The author’s work has won wide attention through a New Yorker article and a TED talk. This important and compassionate book...
A pediatrician’s battle against the toxic effects of childhood adversity.
In 2007, after opening a community clinic in a low-income neighborhood of San Francisco, Harris soon suspected that an underlying medical issue must be at work in the lives of many of her patients, who often experienced both poor health outcomes (asthma, slow growth, etc.) and the overwhelming adversity of trauma (parental incarcerations, abuse, foster-care placements, etc.) What was the connection? She found her answer several years later in a medical article that changed her medical practice, “The Adverse Childhood Experiences Study,” in which scientists from the Centers for Disease Control and Kaiser Permanente described the strong relationship between childhood trauma and many leading causes of death in adults. In this powerful debut, the author describes the medical research and recalls her own frontline experiences as a pioneer in the treatment of toxic stress as CEO of San Francisco’s Center for Youth Wellness, which offers multidisciplinary care for children suffering from trauma. “The body remembers,” she writes. “Twenty years of medical research has shown that childhood adversity literally gets under our skin, changing people in ways that can endure in their bodies for decades.” Indeed, adversity “can dramatically increase the risk for heart disease, stroke, cancer, diabetes—even Alzheimer’s.” In a winning conversational style, Harris explains how adversity “harms development and regulation of the immune system throughout someone’s life” and the ways in which doctors now screen for and treat childhood trauma—sleep, mental health, healthy relationships, exercise, nutrition, and meditation. She notes that adverse childhood experiences affect people of all socio-economic levels (they are often disguised out of secrecy and shame), and their harmful effects can be passed on from one generation to another.
The author’s work has won wide attention through a New Yorker article and a TED talk. This important and compassionate book further sounds the alarm over childhood trauma—and what can be done to remedy its effects.Pub Date: Jan. 23, 2018
ISBN: 978-0-544-82870-4
Page Count: 272
Publisher: Houghton Mifflin Harcourt
Review Posted Online: Nov. 11, 2017
Kirkus Reviews Issue: Dec. 1, 2017
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”
The powerful story of a father’s past and a son’s future.
Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”Pub Date: July 8, 2015
ISBN: 978-0-8129-9354-7
Page Count: 176
Publisher: Spiegel & Grau
Review Posted Online: May 5, 2015
Kirkus Reviews Issue: July 1, 2015
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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
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