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BEHIND THE GATES OF GOMORRAH

A YEAR WITH THE CRIMINALLY INSANE

A chilling account of a livelihood spent curating the criminally psychotic.

Board-certified psychiatrist Seager (Street Crazy: America's Mental Health Tragedy, 2000, etc.) recounts his 12 harrowing months at Northern California’s Napa State Hospital.

As a newcomer to the psychiatric facility, the author was immediately immersed in the drastic severity of the psychotic patients housed in “Unit C,” a compound with security rivaling that of San Quentin prison. After being assaulted within minutes, Seager began reconsidering his job decision, especially after learning that the unit’s previous psychiatrist was put in a coma after being attacked. Dubbed “Gomorrah,” the hospital ward soon lived up to its moniker as a house of violence not readily obvious from its manicured grounds. The author chronicles months of daily, terrifying patient interactions, which tested not only his personal fortitude, but his professionalism as a mental health caregiver. Though all had murder on their rap sheets, the scariest of Unit C’s 40 residents was hulking, unpredictable Bill McCoy, whom everyone feared most yet wouldn’t be policed for his in-house extortion due to the circuitous nature of the prison system (he’d only end up back at Napa State). Some patients wore paper Zorro masks and smeared feces on themselves, while others hid makeshift distillery contraptions in their closets or sold fermented fruit cocktail as prison alcohol; the remainder were a manageably maniacal lot with short tempers. Special events like Halloween proved bizarre; Thanksgiving dinners were somber, with minimal visitors (many residents had killed their own families). Though relentlessly unsettling and grim, there are spots of levity. Seager’s descriptions can be darkly humorous: On a particularly bad day, the author became “engulfed in a wave of hungry psychopaths eagerly churning their way to the cafeteria.” In the final chapter, the author urges citizens to become proactive in enacting legislation to change how state hospitals are run, thus increasing their safety quotients and those of the communities they serve.

A chilling account of a livelihood spent curating the criminally psychotic.

Pub Date: Sept. 16, 2014

ISBN: 978-1476774497

Page Count: 288

Publisher: Gallery Books/Simon & Schuster

Review Posted Online: July 26, 2014

Kirkus Reviews Issue: Aug. 15, 2014

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NIGHT

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...

Elie Wiesel spent his early years in a small Transylvanian town as one of four children. 

He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions. 

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance.

Pub Date: Jan. 16, 2006

ISBN: 0374500010

Page Count: 120

Publisher: Hill & Wang

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Jan. 15, 2006

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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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