A controversial but empathetic argument for humanizing the treatment of those locked in substance abuse.
An overview of—and advocacy for—“harm reduction” in addressing drug addiction.
Journalist Szalavitz opens with a grim moment of autobiography: “I had no intention of quitting. I’d only just been introduced to the glories of shooting speedballs, a seemingly divine mixture of cocaine and heroin. I wanted more.” Like most addicts, she wasn’t interested in anything but chasing the high. Thankfully, someone in the room advised her, in those years of the raging AIDS epidemic, not to share needles but, if she had to do so, to run bleach through the syringe and wash the injection point. That, Szalavitz writes, was her introduction to “harm reduction,” a variation on the Hippocratic oath that “works to minimize the damage that may be associated with substance use.” Forms of that damage are many—not just the physical effects of addiction and the danger of numerous diseases, but also social stigma, poverty, and imprisonment. “A big form of harm reduction is keeping people out of jail,” notes one activist, “because jail is really harmful.” Urging that harm reduction is a form of “radical empathy,” the author offers numerous case studies in its practical application over the years—the working-class addicts who educated British doctors in how to treat the illness. One positive outcome was the widespread availability of naloxone, the overdose-fighting drug; ironically, one of its key proponents died of a fentanyl overdose with a strong element of PTSD attached. “Policies to change risky behavior cannot be more harmful than the behavior they seek to alter,” Szalavitz sensibly remarks, noting that efforts to contain drugs such as opioids have driven users to more dangerous street drugs such as heroin and fentanyl.
A controversial but empathetic argument for humanizing the treatment of those locked in substance abuse.Pub Date: July 27, 2021
ISBN: 978-0-7382-8576-4
Page Count: 384
Publisher: Hachette Go
Review Posted Online: June 9, 2021
Kirkus Reviews Issue: July 1, 2021
BOOK REVIEW
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.
The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.
“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.Pub Date: April 20, 2021
ISBN: 978-1-4197-4478-5
Page Count: 184
Publisher: Abrams
Review Posted Online: May 5, 2021
Kirkus Reviews Issue: June 1, 2021
A sweet final word from an actor who leaves a legacy of compassion and kindness.
The late actor offers a gentle guide for living with more purpose, love, and joy.
Mixing poetry, prescriptive challenges, and elements of memoir, Heche (1969-2022) delivers a narrative that is more encouraging workbook than life story. The author wants to share what she has discovered over the course of a life filled with abuse, advocacy, and uncanny turning points. Her greatest discovery? Love. “Open yourself up to love and transform kindness from a feeling you extend to those around you to actions that you perform for them,” she writes. “Only by caring can we open ourselves up to the universe, and only by opening up to the universe can we fully experience all the wonders that it holds, the greatest of which is love.” Throughout the occasionally overwrought text, Heche is heavy on the concept of care. She wants us to experience joy as she does, and she provides a road map for how to get there. Instead of slinking away from Hollywood and the ridicule that she endured there, Heche found the good and hung on, with Alec Baldwin and Harrison Ford starring as particularly shining knights in her story. Some readers may dismiss this material as vapid Hollywood stuff, but Heche’s perspective is an empathetic blend of Buddhism (minimize suffering), dialectical behavioral therapy (tolerating distress), Christianity (do unto others), and pre-Socratic philosophy (sufficient reason). “You’re not out to change the whole world, but to increase the levels of love and kindness in the world, drop by drop,” she writes. “Over time, these actions wear away the coldness, hate, and indifference around us as surely as water slowly wearing away stone.” Readers grieving her loss will take solace knowing that she lived her love-filled life on her own terms. Heche’s business and podcast partner, Heather Duffy, writes the epilogue, closing the book on a life well lived.
A sweet final word from an actor who leaves a legacy of compassion and kindness.Pub Date: Jan. 24, 2023
ISBN: 9781627783316
Page Count: 176
Publisher: Viva Editions
Review Posted Online: Feb. 6, 2023
Kirkus Reviews Issue: March 1, 2023
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