An urgent call for reform worthy of serious consideration.
Chicago-based mental health clinician Foiles looks at the many ways in which urban poverty, crime, violence, and other socio-economic factors can destroy a life.
“We diagnose people, not cultures or neighborhoods,” writes the author. If neighborhoods were to be diagnosed, some might be sociopathic—but seldom through any fault of their own. For example, he writes of the Cabrini-Green housing project that sprang up in the 1950s and ’60s, providing poor African Americans with public housing in neighborhoods in which they were then not the majority. “To live in Cabrini-Green or any of the other housing projects was to be constantly reminded that you didn’t matter,” writes Foiles: You were surrounded by rats, barbed wire, garbage, warring gangs, and indifferent police and public agencies whose attitude was that the people who lived there were on their own. Small wonder that those in such environs experience trauma, manifested in many ways. The author offers five such case studies. In the case of “Robert,” who grew up in Cabrini-Green, the trauma manifests in PTSD accompanied by literal delusions of grandeur, all of which “read like a novel.” Another patient is categorized as a “frequent flyer,” someone without regular access to medical services so that she must resort to emergency services for every medical encounter, at tremendous cost. The whole enterprise, Foiles writes, is wrapped up in white privilege. The white power structure of Chicago has steadily whittled away services in poor, minority neighborhoods, from public schools to hospitals and mental health clinics. There is seldom any opportunity to intervene at early signs of trauma and illness and seldom much official interest shown in doing so. The author closes with the exhortation that what is needed is “a modern-day Poor People’s Movement to aid those who by circumstance of their birth are at a higher likelihood of experiencing suffering in all its forms.”
An urgent call for reform worthy of serious consideration.Pub Date: Aug. 21, 2019
ISBN: 978-1-948742-47-4
Page Count: 176
Publisher: Belt Publishing
Review Posted Online: May 6, 2019
Kirkus Reviews Issue: June 1, 2019
BOOK REVIEW
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
BOOK REVIEW
BOOK REVIEW
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
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