Twilight Of American Sanity

“Unravel[s] the national psyche that brought our politics to this moment.” — Evan Osnos, The New Yorker A landmark book, from “one of the world’s most prominent psychiatrists” (The Atlantic): Allen Frances analyzes the nation, viewing the rise of Donald J. Trump as darkly symptomatic of a deeper societal distress that must be understood if we are to move forward. Equally challenging and profound, Twilight of American Sanity “joins a small shelf of essential titles—Arlie Hochschild’s Strangers in Their Own Land is another—that help explain why and how the Trump presidency happened” (Kirkus). It is comforting to see President Donald Trump as a crazy man, a one-off, an exception—not a reflection on us or our democracy. But in ways I never anticipated, his rise was absolutely predictable and a mirror on our soul. … What does it say about us, that we elected someone so manifestly unfit and unprepared to determine mankind’s future? Trump is a symptom of a world in distress, not its sole cause. Blaming him for all our troubles misses the deeper, underlying societal sickness that made possible his unlikely ascent. Calling Trump crazy allows us to avoid confronting the craziness in our society—if we want to get sane, we must first gain insight about ourselves. Simply put: Trump isn’t crazy, but our society is. —from TWILIGHT OF AMERICAN SANITY More than three years in the making: the world's leading expert on psychiatric diagnosis, past leader of the American Psychiatric Association’s DSM (“the bible of psychology”), and author of the influential international bestseller on the medicalization of ordinary life, Saving Normal, draws upon his vast experience to deliver a powerful critique of modern American society’s collective slide away from sanity and offers an urgently needed prescription for reclaiming our bearings. Widely cited in recent months as the man who quite literally wrote the diagnostic criteria for narcissism, Allen Frances, M.D., has been at the center of the debate surrounding President Trump’s mental state—quoted in Evan Osnos’s May 2017 New Yorker article (“How Trump Could Get Fired”) and publishing a much-shared opinion letter in the New York Times (“An Eminent Psychiatrist Demurs on Trump’s Mental State”). Frances argues that Trump is "bad, not mad"--and that the real question to wrestle with is how we as a country could have chosen him as our leader. Twilight of American Sanity is an essential work for understanding our national crisis.

As this bestseller predicted, Trump has only grown more erratic and dangerous as the pressures on him mount. This new edition includes new essays bringing the book up to date—because this is still not normal. Originally released in fall 2017, The Dangerous Case of Donald Trump was a runaway bestseller. Alarmed Americans and international onlookers wanted to know: What is wrong with him? That question still plagues us. The Trump administration has proven as chaotic and destructive as its opponents feared, and the man at the center of it all remains a cipher. Constrained by the APA’s “Goldwater rule,” which inhibits mental health professionals from diagnosing public figures they have not personally examined, many of those qualified to weigh in on the issue have shied away from discussing it at all. The public has thus been left to wonder whether he is mad, bad, or both. The prestigious mental health experts who have contributed to the revised and updated version of The Dangerous Case of Donald Trump argue that their moral and civic "duty to warn" supersedes professional neutrality. Whatever affects him, affects the nation: From the trauma people have experienced under the Trump administration to the cult-like characteristics of his followers, he has created unprecedented mental health consequences across our nation and beyond. With eight new essays (about one hundred pages of new material), this edition will cover the dangerous ramifications of Trump's unnatural state. It’s not all in our heads. It’s in his.

Andrew Bacevich is a leading American public intellectual, writing in the fields of culture and politics with particular attention to war and America’s role in the world. Twilight of the American Century is a collection of his selected essays written since 9/11. In these essays, Bacevich critically examines the U.S. response to the events of September 2001, as they have played out in the years since, radically affecting the way Americans see themselves and their nation’s place in the world. Bacevich is the author of nearly a dozen books and contributes to a wide variety of publications, including Foreign Affairs, The Nation, Commonweal, Harper’s, and the London Review of Books. His op-eds have appeared in the New York Times, Washington Post, and the Wall Street Journal, among other newspapers. Prior to becoming an academic, he was a professional soldier. His experience as an Army officer informs his abiding concern regarding the misuse of American military power and the shortcomings of the U.S. military system. As a historian, he has tried to see the past differently, thereby making it usable to the present. Bacevich combines the perspective of a scholar with the background of a practitioner. His views defy neat categorization as either liberal or conservative. He belongs to no “school.” His voice and his views are distinctive, provocative, and refreshing. Those with a focus on political and cultural developments and who have a critical interest in America's role in the world will be keenly interested in this book.

From "the most powerful psychiatrist in America" (New York Times) and "the man who wrote the book on mental illness" (Wired), a deeply fascinating and urgently important critique of the widespread medicalization of normality Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. These challenges are a normal part of being human, and they should not be treated as psychiatric disease. However, today millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and are receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. Frances cautions that the new edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), will turn our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Alarmingly, in DSM-5, normal grief will become "Major Depressive Disorder"; the forgetting seen in old age is "Mild Neurocognitive Disorder"; temper tantrums are "Disruptive Mood Dysregulation Disorder"; worrying about a medical illness is "Somatic Symptom Disorder"; gluttony is "Binge Eating Disorder"; and most of us will qualify for adult "Attention Deficit Disorder." What's more, all of these newly invented conditions will worsen the cruel paradox of the mental health industry: those who desperately need psychiatric help are left shamefully neglected, while the "worried well" are given the bulk of the treatment, often at their own detriment. Masterfully charting the history of psychiatric fads throughout history, Frances argues that whenever we arbitrarily label another aspect of the human condition a "disease," we further chip away at our human adaptability and diversity, dulling the full palette of what is normal and losing something fundamental of ourselves in the process. Saving Normal is a call to all of us to reclaim the full measure of our humanity.

A biographical tale that follows Hollywood revolutionary Rod Serling's rise to fame in the Golden Age of Television, and his descent into his own personal Twilight Zone.

Is it ethical for psychiatrists to call a president a narcissist? From Goldwater to Trump, Martin-Joy reviews the debate.

“A deeply moving account of amnesia that . . . reminds us how we are all always trying to find a version of ourselves that we can live with.” —Los Angeles Times On October 17, 2002, David MacLean “woke up” on a train platform in India with no idea who he was or why he was there. No money. No passport. No identity. Taken to a mental hospital by the police, MacLean then started to hallucinate so severely he had to be tied down. He could remember song lyrics, but not his family, his friends, or the woman he was told he loved. The illness, it turned out, was the result of a commonly prescribed antimalarial medication he had been taking. Upon his return to the United States, he struggled to piece together the fragments of his former life. In this “mesmerizing, unsettling memoir about the ever-echoing nature of identity—written in vivid, blooming detail,” he tells the harrowing, absurd, and unforgettable story of his journey back to himself (Gillian Flynn, author of Gone Girl). “[MacLean] is an exceedingly entertaining psychotic. . . . [A] raw, honest and beautiful memoir.” —The New York Times “If bad things are going to happen, we are lucky when they happen to someone with the wit, humanity and sweetness—to say nothing of an eye for detail and a gift for pacing—that MacLean brings to this wrenching tale. . . . Readers who flip open the book will find MacLean, preserved between pages, goofy and serious, lost and found.” —Chicago Tribune “[MacLean] writes eloquently about the bizarre and disturbing experience of having his sense of self erased and then reconstructed from scratch.” —The New Yorker

In this new volume of cartoons, Twilight of the Assholes, reality gets ever bleaker and Kreider’s humor becomes increasingly apocalyptic, deranged, and hilarious. He juxtaposes the Biblical Christ with His blonde, flag-draped, machine-gun-toting American incarnation in “Jesus vs. Jeezus,” proposes a third political party that represents Americans’ real values in “The Sex Party,” draws the dead Saddam Hussein as a mischievous invisible imp still causing trouble, and envisions the officials of the Bush administration getting their comeuppance in the grisly fashion of Dick Tracy villains. And he finds two cartoons’ worth of “Reasons to Look Forward to the Next Terrorist Attack.” Also included is his infamous entry into Iran’s Holocaust cartoon contest, “Silver Linings of the Holocaust.”