Despite a few unpersuasive arguments, this is a formidable entry in the field of books about the mental health crisis.
The former director of the National Institute of Mental Health diagnoses and prescribes cures for a mental health care system that’s “a disaster on many fronts.”
In his first book, psychiatrist and neuroscientist Insel explains an apparent paradox of mental health care: “Current treatments work,” but too few people get their benefits, and outcomes for the U.S. as a whole remain “dire.” Arguing that the crisis exists “because we fail to deliver on what we know, or we fail to use what works,” the author often slights evidence suggesting that the poor results persist because some common treatments do not work or are overused rather than underused. He ignores, for example, well-regarded studies that have found that depression and ADHD are overdiagnosed and overtreated, and he oversells some treatments he supports. For readers who can live with Insel’s overly bullish view of certain remedies, however, this book offers a wealth of fresh, clear, and mercifully jargon-free facts and insights into America’s mental health care problems and possible solutions. The author links the crisis to the Reagan administration’s slashing of federal spending on community health and its scaling back of support for the “deinstitutionalization” promoted by John F. Kennedy and others. He also describes the potential benefits of “supported education and employment” programs and of controversial technology like digital phenotyping. In the strongest chapters, Insel shows how current U.S. policies have ravaged the poor, the homeless, and the incarcerated; the U.S. has so few hospital beds for the mentally ill that some police do “mercy bookings,” which let people get care in jail that hospitals can’t provide: “The Los Angeles County Jail and Chicago’s Cook County Jail are now the largest mental health institutions in the nation.” Insel makes clear that such mental health conditions involve moral and civil rights issues, adding important dimensions often neglected in similar books.
Despite a few unpersuasive arguments, this is a formidable entry in the field of books about the mental health crisis.Pub Date: Feb. 15, 2022
ISBN: 978-0-593-29804-6
Page Count: 336
Publisher: Penguin Press
Review Posted Online: Nov. 23, 2021
Kirkus Reviews Issue: Dec. 15, 2021
A smart, rewarding consideration of football’s popularity—and eventual downfall.
A wide-ranging writer on his football fixation.
Is our biggest spectator sport “a practical means for understanding American life”? Klosterman thinks so, backing it up with funny, thought-provoking essays about TV coverage, ethical quandaries, and the rules themselves. Yet those who believe it’s a brutal relic of a less enlightened era need only wait, “because football is doomed.” Marshalling his customary blend of learned and low-culture references—Noam Chomsky, meet AC/DC—Klosterman offers an “expository obituary” of a game whose current “monocultural grip” will baffle future generations. He forecasts that economic and social forces—the NFL’s “cultivation of revenue,” changes in advertising, et al.—will end its cultural centrality. It’s hard to imagine a time when “football stops and no one cares,” but Klosterman cites an instructive precedent. Horse racing was broadly popular a century ago, when horses were more common in daily life. But that’s no longer true, and fandom has plummeted. With youth participation on a similar trajectory, Klosterman foresees a time when fewer people have a personal connection to football, rendering it a “niche” pursuit. Until then, the sport gives us much to consider, with Klosterman as our well-informed guide. Basketball is more “elegant,” but “football is the best television product ever,” its breaks between plays—“the intensity and the nothingness,” à la Sartre—provide thrills and space for reflection or conversation. For its part, the increasing “intellectual density” of the game, particularly for quarterbacks, mirrors a broader culture marked by an “ongoing escalation of corporate and technological control.” Klosterman also has compelling, counterintuitive takes on football gambling, GOAT debates, and how one major college football coach reminds him of “Laura Ingalls Wilder’s much‑loved Little House novels.” A beloved sport’s eventual death spiral has seldom been so entertaining.
A smart, rewarding consideration of football’s popularity—and eventual downfall.Pub Date: Jan. 20, 2026
ISBN: 9780593490648
Page Count: 304
Publisher: Penguin Press
Review Posted Online: Oct. 24, 2025
Kirkus Reviews Issue: Dec. 1, 2025
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
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