A handbook for blended families that offers some substantive advice, based on a 10-year longitudinal study by Bray, presented with the help of Kelly (co-author, The Secret Life of an Unborn Child, not reviewed). As a clinical psychologist, Bray (Family Medicine/Baylor Coll. of Medicine) worked frequently with stepfamilies and knew that up to 60 percent of second marriages that include stepchildren do not succeed. With funding from the National Institutes of Health, he recruited 200 families—all Texas-based, generally white and middle or working class, with a biological mother and a stepfather as the family core—in a search for information about why this is so. He found each family unique in its struggle to create a close-knit and loving home but was able to identify three general categories and three stages that predict the degree of success. The categories are the Neotraditional family, where husbands and wives emphasize the relationship rather than themselves; the Romantic family, least likely to succeed because expectations are unrealistic; and the Matriarchal family, where the mother is highly competent and dominant. All stepfamilies, whatever their type, follow a pattern of ups and downs, according to Bray. As with a first marriage, the first two years, when children and adults are sorting out their relationships and coming to terms with shadows of the first marriages, are the hardest. The next three or four years are more tranquil as compromises have been made, but the third cycle can see stress and conflict again, as children and parents endure adolescence. One major obstacle to the emerging stepfamily: stepparents who move too quickly to take over the parental role. Detailed and evocative case histories illuminate discussions of these various landmarks in stepfamilies— lives, including the sometimes disruptive but vital role of former spouses. A step up for stepfamilies, who may not fit exactly into the pigeonholes described but can take comfort and guidance from Bray’s findings.
Pub Date: June 24, 1998
ISBN: 0-7679-0102-9
Page Count: 320
Publisher: Broadway
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: June 1, 1998
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
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.Pub Date: Nov. 12, 2019
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
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