Mack (Psychiatry/Harvard Med.) won a Pulitzer Prize for his life of T.E. Lawrence (A Prince of Our Disorder, 1976); more recently he teamed with Rita S. Rogers for the superb The Alchemy of Survival (1988). Here he tackles a subject that pushes the very boundaries of rational discourse: the case histories of patients who claim to have been abducted by aliens. Mack has been working with abduction ``experiencers'' since early in 1990 and has interviewed over 100 people of various ages and backgrounds, most of whom show no obvious signs of mental illness. The bulk of the book consists of the narratives of 13 subjects told in almost stupefying detail. Their stories have many features in common: the physical descriptions of the aliens (most frequently, short, gray beings with pear-shaped heads and large, dark eyes); intrusive quasi-medical procedures aboard alien ships; and the ``message'' that the aliens are deeply concerned about the future of the Earth. These people are, quite understandably, deeply unsettled by their abductions and often come to Mack for assurance that there is some rational explanation for what has happened to them. Unfortunately, Mack cannot offer them anything beyond assurance that their situation is not unique. He recognizes that, if taken at face value, these accounts call into question basic premises of Western science. Yet as a psychiatrist, he has little choice but to accept that their stories reflect some kind of psychological reality, arguing that strict rationalism needs to make room for his patients' experiences. Abduction leaves the reader with very little solid ground to stand on. In the end, despite Mack's impressive credentials and his sophisticated interpretation of the abduction phenomenon, he leaves a reader still reluctant to discard several centuries of accumulated knowledge in order to accomodate a persuasive psychological—if not an objective—truth. (8 pages of photos— not seen)
Pub Date: April 20, 1994
ISBN: 0-684-19539-9
Page Count: 426
Publisher: Scribner
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: March 1, 1994
BOOK REVIEW
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
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
SEEN & HEARD
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