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
A wondrous mix of races, ages, genders, and social classes, and on virtually every page is a surprise.
Photographer and author Stanton returns with a companion volume to Humans of New York (2013), this one with similarly affecting photographs of New Yorkers but also with some tales from his subjects’ mouths.
Readers of the first volume—and followers of the related site on Facebook and elsewhere—will feel immediately at home. The author has continued to photograph the human zoo: folks out in the streets and in the parks, in moods ranging from parade-happy to deep despair. He includes one running feature—“Today in Microfashion,” which shows images of little children dressed up in various arresting ways. He also provides some juxtapositions, images and/or stories that are related somehow. These range from surprising to forced to barely tolerable. One shows a man with a cat on his head and a woman with a large flowered headpiece, another a construction worker proud of his body and, on the facing page, a man in a wheelchair. The emotions course along the entire continuum of human passion: love, broken love, elation, depression, playfulness, argumentativeness, madness, arrogance, humility, pride, frustration, and confusion. We see varieties of the human costume, as well, from formalwear to homeless-wear. A few celebrities appear, President Barack Obama among them. The “stories” range from single-sentence comments and quips and complaints to more lengthy tales (none longer than a couple of pages). People talk about abusive parents, exes, struggles to succeed, addiction and recovery, dramatic failures, and lifelong happiness. Some deliver minirants (a neuroscientist is especially curmudgeonly), and the children often provide the most (often unintended) humor. One little boy with a fishing pole talks about a monster fish. Toward the end, the images seem to lead us toward hope. But then…a final photograph turns the light out once again.
A wondrous mix of races, ages, genders, and social classes, and on virtually every page is a surprise.Pub Date: Oct. 13, 2015
ISBN: 978-1-250-05890-4
Page Count: 432
Publisher: St. Martin's
Review Posted Online: July 27, 2015
Kirkus Reviews Issue: Aug. 15, 2015
A welcome addition to the literature on immigration told by an author who understands the issue like few others.
The debut book from “one of the first undocumented immigrants to graduate from Harvard.”
In addition to delivering memorable portraits of undocumented immigrants residing precariously on Staten Island and in Miami, Cleveland, Flint, and New Haven, Cornejo Villavicencio, now enrolled in the American Studies doctorate program at Yale, shares her own Ecuadorian family story (she came to the U.S. at age 5) and her anger at the exploitation of hardworking immigrants in the U.S. Because the author fully comprehends the perils of undocumented immigrants speaking to journalist, she wisely built trust slowly with her subjects. Her own undocumented status helped the cause, as did her Spanish fluency. Still, she protects those who talked to her by changing their names and other personal information. Consequently, readers must trust implicitly that the author doesn’t invent or embellish. But as she notes, “this book is not a traditional nonfiction book….I took notes by hand during interviews and after the book was finished, I destroyed those notes.” Recounting her travels to the sites where undocumented women, men, and children struggle to live above the poverty line, she reports her findings in compelling, often heart-wrenching vignettes. Cornejo Villavicencio clearly shows how employers often cheat day laborers out of hard-earned wages, and policymakers and law enforcement agents exist primarily to harm rather than assist immigrants who look and speak differently. Often, cruelty arrives not only in economic terms, but also via verbal slurs and even violence. Throughout the narrative, the author explores her own psychological struggles, including her relationships with her parents, who are considered “illegal” in the nation where they have worked hard and tried to become model residents. In some of the most deeply revealing passages, Cornejo Villavicencio chronicles her struggles reconciling her desire to help undocumented children with the knowledge that she does not want "kids of my own." Ultimately, the author’s candor about herself removes worries about the credibility of her stories.
A welcome addition to the literature on immigration told by an author who understands the issue like few others.Pub Date: May 19, 2020
ISBN: 978-0-399-59268-3
Page Count: 208
Publisher: One World/Random House
Review Posted Online: Jan. 14, 2020
Kirkus Reviews Issue: Feb. 15, 2020
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