A valuable contribution to the history of mental health care and of the racist applications of medicine.
A penetrating study of color-line injustices in the realm of psychiatry.
Some 25,000 bodies lie buried behind the Central State Hospital in Milledgeville, Georgia, the world’s “largest graveyard of disabled people,” part of the world’s largest mental asylum. Founded in 1842 and operational until a decade ago, it was part of a system that, as with other institutions in the Deep South, was divided by race. Mentally ill (or so declared, at any rate) African Americans were put to work in fields and factories and deprived of books, writing materials, and personal items; mentally ill whites were given more leeway and greater privileges. Social justice activist Segrest interrogates the records to give specific weight to such charges. She notes, for example, that when it came to calico dresses at the time of the supposedly separate-but-equal tenet of Plessy v. Ferguson, “white women got one thousand and colored women got a negligible thirty-five.” (The term “colored,” she explains in the opening pages, is a term of art of statisticians of the period, as are such designations as “imbeciles” and “lunatics.”) Valuably, the author also examines psychiatric files to investigate presumed offenses that brought African Americans to Milledgeville in the first place. Many women, for their part, were hospitalized with what would now likely be characterized as PTSD following physical abuse, rape, and other assaults. The hospital operated on “modern” theories promulgated by specialists who were likely in the early 20th century to advocate sterilization of the mentally ill in the interest of eugenics, with Georgia standing at “the epicenter of race and psychiatry” in inflicting this punishment on African Americans disproportionally. For those who suppose that all is well now, Segrest concludes, pointedly, that the “struggle for equity in medicine and health in the United States and globally is not won, and may not be for a while.”
A valuable contribution to the history of mental health care and of the racist applications of medicine.Pub Date: April 14, 2020
ISBN: 978-1-62097-297-7
Page Count: 384
Publisher: The New Press
Review Posted Online: Jan. 19, 2020
Kirkus Reviews Issue: Feb. 15, 2020
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
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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