danger. It is when these threats are misperceived without corrective cognitive input that delusion follows. Joel Gold cites case histories from his practice as an attending psychiatrist at Bellevue Hospital Center; the cases show how such malfunctioning might occur when “[d]elusional thoughts and their linguistic expression are…cognitively isolated and not integrated with other thinking.” These delusions may be due to neurological malfunction, but biological theories of mental illness need not exclude their social component. “In taking account of the role of the social world in mental illness,” write the authors, “it may be necessary to hang on to notions like threat, discrimination, exploitation and status, and there may be no way to understand these concepts other than by theories far removed from neurons….Reductionism in psychiatry constrains theory to operate within the skull or the skin. Our bet is that the outside world is going to matter as well.”
A provocative new perspective on the diagnosis, and therefore treatment, of mental illness.Pub Date: July 8, 2014
ISBN: 978-1-4391-8155-3
Page Count: 288
Publisher: Free Press
Review Posted Online: May 17, 2014
Kirkus Reviews Issue: June 1, 2014
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”
The powerful story of a father’s past and a son’s future.
Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”Pub Date: July 8, 2015
ISBN: 978-0-8129-9354-7
Page Count: 176
Publisher: Spiegel & Grau
Review Posted Online: May 5, 2015
Kirkus Reviews Issue: July 1, 2015
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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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