A pithy review of our grief culture, its wobbly underpinnings and the frequently opportunistic industry that preys upon it.
Journalist Konigsberg gives serious grief to Elisabeth Kübler-Ross, her mantric theory and her many spawn.
When Kübler-Ross published On Death and Dying in 1969, the country was ripe for her theory of the five stages of life’s end, mainly because it touched the zeitgeist: personal transformation through self-awareness. But its one-size-fits-all approach, Konigsberg argues in this probing yet sprightly critique, was not the result of systematic research. Rather, it was the product of anecdote and reflection, and the application of its five stages—denial, anger, bargaining, depression, acceptance—while potentially useful, was hardly universal. “Stage theory” has intuitive appeal, since it suggests predictability and manageability. To her credit, in a nation with an avoidance of addressing death, Kübler-Ross facilitated the discussion of that difficult topic. Then the stages made a jump, from death to grief. With the cultural mood behind her, the stages became orthodoxy, “hardened into a doctrine that dictates not just our reactions but how we define the experience.” Entrepreneurs seized the opportunity to create a grief-counseling industry. If you weren’t willing to be tutored through grief’s lengthy, arduous process, you would become an emotionally toxic time bomb—even though there is no proof for this notion. Indeed, writes Konigsberg, research indicates that Kübler-Ross’s stages are not only flawed, but punishing in their prescribed duration, and controlled studies have found no consistent pattern of an overall preventive effect in grief counseling. “Probably the most accurate predictors of how someone will grieve,” writes Konigsberg, “are their personality and temperament before the loss and how dependent they were on the relationship to the deceased.” The author also explores our natural resilience—“the ability to achieve an acceptable adjustment to someone’s death within a relatively short period of time”—claiming that it is more common than complete emotional collapse.
A pithy review of our grief culture, its wobbly underpinnings and the frequently opportunistic industry that preys upon it.Pub Date: Jan. 4, 2011
ISBN: 978-1-4391-4833-4
Page Count: 272
Publisher: Simon & Schuster
Review Posted Online: Oct. 18, 2010
Kirkus Reviews Issue: Nov. 15, 2010
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
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
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
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