A compassionate and highly readable overview of therapeutic approaches to stuttering.
A comprehensive plan for dealing with a stutter.
“Everyone who stutters,” writes debut author and consultant Flaum early on in this book, “has similar stories of those awful experiences that made us realize we were ‘different’ and easily teased and mocked.” The broader personal and psychological circumstances surrounding stammering, the author contends, can often be just as important as the difficulty itself. As Dr. Heather Grossman, one expert, comments in the book, “the core problem of stuttering is actually made up of all the things that person does in order not to stutter.” These “avoidance tactics” include passing up social gatherings, relying only on texting rather than talking on the phone, and replacing a difficult-to-say word with an easier one even when the difficult word is the one you really want. However, people who’ve dealt with stuttering can attest that such tactics don’t always work. Flaum examines an array of alternatives, including a counterintuitive approach of intentionally stuttering a bit, which can help one relax; some people, he says, “feel stuttering on purpose for their first few words helps them feel more in control of their speech. It also helps reduce their fear of stuttering involuntarily, so they see no reason to hide it.” Another method, he writes, is so-called “easy stuttering,” in which one tries to “catch” the moment when a stutter occurs and draw it out it slightly—again, in order to relax and feel a sense of control. The author describes these and other approaches in detail over the course of this work.
Flaum, who has firsthand knowledge of stuttering, includes commentary from an array of other experts, including language pathologists and speech therapists, in order to provide his narrative with additional professional heft. He draws on his own considerable experience to smoothly contextualize the information for those readers who may be unfamiliar with the challenges of speech difficulties. He also makes a wise decision to include ample testimony from people who struggle with stuttering themselves, as his most likely audience is made up of these people and those who love and support them. These sections have the effect of personalizing the experience of speech difficulties and clarifying their larger psychological effects: “Keep in mind, this is not about recovery from stuttering,” one such testimonial asserts. “We are recovering from shame.” These personal insights from lived experience effectively bring the book to life, and their quality is matched by the range of Flaum's advice and the humanity of his own prose. He addresses some of the everyday obstacles that people dealing with stutters face, such as unfamiliar surroundings and the physical stress of anxiety, as he assesses various approaches to speech therapy; for each of these strategies, Flaum lays out the facts in a clear and upfront manner, assessing each type of therapy for strengths and weaknesses in a way that readers are sure to find valuable. Overall, Flaum delivers an encouraging guide that will make his target readership feel accepted and heard.
A compassionate and highly readable overview of therapeutic approaches to stuttering.Pub Date: Jan. 26, 2021
ISBN: 978-1-64293-653-7
Page Count: 192
Publisher: Post Hill Press
Review Posted Online: April 6, 2021
Kirkus Reviews Issue: June 1, 2021
Review Program: Kirkus Indie
An oft-ignored but fully convincing argument that “we cannot prevent the next pandemic without creating a healthy world.”
The Covid-19 pandemic is not a one-off catastrophe. An epidemiologist presents a cogent argument for a fundamental refocusing of resources on “the foundational forces that shape health.”
In this passionate and instructive book, Galea, dean of the Boston University School of Public Health, writes that Covid emerged because we have long neglected basic preventative measures. “We invest vast amounts of money in healthcare,” he writes, “but comparatively little in health.” Readers looking to learn how governments (mainly the U.S.) mishandled the pandemic have a flood of books to choose from, but Galea has bigger issues to raise. Better medical care will not stop the next epidemic, he warns. We must structure a world “that is resilient to contagions.” He begins by describing the current state of world health, where progress has been spectacular. Global life expectancy has more than doubled since 1900. Malnutrition, poverty, and child mortality have dropped. However, as the author stresses repeatedly, medical progress contributed far less to the current situation than better food, clean water, hygiene, education, and prosperity. That’s the good news. More problematic is that money is a powerful determinant of health; those who have it live longer. Galea begins the bad news by pointing out the misleading statistic that Covid-19 kills less than 1% of those infected; that applies to young people in good health. For those over 60, it kills 6%, for diabetics, over 7%, and those with heart disease, over 10%. It also kills more Blacks than Whites, more poor than middle-class people, and more people without health insurance. The author is clearly not just interested in Covid. He attacks racism, sexism, and poverty in equal measure, making a plea for compassion toward stigmatized conditions such as obesity and addiction. He consistently urges the U.S. government, which has spared no expense and effort to defeat the pandemic, to do the same for social injustice.
An oft-ignored but fully convincing argument that “we cannot prevent the next pandemic without creating a healthy world.”Pub Date: Nov. 1, 2021
ISBN: 978-0-19-757642-7
Page Count: 280
Publisher: Oxford Univ.
Review Posted Online: Aug. 27, 2021
Kirkus Reviews Issue: Sept. 15, 2021
BOOK REVIEW
Gates offers a persuasive, 30,000-foot view of a global problem that, he insists, can be prevented given will and money.
The tech mogul recounts the health care–related dimensions of his foundation in what amounts to a long policy paper.
“Outbreaks are inevitable, but pandemics are optional.” Thus states the epidemiologist Larry Brilliant, a Gates adviser, who hits on a critically important point: Disease is a fact of nature, but a pandemic is a political creation of a kind. Therefore, there are political as well as medical solutions that can enlist governments as well as scientists to contain outbreaks and make sure they don’t explode into global disasters. One critical element, Gates writes, is to alleviate the gap between high- and low-income countries, the latter of which suffer disproportionately from outbreaks. Another is to convince governments to ramp up production of vaccines that are “universal”—i.e., applicable to an existing range of disease agents, especially respiratory pathogens such as coronaviruses and flus—to prepare the world’s populations for the inevitable. “Doing the right thing early pays huge dividends later,” writes Gates. Even though doing the right thing is often expensive, the author urges that it’s a wise investment and one that has never been attempted—e.g., developing a “global corps” of scientists and aid workers “whose job is to wake up every day thinking about diseases that could kill huge numbers of people.” To those who object that such things are easier said than done, Gates counters that the development of the current range of Covid vaccines was improbably fast, taking a third of the time that would normally have been required. At the same time, the author examines some of the social changes that came about through the pandemic, including the “new normal” of distance working and learning—both of which, he urges, stand to be improved but need not be abandoned.
Gates offers a persuasive, 30,000-foot view of a global problem that, he insists, can be prevented given will and money.Pub Date: May 3, 2022
ISBN: 978-0-593-53448-9
Page Count: 304
Publisher: Knopf
Review Posted Online: April 12, 2022
Kirkus Reviews Issue: May 1, 2022
BOOK REVIEW
BOOK REVIEW
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