Modern medicine’s focus on the mechanics of disease to the exclusion of the emotional and spiritual dimensions of illness and healing remains both its greatest strength and a growing weakness, according to this historical study.
Kurapati (Unbound Intelligence, 2014), a doctor, frames his discussion with his patients’ persistent questions about the meaning of their suffering and frustration at physicians who view them as assemblages of malfunctioning organs rather than whole human beings. He examines the centurieslong development of that mechanistic mindset. Ancient medicine, he argues, was a deeply religious and philosophical enterprise: healers, who were often priests, attributed disease to divine (or demonic) intervention or explained it in terms of a whole-life balance of elements and energy flows. Unfortunately, while these systems comforted the sick and embedded their anguish in a meaningful worldview, they hardened into unverified dogmas that seldom healed patients physically and sometimes, as in the practice of bloodletting, hurt them badly. That all changed starting in the Renaissance: an understanding of the body as a machine with a blood-pump at its center took hold; empirical observation began to eclipse received wisdom; dissection and new scientific instruments revealed hidden structures and processes in the body; and controlled experiments and statistical analysis made objective verification the gold standard in medical practice. Kurapati’s loose-limbed, erudite, but accessible exploration of this history ranges back to ancient Greece, India, and China and forward to the latest trends in robotic surgery and implanted sensors. He leavens the narrative with vignettes from his own clinical experiences, which are vividly observed—during his first Code Blue resuscitation, “in the farthest corner of the room, medical students huddled among the comfort of their clan”—and deftly illustrate his scholarly themes. (He notes how the dissection of cadavers in medical school inculcated in him a callousness and detachment that enable a dispassionate clinical attitude.) His case that scientific “dehumanization” is a serious drawback in modern medicine is not as strong as his argument that it was an indispensable breakthrough: as one of his illuminating anecdotes shows, a good hospital chaplain works wonders at salving a patient’s despairing soul, letting the doctors deal with patching the body.
A stimulating account of how medicine advanced by getting physical.Pub Date: N/A
ISBN: N/A
Page Count: -
Publisher: Dog Ear Publisher
Review Posted Online: Dec. 4, 2017
Kirkus Reviews Issue: Jan. 15, 2018
Review Program: Kirkus Indie
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The authors have created a sort of anti-Book of Virtues in this encyclopedic compendium of the ways and means of power.
Everyone wants power and everyone is in a constant duplicitous game to gain more power at the expense of others, according to Greene, a screenwriter and former editor at Esquire (Elffers, a book packager, designed the volume, with its attractive marginalia). We live today as courtiers once did in royal courts: we must appear civil while attempting to crush all those around us. This power game can be played well or poorly, and in these 48 laws culled from the history and wisdom of the world’s greatest power players are the rules that must be followed to win. These laws boil down to being as ruthless, selfish, manipulative, and deceitful as possible. Each law, however, gets its own chapter: “Conceal Your Intentions,” “Always Say Less Than Necessary,” “Pose as a Friend, Work as a Spy,” and so on. Each chapter is conveniently broken down into sections on what happened to those who transgressed or observed the particular law, the key elements in this law, and ways to defensively reverse this law when it’s used against you. Quotations in the margins amplify the lesson being taught. While compelling in the way an auto accident might be, the book is simply nonsense. Rules often contradict each other. We are told, for instance, to “be conspicuous at all cost,” then told to “behave like others.” More seriously, Greene never really defines “power,” and he merely asserts, rather than offers evidence for, the Hobbesian world of all against all in which he insists we live. The world may be like this at times, but often it isn’t. To ask why this is so would be a far more useful project.
If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.Pub Date: Sept. 1, 1998
ISBN: 0-670-88146-5
Page Count: 430
Publisher: Viking
Review Posted Online: May 20, 2010
Kirkus Reviews Issue: July 15, 1998
Categories: GENERAL BIOGRAPHY & MEMOIR | BIOGRAPHY & MEMOIR | PHILOSOPHY & RELIGION | PSYCHOLOGY | HISTORICAL & MILITARY
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Doyle offers another lucid, inspiring chronicle of female empowerment and the rewards of self-awareness and renewal.
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More life reflections from the bestselling author on themes of societal captivity and the catharsis of personal freedom.
In her third book, Doyle (Love Warrior, 2016, etc.) begins with a life-changing event. “Four years ago,” she writes, “married to the father of my three children, I fell in love with a woman.” That woman, Abby Wambach, would become her wife. Emblematically arranged into three sections—“Caged,” “Keys,” “Freedom”—the narrative offers, among other elements, vignettes about the soulful author’s girlhood, when she was bulimic and felt like a zoo animal, a “caged girl made for wide-open skies.” She followed the path that seemed right and appropriate based on her Catholic upbringing and adolescent conditioning. After a downward spiral into “drinking, drugging, and purging,” Doyle found sobriety and the authentic self she’d been suppressing. Still, there was trouble: Straining an already troubled marriage was her husband’s infidelity, which eventually led to life-altering choices and the discovery of a love she’d never experienced before. Throughout the book, Doyle remains open and candid, whether she’s admitting to rigging a high school homecoming court election or denouncing the doting perfectionism of “cream cheese parenting,” which is about “giving your children the best of everything.” The author’s fears and concerns are often mirrored by real-world issues: gender roles and bias, white privilege, racism, and religion-fueled homophobia and hypocrisy. Some stories merely skim the surface of larger issues, but Doyle revisits them in later sections and digs deeper, using friends and familial references to personify their impact on her life, both past and present. Shorter pieces, some only a page in length, manage to effectively translate an emotional gut punch, as when Doyle’s therapist called her blooming extramarital lesbian love a “dangerous distraction.” Ultimately, the narrative is an in-depth look at a courageous woman eager to share the wealth of her experiences by embracing vulnerability and reclaiming her inner strength and resiliency.
Doyle offers another lucid, inspiring chronicle of female empowerment and the rewards of self-awareness and renewal.Pub Date: March 10, 2020
ISBN: 978-1-9848-0125-8
Page Count: 352
Publisher: Dial Books
Review Posted Online: Dec. 22, 2019
Kirkus Reviews Issue: Jan. 15, 2020
Categories: GENERAL BIOGRAPHY & MEMOIR | BIOGRAPHY & MEMOIR | SELF-HELP
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