Fans of the original will learn much from Gladwell’s thoughtful, carefully written reconsideration.
A quarter-century on, Gladwell revisits his best-known book and examines some of its assumptions and conclusions.
Rereading The Tipping Point, Gladwell writes, made him realize “that I still do not understand many things about social epidemics.” The tip point of real estate parlance—it refers to things such as the ethnic composition of a neighborhood when, once a percentage in the growth of race x is reached, members of race y will move up, on, or otherwise out—explains only so much. Often, he writes, “social contagions,” a metaphor used to describe how ideas spread like viruses, can be traced back to just a handful of innovators (or viral superspreaders, for that matter): What matters thereafter is how the ideas (or viral loads) are received and dealt with. For example, why does Illinois have a low rate of opioid abuse relative to Indiana? Because Indiana, like many states, doesn’t require monitoring, which explains why swarms of Big Pharma salespeople descended on those states to push OxyContin and other drugs to epidemic levels. Illinois, by contrast, is one of the states that require triplicate prescriptions: one copy goes to the pharmacist, one to the patient’s records, one to a regulatory agency. That three-tiered pharmaceutical pad, Gladwell writes, “evolves into an overstory,” or governing idea, “a narrative that says opioids are different, spurring the physician to pause and think before prescribing them.” Refining and deepening his and our understanding of the spread of customs, mores, and practices, Gladwell emphasizes those overstories, illustrating them with twisting and turning tales of, for example, how the word holocaust came into general usage (surprisingly, via TV), how the idea of gay marriage gained acceptability, and how widespread social engineering "has quietly become one of the central activities of the American establishment.”
Fans of the original will learn much from Gladwell’s thoughtful, carefully written reconsideration.Pub Date: Oct. 1, 2024
ISBN: 9780316575805
Page Count: 368
Publisher: Little, Brown
Review Posted Online: July 24, 2024
Kirkus Reviews Issue: Sept. 1, 2024
SEEN & HEARD
SEEN & HEARD
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
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
BOOK REVIEW
BOOK REVIEW
© Copyright 2026 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
