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BAD FOR US

THE LURE OF SELF-HARM

Earnest and drawn-out.

Musings on why we do bad things to ourselves.

Portmann (When Bad Things Happen to Other People, not reviewed, etc.) approaches the problem of self-harm by looking first at how much we really know about what is good for us. Prevailing social attitudes, he asserts, are the means by which we determine what acts, whether to ourselves or others, are harmful. He examines several specific kinds of self-harm that he says one might want or need to do at least on occasion, based on society’s current moral expectations. These are masturbation, sadomasochism and voluntary slavery, prostitution, humiliating oneself on a talk show, posing naked in front of a camera, not striving to reach one’s potential, drug abuse, and self-neglect. All are illustrated with examples from literature or life. Next he considers briefly four ways in which self-harm can be inflicted: physically, spiritually, socially, and emotionally. In the second part, he turns to self-control, focusing first on the phenomenon of unnecessary self-control. He illustrates this idea by describing at considerable length the present-day behavior of undergraduate men in the locker room at the University of Virginia, where he finds that they hide themselves from the view of other men to protect their sexual reputation. He then considers the limits of self-control, as, for example, in clinical depression. In the final section, Portmann gets down to his central thesis, the paradox that both a sense of self-control and loss of self-control are essential. He uses the word “raving” to designate an intentional leap into rebellion, an act by which one throws off self-control in order to find one’s true self. From the point of view of an observer, the one raving is harming himself, but from the raver’s point of view, he is trying out a new identity. The danger, of course, is that the raver who has little self-control may put himself on a self-destructive path. However, says Portmann, those with adequate self-control have the ability to cut their raving short and pull back from the brink of disaster. In essence, raving is a mark of strength, the act of an individual consciously liberating himself from a restrictive culture. Self-harm is its risk.

Earnest and drawn-out.

Pub Date: July 1, 2004

ISBN: 0-8070-1618-7

Page Count: 224

Publisher: Beacon Press

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: April 15, 2004

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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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WHEN BREATH BECOMES AIR

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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