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DEADLY CONSEQUENCES

``As the former public health commissioner of Massachusetts, as a physician, as a parent, as a black American, and as an inner- city resident,'' Prothrow-Stith, now assistant dean of the Harvard School of Public Health, brings impressive credentials to the writing of this book—and to the sensible array of solutions she offers to the growing problem of homicide as the leading cause of death among young American men. The homicide rate for 1986-87 for all young American males was 21.9 per 100,000 (the next highest national rate was that of Scotland, at only 5.0 per 100,000). But among young black American men, the incidence of homicide was a staggering 85.6 per 100,000. Writing with Weissman, a Boston free-lance author, Prothrow-Stith discusses the forces that impel poor young men, and especially poor young men of color, to see violence as their only means of conflict resolution. Saturated by distorted media images of violence, lacking nonviolent male role models, filled with rage and self- hatred, surrounded by the brutal tactics of gangs and drug-dealers, ghetto kids are learning before they even hit double-digits to carry weapons and use ``maximum force.'' Prothrow-Stith's proposed solution: Make violence prevention a public-health issue. Mount a public-awareness campaign like that waged so successfully against smoking. Require emergency-room physicians to refer young men obviously at risk for violence to appropriate mental-health agencies and fund these agencies adequately to treat them. Introduce an anti-violence curriculum in schools: Prothrow-Stith has developed one that has been implemented in over 300 schools nationwide. Gun control, community policing, better family education, and support systems are also components in her plan. The cost? Far less than incarceration or death and the consequent loss of potentially productive citizens. A comprehensive and seemingly workable blueprint—and Prothrow-Stith seems enough of a powerhouse to get her message to those in positions to act on it. (For another, more profound look at male violence, see Myriam Miedzian's Boys Will Be Boys, reviewed above.)

Pub Date: June 19, 1991

ISBN: 0-06-016344-5

Page Count: 224

Publisher: HarperCollins

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: May 1, 1991

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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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