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ADMINISTRATIONS OF LUNACY

RACISM AND THE HAUNTING OF AMERICAN PSYCHIATRY AT THE MILLEDGEVILLE ASYLUM

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

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GOOD ECONOMICS FOR HARD TIMES

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

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HOW TO FIGHT ANTI-SEMITISM

A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.

Known for her often contentious perspectives, New York Times opinion writer Weiss battles societal Jewish intolerance through lucid prose and a linear playbook of remedies.

While she was vividly aware of anti-Semitism throughout her life, the reality of the problem hit home when an active shooter stormed a Pittsburgh synagogue where her family regularly met for morning services and where she became a bat mitzvah years earlier. The massacre that ensued there further spurred her outrage and passionate activism. She writes that European Jews face a three-pronged threat in contemporary society, where physical, moral, and political fears of mounting violence are putting their general safety in jeopardy. She believes that Americans live in an era when “the lunatic fringe has gone mainstream” and Jews have been forced to become “a people apart.” With palpable frustration, she adroitly assesses the origins of anti-Semitism and how its prevalence is increasing through more discreet portals such as internet self-radicalization. Furthermore, the erosion of civility and tolerance and the demonization of minorities continue via the “casual racism” of political figures like Donald Trump. Following densely political discourses on Zionism and radical Islam, the author offers a list of bullet-point solutions focused on using behavioral and personal action items—individual accountability, active involvement, building community, loving neighbors, etc.—to help stem the tide of anti-Semitism. Weiss sounds a clarion call to Jewish readers who share her growing angst as well as non-Jewish Americans who wish to arm themselves with the knowledge and intellectual tools to combat marginalization and defuse and disavow trends of dehumanizing behavior. “Call it out,” she writes. “Especially when it’s hard.” At the core of the text is the author’s concern for the health and safety of American citizens, and she encourages anyone “who loves freedom and seeks to protect it” to join with her in vigorous activism.

A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.

Pub Date: Sept. 10, 2019

ISBN: 978-0-593-13605-8

Page Count: 224

Publisher: Crown

Review Posted Online: Aug. 22, 2019

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