2021/07/26

The Promise of Happiness - by Ahmed, Sara.

The Promise of Happiness - Kindle edition by Ahmed, Sara. Politics & Social Sciences Kindle eBooks @ Amazon.com.

The Promise of Happiness Kindle Edition
by Sara Ahmed  (Author)  Format: Kindle Edition
4.3 out of 5 stars    37 ratings

The Promise of Happiness is a provocative cultural critique of the imperative to be happy. It asks what follows when we make our desires and even our own happiness conditional on the happiness of others: “I just want you to be happy”; “I’m happy if you’re happy.” 

Combining philosophy and feminist cultural studies, Sara Ahmed reveals the affective and moral work performed by the “happiness duty,” the expectation that we will be made happy by taking part in that which is deemed good, and that by being happy ourselves, we will make others happy. 

Ahmed maintains that happiness is a promise that directs us toward certain life choices and away from others. Happiness is promised to those willing to live their lives in the right way.

Ahmed draws on the intellectual history of happiness, from classical accounts of ethics as the good life, through seventeenth-century writings on affect and the passions, eighteenth-century debates on virtue and education, and nineteenth-century utilitarianism. 

She engages with feminist, antiracist, and queer critics who have shown how happiness is used to justify social oppression, and how challenging oppression causes unhappiness

Reading novels and films including Mrs. Dalloway, The Well of Loneliness, Bend It Like Beckham, and Children of Men, Ahmed considers the plight of the figures who challenge and are challenged by the attribution of happiness to particular objects or social ideals: the feminist killjoy, the unhappy queer, the angry black woman, and the melancholic migrant. Through her readings she raises critical questions about the moral order imposed by the injunction to be happy.



Editorial Reviews
Review
“Ahmed’s analyses are spot-on and provocative. . . . Ahmed’s analysis of this and other topics is unpredictable and engaging.” - Heather Seggel, The Gay & Lesbian Review


“Ahmed's language is a joy, and her work on each case study is filled with insight and rigor as she doggedly traces the social networks of dominance concealed and congealed around happiness. . . . The Promise of Happiness is an important intervention in affect studies that crucially approaches one of the major assumptions guiding social life: the assumption that we need to be happy.” - Sean Grattan, Social Text


“. . . [F]ascinating and important, both in showing us how to read some key
texts differently and in showing how to think more carefully about happiness
and its politics. . . . [T]here is a perverse happiness to be taken from reading
such an interesting book about the insufficiency of happiness.” - Richard Ashcroft, Textual Practice


“The Promise of Happiness bridges philosophy and cultural studies, phenomenology and feminist thought—providing a fresh and incisive approach to some of the most urgent contemporary feminist issues. Ahmed navigates this bridge with a voice both clear and warm to convey ideas that are as complex as they are intimate and accessible. Her treatment of affect as a phenomenological project provides feminist theorists a way out of mind-body divides without reverting to essentialisms, enabling Ahmed to attend to intersectional and global power relations with acuity and originality.” - Aimee Carrillo Rowe, Signs


The Promise of Happiness is richly valuable not only for its discussion of utilitarianism but also for its broader deconstruction of the workings of happiness in a range of works of philosophy, literature, and social science. Whereas other feminist theorists also occasionally cast a critical eye toward happiness, or raise consciousness of female unhappiness, Ahmed has produced a volume that is unparalleled in its sustained and extensive expose´ of the entanglements between discourses of happiness and oppression.” - Andrea Veltman, Hypatia


“Ahmed enhances feminism’s critical toolbox by guiding us to regard affect as a cipher for society as we track how it produces and is produced by politics. ... Ahmed draws on feminism to potentially enhance the quality of life for her readers, who are offered mindful practices of relinquishing attachment to various ideals in a text that is neither Pollyannaish nor depressing.” - Naomi Greyser, Feminist Studies


“At a time when happiness studies are all the rage and feminism is accused of destroying women’s happiness, Sara Ahmed offers a bold critique of the consensus that happiness is an unconditional good. Her new book asks searching questions about the nature of the good life, making its case in a wonderfully pellucid prose. What a paradox that a defense of the kill-joy should be such a pleasure to read! This timely, original, and intellectually expansive book is sure to trigger a great deal of debate.”—Rita Felski, University of Virginia


“What could be more naturalized and less subject to ideological critique than happiness? How are we to get critical perspective on it? Through her readings of texts and films, Sara Ahmed shows how this might work. By revealing the complexity and ambivalence of happiness, she intervenes in several fields—including queer and feminist theory, affect studies, and critical race theory—in a genuinely new and exciting way.”—Heather K. Love, author of Feeling Backward: Loss and the Politics of Queer History


“The Promise of Happiness is an extraordinary text that should become a mainstay of affect studies and that serves as a strikingly powerful model of astute cultural critique. Ahmed offers an insightful study of our preoccupation with and desire for happiness.”
-- Jenna Supp-Montgomerie ― Women's Studies Quarterly

“Expand[s] the political horizons of feeling and cultural politics with exciting complexity . . . brilliant.”
-- Sarah Cefai ― Cultural Studies Review

“By unpacking the attribution of happiness to specific choices and lives, Ahmed encourages us to consider how ‘the promise of happiness’ serves as a moral imperative. A stimulating and—dare I say—pleasurable read, the book may not have a happy ending, but it does propose what might happen instead.”
-- Kestryl Cael Lowrey ― Lambda Literary Review

“Fascinating and important, both in showing us how to read some key texts differently and in showing how to think more carefully about happiness and its politics. . . . [T]here is a perverse happiness to be taken from reading such an interesting book about the insufficiency of happiness.”
-- Richard Ashcroft ― Textual Practice

“The Promise of Happiness is richly valuable not only for its discussion of utilitarianism but also for its broader deconstruction of the workings of happiness in a range of works of philosophy, literature, and social science. Whereas other feminist theorists also occasionally cast a critical eye toward happiness, or raise consciousness of female unhappiness, Ahmed has produced a volume that is unparalleled in its sustained and extensive expose´ of the entanglements between discourses of happiness and oppression.”
-- Andrea Veltman ― Hypatia

“The Promise of Happiness bridges philosophy and cultural studies, phenomenology and feminist thought—providing a fresh and incisive approach to some of the most urgent contemporary feminist issues. Ahmed navigates this bridge with a voice both clear and warm to convey ideas that are as complex as they are intimate and accessible. Her treatment of affect as a phenomenological project provides feminist theorists a way out of mind-body divides without reverting to essentialisms, enabling Ahmed to attend to intersectional and global power relations with acuity and originality.”
-- Aimee Carrillo Rowe ― Signs

“Ahmed enhances feminism’s critical toolbox by guiding us to regard affect as a cipher for society as we track how it produces and is produced by politics. ... Ahmed draws on feminism to potentially enhance the quality of life for her readers, who are offered mindful practices of relinquishing attachment to various ideals in a text that is neither Pollyannaish nor depressing.”
-- Naomi Greyser ― Feminist Studies

“Ahmed's language is a joy, and her work on each case study is filled with insight and rigor as she doggedly traces the social networks of dominance concealed and congealed around happiness. . . . The Promise of Happiness is an important intervention in affect studies that crucially approaches one of the major assumptions guiding social life: the assumption that we need to be happy.”
-- Sean Grattan ― Social Text --This text refers to the hardcover edition.


From the Back Cover

"At a time when happiness studies are all the rage and feminism is accused of destroying women's happiness, Sara Ahmed offers a bold critique of the consensus that happiness is an unconditional good. Her new book asks searching questions about the nature of the good life, making its case in a wonderfully pellucid prose. What a paradox that a defense of the kill-joy should be such a pleasure to read! This timely, original, and intellectually expansive book is sure to trigger a great deal of debate."--Rita Felski, University of Virginia --This text refers to the hardcover edition.


Publisher ‏ : ‎ Duke University Press Books (April 6, 2010)
Publication date ‏ : ‎ April 6, 2010
Language ‏ : ‎ English
File size ‏ : ‎ 1322 KB
Text-to-Speech ‏ : ‎ Enabled

Customer Reviews: 4.3 out of 5 stars    37 ratings

Top reviews from the United States
S C.
5.0 out of 5 stars excellent
Reviewed in the United States on May 12, 2013
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An unsettling but also surprisingly comforting book about how happiness is used as a disciplinary strategy in modern western society. Ahmed writes beautifully and incorporates literary and film analysis into her cultural critique seamlessly. I often skip long sections of textual analysis if I haven't read/seen the work being critiqued, but I was able to read through all of Ahmed because of her skillful descriptions and the perfect way she handles incorporating them into her points.
12 people found this helpful
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muvli
3.0 out of 5 stars No Happiness Here
Reviewed in the United States on November 26, 2011
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Had to read this book for a class. It was an excruciating read. While there are some really good nuggets in here, it's just too dense and scholarly of a read to read for pleasure. The book is very thoroughly researched, though. If you enjoy reading theory or philosophy, you'll probably get a lot out of this book.
11 people found this helpful

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Pooky
5.0 out of 5 stars Wrestling normative happiness expectations and promises
Reviewed in the United Kingdom on December 10, 2018
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This is a really helpful and readable text. The introduction, then chapters 2 3 and 4, are especially good. Chapter 1 was a bit dry for me - but it was laying down important groundwork, so I guess that's just academic writing for you. Ahmed is wonderful. It'll do you a lot of good to get acquainted with her work whether you're in academia or not. Ahmed also has a blog called feministkilljoys, which is great, so if you're a little unsure about purchasing this, then go there and read some of her work first.

Queer the status quo! Wrestle with normative happiness expectations and promises! Break down the walls and embrace possibility! etcetc
One person found this helpful



Smile Or Die: How Positive Thinking Fooled America and the World eBook: Ehrenreich, Barbara: Kindle Store

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Smile Or Die: How Positive Thinking Fooled America and the World Kindle Edition
by Barbara Ehrenreich (Author) Format: Kindle Edition


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English
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Granta Books
Publication date

August 5, 2010













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Editorial Reviews

Review
This brilliant new book from the author of Nickel and Dimed and Bait and Switch explores the tyranny of positive thinking, and offers a history of how it came to be the dominant mode in the USA. Ehrenreich conceived of the book when she became ill with breast cancer, and found herself surrounded by pink ribbons and bunny rabbits and platitudes. She balked at the way her anger and sadness about having the disease were seen as unhealthy and dangerous by health professionals and other sufferers. In her droll and incisive analysis of the cult of cheerfulness, Ehrenreich also ranges across contemporary religion, business and the economy, arguing, for example, that undue optimism and a fear of giving bad news sowed the seeds for the current banking crisis. She argues passionately that the insistence on being cheerful actually leads to a lonely focus inwards, a blaming of oneself for any misfortunes, and thus to political apathy. Rigorous, insightful and bracing as always, and also incredibly funny, "Happy Face" uncovers the dark side of the 'have a nice day' nation.

Product details

ASIN ‏ : ‎ B003DX0HWC
Publisher ‏ : ‎ Granta Books (August 5, 2010)
Publication date ‏ : ‎ August 5, 2010
Language ‏ : ‎ English
File size ‏ : ‎ 699 KB
Text-to-Speech ‏ : ‎ Enabled
Screen Reader ‏ : ‎ Supported
Enhanced typesetting ‏ : ‎ Enabled
X-Ray ‏ : ‎ Not Enabled
Word Wise ‏ : ‎ Enabled
Print length ‏ : ‎ 260 pages
Lending ‏ : ‎ Not Enabled
Best Sellers Rank: #1,459,045 in Kindle Store (See Top 100 in Kindle Store)
#1,090 in Journalism Writing Reference (Kindle Store)
#2,925 in Popular Culture
#4,082 in Journalism Writing Reference (Books)
Customer Reviews:
4.4 out of 5 stars 103 ratings





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Biography
BARBARA EHRENREICH is the author of fourteen books, including the bestselling Nickel and Dimed and Bait and Switch. She lives in Virginia, USA.






JeanneAH

4.0 out of 5 stars Barbara Ehrenreich Book ReviewReviewed in the United States on May 16, 2012
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I have been an admirer of Barbara E. for a long time. She's a good writer and makes interesting things even more interesting. The book mainly deals with how the corporate, business, medical and religious worlds demand a "positive" attitude.. or else! Entertaining read. The only thing I was disappointed with was that this book had previously been released under another title .. "Bright Sided" and so I bought a book I had already read. I did like the book a lot, so I read it again. I do think it is a little sneaky for publishers...and Amazon.. to pull this trick.. and if they do they ought to advise the buyer about it.

39 people found this helpful

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Just reading

5.0 out of 5 stars A fine perspective on a cognitive sinkholeReviewed in the United States on January 9, 2013
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Clearly a cut above. Ehrenreich continually entertains and educates her readers in this description of the dangers of magical thinking and unfounded optimism. The author, whose tone could best be described as constructively pessimistic, gives ample background and lets the proponents of positive thinking speak their piece (thereby giving them just enough rope...). Do not miss it.

7 people found this helpful

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Sam Giancana

3.0 out of 5 stars Frown and prosperReviewed in the United States on January 24, 2014
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Entertaining, well written and a sympathetic thesis. This is a great book for those wondering why they can't just grit their teeth and fake happiness. I am interested in this authors other works now.

9 people found this helpful

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poohbear

5.0 out of 5 stars I really enjoyed it.Reviewed in the United States on April 5, 2018
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As advertised.
I really enjoyed it...in a depressing way.


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Ironmonger

5.0 out of 5 stars a necessary readReviewed in the United States on November 20, 2019
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A must read for everyone convinced that this positivity movement isn't what its cracked up to be....
eyeopening and relevant


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Amazon Customer

5.0 out of 5 stars Good!Reviewed in the United States on October 19, 2019
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good!


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humorous

5.0 out of 5 stars An Honest BookReviewed in the United States on August 21, 2012
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I was ( and still am ) lucky to have encountered the title of this book through the Internet, and luckiest to have bought this book and have read it from cover to cover, even though I am a naivete and did not have much knowledge about the author. With her renowned talent and with the honest feeling she had from the beginning when she started thinking about writing a book about being "positive", nothing could go wrong. I was touched, toward the end of this best-seller, when I read, to quote, "This is the project of science: to pool the rigorous observations of many people into a tentative accounting of the world, which will of course always be subject to revisions arising from fresh obserbations." Our life, including( sad to say ) what she wrote, is ephemeral, and she knows it.

2 people found this helpful

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Amazon Customer

4.0 out of 5 stars Four StarsReviewed in the United States on March 7, 2016
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Very good


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Robin Richards
4.0 out of 5 stars I enjoyed reading 'Smile or Die' very much and I liked ...Reviewed in the United Kingdom on July 10, 2018
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You could call it my guilty secret (ok one of my many guilty secrets) but I have something of a weakness for self-help books and what could be described as the 'Success' and positivity movement so I was interest to read the views of someone who challenges it. I enjoyed reading 'Smile or Die' very much and I liked the alternative views Barbara Ehrenreich presented especially her broad view of how management strategies use this overtly positive approach to attempt to offset the negatives of wholesale redundancies and also how an overtly positive, head in the sand, attitude impacted on the 2008 financial crisis. It was also helpful to read someone who challenges to 'Law of Attraction' - I must admit I've struggled with that one, and also her critique of the book 'Who Moved My Cheese' which I'd read, didn't find stimulating or insightful and was wondering if I'd missed something. Overall a useful book, I still err towards a having (and indeed encouraging others to have) a positive perspective but Barbara presents a sound counter argument which deserves consideration.

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Dirk vom Lehn
5.0 out of 5 stars Excellent critical discussion of positive thinkingReviewed in the United Kingdom on August 28, 2016
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Ehrenreich systematically discusses the 'happiness movement' and its development from the Protestant Ethic. She shows how this movement underpins on the one hand the self-help movement on the other hand arguments by the rich and by corporation for people who are poor and/or unemployed to pull themselves up by thinking positively. This argument to change people's living and working conditions by turning inward rather than by changing the circumstances in which we all live is at the heart of Ehrenreich's critique. Highly recommended book.

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Mike Partner
5.0 out of 5 stars As it happens I was just about to write an article about the way that positive psychology turns the concept of happiness into aReviewed in the United Kingdom on January 13, 2015
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This is a book about a very serious subject that is written in an elegant and attractive style. As it happens I was just about to write an article about the way that positive psychology turns the concept of happiness into a right, duty and consumable commodity when I came across this book. It is very refreshing and introduces us to some of the characters in the happiness business in a witty, honest and engaging way, whilst making a strong argument for a change towards"vigilant realism" or even "defensive pessimism". This seems to me to address the whole capitalist preoccupation with consumption and how it has become a virus in our experience of ourselves. I urge you to read this book!

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Conall Boyle
4.0 out of 5 stars Insightful bookReviewed in the United Kingdom on August 8, 2010
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Very interesting story of the origins of 'positive thinking' backed up with fine research sources. An eye-opener, and one of those books that gets you to see things from a new angle.
From the early beginnings with christain science countering victorian miserable-ism through to pseudo-science of think yourself happy and cure your cancer, the author weaves a thread. The happy worker reconciled to his/her lousy job provides a horrifying glimpse into the corporate world.
The last bit on happiness theory from economists etc. I would judge less good. Ok so some of the well-known academics in the field are not above cashing in on their knowledge, and pandering to the happiness gurus. But the search for the good life goes on, regardless. Maybe if they seek ways to be happIER they might have a better handle on this.
Overall, I'd say a very good read, very insightful.

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Geoff60
5.0 out of 5 stars Very interesting slant on positive thinking modelsReviewed in the United Kingdom on November 17, 2019
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I came across this book from a reference in another book. Although it took a bit of time to get 'stuck-in' so to speak it was quite a revealing insight to the the US model of positive thinking throughout the last few decades. Definitely worth a read.
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DANCING IN THE STREETS A History of Collective Joy: Ehrenreich, Barbara: 9781862079540: Amazon.com: Books

DANCING IN THE STREETS A History of Collective Joy: Ehrenreich, Barbara: 9781862079540: Amazon.com: Books

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From the bestselling social commentator and cultural historian, a fascinating exploration of one of humanity's oldest traditions: the celebration of communal joy

In the acclaimed Blood Rites, Barbara Ehrenreich delved into the origins of our species' attraction to war. Here, she explores the opposite impulse, one that has been so effectively suppressed that we lack even a term for it: the desire for collective joy, historically expressed in ecstatic revels of feasting, costuming, and dancing.

Ehrenreich uncovers the origins of communal celebration in human biology and culture. Although sixteenth-century Europeans viewed mass festivities as foreign and "savage," Ehrenreich shows that they were indigenous to the West, from the ancient Greeks' worship of Dionysus to the medieval practice of Christianity as a "danced religion."

 Ultimately, church officials drove the festivities into the streets, the prelude to widespread reformation: Protestants criminalized carnival, Wahhabist Muslims battled ecstatic Sufism, European colonizers wiped out native dance rites. 

The elites' fear that such gatherings would undermine social hierarchies was justified: the festive tradition inspired French revolutionary crowds and uprisings from the Caribbean to the American plains. Yet outbreaks of group revelry persist, as Ehrenreich shows, pointing to the 1960s rock-and-roll rebellion and the more recent "carnivalization" of sports.

Editorial Reviews
About the Author
Barbara Ehrenreich is the author of several books, including the New York Times bestseller Nickel and Dimed. She is a frequent contributor to the New York Times, Progressive, Harper's, and Time magazine and currently lives in Florida.

--This text refers to an out of print or unavailable edition of this title.
From Publishers Weekly

Ehrenreich's social history of collective joy, ranging from pagan ritual to rock concerts, comes off as an extended, rambling lecture, taking in a varied array of subjects along the way. Taking the hint, Ward reads Ehrenreich's book with a touch of the lecturer's oratorical savvy, and some of that same figure's dry deliberation. Ehrenreich argues that communal ecstasy has been too often misunderstood as an excuse for booze-fueled sexual bacchanalias, ignoring its political and social components. Ward is neither overly joyous in her reading, owing too much to the nature of her material, nor overly serious, her voice tinged with the slightest hint of charmed pleasure at the prospect of declaiming on Ehrenreich's chosen subject. The unabridged audio is not overlong as audiobooks go, but there are moments where Ward's reading drags ever so slightly, pulled down by a sameness of approach that threatens to inspire the opposite of the ecstatic moments Ehrenreich's book describes. The solid quality of Ehrenreich's prose papers over the gaps and gives Ward's reading the pleasurable (if not quite monumentally joyous) sensation it possesses.

Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
Product details
Publisher ‏ : ‎ Granta Books; First Edition (January 1, 2007)
Language ‏ : ‎ English
Hardcover ‏ : ‎ 240 pages


Customer reviews
4.8 out of 5 stars
Top review from the United States
Tim Warneka
4.0 out of 5 stars Excellent book, Well Researched
Reviewed in the United States on November 22, 2009
I listened to the audio version of this book.

I found this book to be fascinating and stimulating. As a life-long Roman Catholic, I thought the earlier reviews that decry the author for her 'church bashing' and 'Stalin'-like approaches were rather unfair and unnecessarily ad hominem. The author clearly put a great deal of time and effort into this book (either that, or she has an amazing team of researchers working for her! ;-D). It was fascinating for me to listen as she wove disparate pieces of information into a beautiful tapestry about the history of collective ecstatic dance in the Western world. (These kinds of books are very difficult to write. If you haven't tried to write a book such as this, I would strongly invite you to do so ... you'll gain a new appreciation for authors such as Ehrenreich who make it look so easy.)

I picked this book up because I very appreciated the author's  Nickel and Dimed: On (Not) Getting By in America  and  Bait and Switch: The (Futile) Pursuit of the American Dream . I appreciate the author because she is focusing on issues that, in my opinion, should deeply concern today's Christians, such as the rich becoming richer and the poor becoming poorer.

As a mental health professional, I also found her discussion on depression and mental health issues to be very insightful.

The person who read the audio book did a wonderful job. I found her voice very easy to listen to. The only critique I would offer to the publisher is that I sometimes found it difficult to tell where a particular quote ended and where the text resumed (in several cases knowing where they quote ended made a significant different in understanding the text).

For people interested in historical Christianity, collective healing rituals, mental health, dance, martial arts, and other forms of physical movement, I would highly recommend this book.

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19 people found this helpful

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katherine stimson
5.0 out of 5 stars A wonderful well researched book that tells the alternative side of western dance history.
Reviewed in the United Kingdom on December 20, 2020
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I ordered this book several years ago to supplement that texts that I give students to read in a Dance History class for professional level contemporary dance students. It never fails to be a big hit in the way that it is written and in the sentiment behind the roots of our collective dance and music traditions. Engaging and surprising this well researched book is an easy and enlightening read.

 
Wellman
5.0 out of 5 stars Clever author
Reviewed in the United Kingdom on August 13, 2020
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I like her pragmatism
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Ms. L. Gordon
5.0 out of 5 stars A book that articulates uncertainties about Western Society from a left field approach
Reviewed in the United Kingdom on January 22, 2014
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This is a book that articulated every unspoken and nebulous uncertainty I held about modern western society and supported my belief that we must fight for the right to dance in the streets...in every possible abstraction of the concept!
2 people found this helpful
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TAMicheli
5.0 out of 5 stars A singular joy
Reviewed in the United Kingdom on June 13, 2015
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Both the scope and depth of this book strongly recommends it to all who study certain kinds of festivals and events. The book is a singular joy.
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ROMA

Natural Causes: Life, Death and the Illusion of Control - Kindle edition by Ehrenreich, Barbara. Politics & Social Sciences Kindle eBooks @ Amazon.com.

Natural Causes: Life, Death and the Illusion of Control - Kindle edition by Ehrenreich, Barbara. Politics & Social Sciences Kindle eBooks @ Amazon.com.




Natural Causes: Life, Death and the Illusion of Control Kindle Edition
by Barbara Ehrenreich (Author) Format: Kindle Edition


4.0 out of 5 stars 428 ratings

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Editorial Reviews

Review
"Ehrenreich's sharp and fearless take on mortality privileges joy over juice fasts and argues that, regardless of how many hours we spend in the gym, death wins out. An incisive, clear-eyed polemic, NATURAL CAUSESrelaxes into the realization that the grim reaper is considerably less grim than a life spent in terror of a fate that awaits us all."
―p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px 'Helvetica Neue'; color: #454545}Matthew Desmond, Pulitzer Prize-winning and New York Times bestselling author of Evicted

"...[A] provocative, informative, hilarious, and deeply moving book. A must read."―Arlie Hochschild, New York Times bestselling author of Strangers in their Own Land: Anger and Mourning on the American Right

"Throughout the text, [Ehrenreich] employs the erudition that earned her degree, the social consciousness that has long informed her writing, and the compassion that endears her to her many fans...A powerful text that floods the mind with illumination-and with agonizing questions."―Kirkus (starred review)

"[Ehrenreich] offers a healthy dose of reformist philosophy combined with her trademark investigative journalism. In assessing our quest for a longer, healthier life, Ehrenreich provides a contemplative vision of an active, engaged health care that goes far beyond the physical restraints of the body and into the realm of metaphysical possibilities."―Booklist

"Barbara Ehrenreich is a singular voice of sanity amid our national obsession with wellness and longevity. She is deeply well-informed about contemporary medical practices and their shortcomings, but she wears her learning lightly. NATURAL CAUSES is a delightful as well as an enlightening read. No one who cares about living (or dying) well can afford to miss it."―Jackson Lears, PhD, Editor in Chief of the Raritan Quarterly Review

"This book is joyous. It is neither anti-medicine nor anti-prevention; it is pro-balance, pro-scepticism and pro-perspective. Paradoxically, Natural Causes is about hope. If you are struggling with choices that weigh hope in potential medical advances that damage quality of life against non-treatment and the acceptance of a terminal diagnosis, this may not offer much comfort, but...as with so many of Ehrenreich's books, NATURAL CAUSES is a much-needed tonic."―The Guardian

"'Give me a lever and a place to stand and I will move the earth,' promised Archimedes. In Natural Causes, Barbara Ehrenreich has achieved an Archimedean feat. Her lever is made of erudition, acuity and irreverence; her place to stand is the perspective of cultural criticism; and she has turned the current understanding of body and self upon its head. To read this book is a relief: at last, what needed to be said!"―Jessica Riskin, author of The Restless Clock: A History of the Centuries-Long Argument over What Makes Living Things Tickp.p1 {margin: 0.0px 0.0px 0.0px 0.0px; line-height: 27.0px; font: 21.0px Arial; color: #111111; -webkit-text-stroke: #111111; background-color: #ffffff}span.s1 {font-kerning: none}

Claiming to be 'old enough to die,' feminist scholar Ehrenreich (Living with a Wild God) takes on the task of investigating America's peculiar approach to aging, health, and wellness...Ehrenreich's sharp intelligence and graceful prose make this book largely pleasurable reading."―Publishers Weekly

"...[R]ichly layered with evidence, stories and quotations...and sprinkled with barbed humor. Ehrenreich lets nobody off the hook, skewering Silicon Valley meditators and misogynist obstetricians with equal vigor. It's impossible to read this book without questioning the popular wisdom about the body and its upkeep. At the very least, you'll be able to make better decisions about how to work out, whether to have that mammogram and when to just order the steak."―BookPage

"[Ehrenreich's] description of cells rushing to staunch a wound is so full of wonder and delight that it recalls Italo Calvino...She sits in contemplation of death itself in the book's concluding, very beautiful passages, bringing to it her characteristic curiosity and awe at the natural world."―The New York Times

"Ehrenreich proves a fascinating guide to the science suggesting that our cells, like the macrophages that sometimes destroy and sometimes defend, can act unpredictably and yet not randomly."―The Atlantic

"[Ehrenreich] is one of our great iconoclasts, lucid, thought-provoking and instructive, never more so than here."―Blake Morrison, The Guardian

"Informative, provocative and entertaining."―The Times

"'Wham bam, thank you, ma'am' might be one response to this polemical, wry, hilarious and affecting series of counterintuitive essays by one of the most original and unexpected thinkers around...This is a book itself teeming with ideas and possibilities: maddening, stimulating, exciting and surprising, testifying in its own way to the expanding prospects of ideas that turn topsy-turvy, every-which-way as we try to make sense of the great unknowns."―The Arts Desk

"Ehrenreich's observations about our culture-wide denial of bodily decay lead[s]...down distinct paths of interrogation and discovery. For all [her] research, [she is] not prepared to give us easy answers. Still...dry humor and raw, personal accounts help make thinking about our common fate bearable. We may have a few extra years yet to sip kale smoothies, run marathons and get tested for everything under the sun, but we ought not make physical health our ultimate hope."―Wall Street Journal

"Engaging...Ehrenreich's scathing takedown of the wellness industry, New Age banalities and the epidemic of overdiagnosis will have you reconsidering how you live and die, and possibly second-guessing your next colonoscopy."―Newsweek --This text refers to the paperback edition.
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About the Author
Barbara Ehrenreich is the author of over a dozen books, including the New York Times bestseller Nickel and Dimed. Winner of the 2018 Erasmus Prize for her work as an investigative journalist, she has a PhD in cellular immunology from Rockefeller University and writes frequently about health care and medical science, among many other subjects. She lives in Virginia.
--This text refers to the hardcover edition.

Product details

ASIN ‏ : ‎ B07BZVKVNB
Publisher ‏ : ‎ Granta Books (April 12, 2018)

Print length ‏ : ‎ 256 pages
Lending ‏ : ‎ Not Enabled
Best Sellers Rank: #1,295,397 in Kindle Store (See Top 100 in Kindle Store)
#520 in Sociology of Death (Kindle Store)
#852 in Health Care Delivery (Kindle Store)
#1,542 in Sociological Study of Medicine
Customer Reviews:
4.0 out of 5 stars 428 ratings

Biography
BARBARA EHRENREICH is the author of fourteen books, including the bestselling Nickel and Dimed and Bait and Switch. She lives in Virginia, USA.
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Scott

5.0 out of 5 stars As with all really good to great booksReviewed in the United States on April 12, 2018

I just finished reading this and closed the book with a satisfying snap. As with all really good to great books, I finished it knowing more, in the case of this book much more, than when I started.

This isn't really a book for the young, although some will get good from it. It's a book for those of us who are of a certain age, or, have parents of a certain age and are wrestling with what the means to them, and to us.

It is also not a book for devout theists of any flavor. Ehrenreich's atheism is in full view throughout the book.

Although not what I would call a consistently uplifting read, I would say that I finished the book with a sense of calm and a far better appreciation for dealing with end of life issues and thoughts that come from the existential nihilism many of feel as we get older in general. I also found it very well written and an easy read (I finished it over a couple of days). 

Although I wouldn't recommend it to everyone I know (in particular the born-again Christian types, or any other particularly religiously fanatic person), I would recommend it to a majority.

Buy the physical version. Read it. Share it with those you love. You won't regret it.

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John Techwriter

1.0 out of 5 stars The worst read of the year -- so far -- and about a very important subject: how we boomers will age and dieReviewed in the United States on April 23, 2018
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Wow, what a disappointment. Perhaps my expectations were too high? I acknowledge that I expected a lot from the writer of "Nickel and Dimed", the book that changed my tipping habits in particular and my view of the life of the low-level worker in general. And the subject matter of "Natural Causes" was perfectly in sync with my circumstances: dealing with advancing age and a cancer diagnosis. My situation has been fermenting since early 2017 and by now I've come to the conclusion that my generation, the boomers, are not going to put up with the medical / pharmaceutical / health insurance industry's standard operating procedures. Instead, we were going to take charge of our lives, our healthcare, and the manner of our death.

After reading the NY Times review of this book, and hearing the author interviewed in a Slate podcast, I put in my order to Amazon immediately. I was confident I would enjoy reading somebody who was both an excellent writer and with a solid background in science, and whose views about healthcare in later years seemed to parallel my own. My hope was that along with enjoying the book, I'd be provided with arguments I could use in endlessly frustrating discussions with doctors and insurers. (Example of a frustrating discussion: I value quality of life over quantity, but my doctors take the opposite view and plan treatment accordingly. Whose opinion should prevail? Well, whose life is it, anyway?)

With my expectations at such a high level, I was all the more unprepared for a laborious, poorly researched and prepared kvetch against the medical establishment that by its weakness made the issues at hand appear overly subjective and self-centered. Barbara Ehrenreich, what has happened to you?

If wanting to be in charge of your medical treatment means you are self-centered, I stand guilty. I don't buy into the myth of the doctor as the all-knowing oracle for curing your ills, and that the patient should be a passive partner in the treatment planning process. But I wasn't ready for Ehrenreich's attempt early on in the book to demonize the medical profession, or reject doctors' advice out of hand. Her attitude harks back to man-hating excesses of early-generation feminism as Ehrenreich equates colonoscopies with sexual assault. Or, when she interprets the (always male, she asserts) gynecologist's white jacket as identifying the dominant player in a ritual where the woman receiving a pelvic exam is deliberately positioned in a receptive position. To me this is nonsense, the fantasy of someone who feels victimized by everything and who assigns absurd motivations to her supposed oppressor. In places, this author seems to have lost touch with reality.

It doesn't get better. I have no time for new-age homeopathic practitioners, so was surprised to read this Ph D's accusation that after aligning medicine with science in the late 19th century, the profession "won its monopoly over the business of healing" by deriding homeopathy, chiropractic, and other forms of quackery as "pseudoscience." But they are!

She dismisses preventive care as mostly a scam, and even though she exercises she condemns striving for fitness as just another example of our culture of narcissism. There are worthwhile arguments to be made against the excesses of medical testing and the false promises of the fitness industry, but Ehrenreich doesn't bother to make them. Instead she merely accuses, and even the logic of her accusations doesn't add up. Her sloppy writing and gratuitous arguments undermine legitimate criticism of these subjects and so do us all a disservice.

In similar fashion, she writes off the mindfulness movement to the machinations of Silicon Valley. She accuses the software developers of drumming up the trend toward mindfulness in order to sell mindfulness-related software. How she makes this connection is beyond me. I've worked in tech since the '80s and am aware there are some mindfulness apps out there, but in this multi-billion dollar industry they fail to register on anybody's bottom line, except perhaps those of a few startups. My reading of her attack on Silicon Valley is that she doesn't like the tech industry and is using the mindfulness fad to accuse the industry of manipulation. When so many far more relevant examples are available -- Facebook's use of user data for example -- her mindfulness argument is just silly. Because it loosely ties in with the book's theme she can justify its inclusion. But her argument is at best naive and at worst disingenuous.

Our death-denying culture and the industries that profit from it are worthwhile subjects for criticism, and Ehrenreich goes after them. Logically she argues that no matter how hard we exercise, how carefully we eat, how piously we avoid tobacco and alcohol, we nevertheless will end up dead. Healthy living advocates portray age and disease as personal failings that could be avoided if only we were less self-indulgent. Fair ball, but then she goes over the top and accuses "elites" in the upper middle class of depriving working-class people of their justified enjoyment of one of the few activities that reduce their stress level: smoking. Yes, she defends the tobacco industry and criticizes rising cigarette taxes that "hurt the poor and the working class hardest." Once again in this book Ehrenreich demeans valid criticism of the wellness industry by veering off the path of logic and common sense and defending the undefendable.

Her screwy logic is used against advocates of immunotherapy, a new approach to cancer that is generating enthusiasm and research -- and in a few cases, amazing success. But no, she argues, utilizing the immune system in the fight against cancer won't work because one cell type in the immune system, the macrophage, can actually switch sides and defend malignant cells from attack. With that single example she rules out an avenue of research that has only recently become viable due to advances in technology and the mapping of the genome. (In another part of the book, she wonders if much of the massive machinery used in medical treatment these days is actually fake, constructed and installed to impress and make compliant the patient.)

I don't know what's up with Barbara Ehrenreich, who is now 76. I'm a believer in Billy Wilder's maxim, "You're only as good as the best thing you've ever done." And I can attest that Ehrenreich has done some of the best investigative writing I've read. There's got to be a reason she fails so badly with this book. To get many of her zany accusations into print she must have fought tooth and nail with her publisher and her editor. I'm guessing that her previous successes and her status as a money-making author enabled her to prevail.

This book is going to do Ehrenreich's reputation no good, and may even demean some of the good writing she has done in the past. Worse, her lazy and self-gratifying arguments trivialize a major issue facing an aging America: delivery of compassionate, patient-focused healthcare to a large population, the boomers, who have pretty much had things their way so far in life.

We boomers are not going to allow our old age to be "medicalized" as Ehrenreich astutely puts it. If treatment is required, we want to know the alternatives and make the final call. This requires on our part a considerable amount of self-education about our affliction, but the internet provides us with legitimate sources of information that enable us to become "informed patients" who have earned the right to engage in a discussion with our doctors, as opposed to listening to a dissertation about what they're going to do to us next.

We've earned the right to call a halt to endless rounds of debilitating therapy and go to palliative care. And when that is exhausted, it will be our choice to go to hospice care, preferably in-home, and with the option of assistance from our doctor at the end of life so we don't have to endure intractable pain and needless suffering for weeks or months before we expire.

I'm hopeful that my generation will achieve a high quality of life through our senior years, that we'll control our illnesses rather than the other way around, and that we will learn to accept the inevitability of age and death early on, and have the authority to determine the time and manner of our death. The infrastructure is in place but attitudes of all the players need reality adjustments: We boomers must learn to age gracefully, our caregivers must learn to work with us rather than dictate to us, and the medical options as we near life's end -- palliative and hospice based -- need to be funded sufficiently to meet the requirements of our long-lived generation. All these must come to pass, and I am disappointed this acclaimed writer was unable to move the process forward.

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5.0 out of 5 stars Ehrenreich's wit and wisdom are priceless.Reviewed in the United States on April 14, 2018

What a treat it was to read this book! I’m not familiar with events at the cellular level in my body, or whatever else is going on in there, as long as it doesn’t hurt. But Ehrenreich makes this understandable, fascinating, funny, and serious at the same time. The book, however, isn’t all about cells. She takes us through a critical look at our health fads and dissects their supposed beneficial benefits. Turns out, you can eat all the kale and seaweed or whatever’s in style right now, but it won’t save you from your eventual death; we’re all going to die, right? Our deaths depend on many things we have no control over, such as cancer, a heart attack, or nuclear war. Ehrenreich also examines our burgeoning “preventive medicine” culture as a huge money-maker for doctors and hospitals, but not necessarily of much benefit to people.

I’ve always wondered why death is practically taboo in our culture; it’s treated as something to whisper about and to avoid at all cost. I’ve known lots of people who are scared to death about dying. Why? If you’re religious, you get to live in Heaven for eternity (which doesn’t sound too good to me; wouldn’t it get boring?). Or if you’re not religious, you can imagine nothingness: no pain, heartache, regrets, money issues, etc. Are we so self-centered that we can’t imagine not being alive? The takeaway: enjoy your life while you can, don’t go crazy over food or exercise fads, and go gently into that good night when your time comes.

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Jeannine B

3.0 out of 5 stars Disappointed...Reviewed in the United States on April 15, 2018
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I'm a long-time fan of Ehrenreich; but I was disappointed with this book. Unlike Nickeled and Dimed or Bright-Sided, this takes a very big subject, has a very large thesis about it--and fails to deliver. The author excels in finding and debunking frauds and social wrongs--the treatment of poor workers or people on the skids, in particular. But her effort to take on the entire medical establishment and alternative medicine, and even whole philosophical ideas about the nature of ourselves and the world is piecemeal, of course. It falls too quickly into diatribe, substitutes gibes for real reasoning, and fails to avoid logical fallacies. The thesis is a good one, a timely one--but the book does not succeed in its exposition.

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Sharon Knettell

5.0 out of 5 stars Liberating- joyful,enlightening, funny!Reviewed in the United States on April 30, 2018
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My husband and I are about the same age as Ehrenreich. Everyone thinks that if you have excellent insurance you are home free- however that does not prevent doctors from using you as a cash cow or a sa guinea pig for their latest money making office test.
She exposes the underbelly of a medical profession that is not as knowledgeable in science as one is led to believe and preys on our fear of death. I got news for you- it's going to happen.

A total joy to read- not another 10 ways to live longer crappy book. Liberating.

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Wanderer75
5.0 out of 5 stars A real help when mulling over your mortality, and that of other people.Reviewed in the United Kingdom on April 6, 2020
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I was diagnosed with cancer several years ago. As well as reading up on my condition, and on cancer in general (Dr Servan Schreiber; Dr Susan Love; Pr Robert Weinberg) I've been reading up on death and dying issues and on health in disease in general (Dr Sherwin Nutland; Dr Atul Gawande; Dr Paul Kalanithi; Dr Martin Winckler; Susan Sonntag; Mitzi Blennerhassett). I had reread Barbara Ehrenreich's book Smile or Die after being diagnosed, and watched one of her videos on the subject, she had managed to make me laugh when she explained how she had ranted and grovelled throughout her cancer treatment!

Some chapters of this book are in the same vein as 'Smile or Die', but the book goes much, much deeper. It's taken me several months to read it, as I looked up some of the references, and there was really much to mull over. My favourite subject was probably the one about how our immune system can betray us: as someone who has auto-immune diseases, I sometimes joke with my doctors that if my immune system was an employee, I'd fire them and replace them with someone who is competent and can do the job properly... but unfortunately I'm stuck with them for the rest of my life.

I am an atheist, like Barbara Ehrenreich, and I don't have too much of a problem facing my own mortality, i.e. the fact that once I'm dead, that's it, I cease to exist altogether, I will no longer have a stream of consciousness, and nothing will survive, no soul or anything. It doesn't frighten me as much as a 'theist', even though I spend a lot more time thinking about death (and about living my life in a good way) than them, and I started to think of death as a small chilld, due to an early experience of bereavements and then of helping out on a farm, killing and slaughtering animals for food, or going out fishing, again for food. It's quite counterintuitive but it's also the experience of other atheists I've spoken with. Similarly, we're more frightened about physical pain than 'theists', and therefore we tend to favour euthanasia, the way it's done in Netherlands (where, in 2017, the number of patients who saw their request for euthanasia declined was equal to the number of patients who saw their request for euthanasia granted) or in Belgium.
However, if I don't fear my own death, I do fear the death of people I like, and especially the death of people I love... and at the beginning of this year, I lost someone I'd known for over half my life, and who has very, very dear to me. It was incredibly difficult for me, even though I should have been relieved that they were no longer in pain. I just wanted to turn back the clock and intervene in their life several decades ago, to try and avoid them developing this disease. 

After about a fortnight, I turned to Barbara Ehrenreich's book again, to try and focus on something else than this person's death (I was really not in the mood for any light reading), and I actually found it really, really helpful, and read it again from cover to cover, with a new perspective.

 In the epilogue, Barbara Ehrenreich quotes a poem which Bertold Brecht wrote on his death bed, about how to enjoy the sound of blackbirds singing outside when you know that they will carry on singing when you're gone. This poem was one which my dearly departed loved, and to find it in this book (which I hadn't finished when he died) felt like a sign from him, even though I consider he's gone for good, and it made me smile and cry at the same time, and think of those quiet evenings spent together looking at the blossoming cherry trees and the clouds floating in the blue sky, and listening to blackbirds singing... and I felt much more at peace. Help with the grieving process wasn't something I had expected to get out of this book, I just wanted to look at my own mortality, but this book helped me more than most of the books and articles and videos I've found over the past couple of months.

I think this is a book which one would need to read several times during one's life, when one is young and death seems far away, when one has had a bereavement and death seems closer, when one starts getting health issues (not life threatening yet) and when one gets a diagnosis for a potentially life threatening condition. 

I don't know whether it would help a young person who has been diagnosed with a terminal disease, it is written from the perspective of someone who has had a good life and is ready to go (though not eager to!). However, once you're middle aged, I think you start having the same perspective, and even if you don't have any serious condition yet and are in good health, you could get covid-19, you could get a car accident, you could get food poisoning... so thinking about your death (and drawing up your will, and filling up an advanced directives form) can't hurt, and this book is extremely well suited for the job.
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William Cohen
3.0 out of 5 stars Bold in parts, boring in othersReviewed in the United Kingdom on October 25, 2020
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I like BE's searing honesty. She's great on why she's packed up having medical examinations. She explains why medical checkups are not as sensible as they seem. Doctors might make needless interventions, or you'll just get caught up in their system and spend days in windowless rooms waiting for appointments. Far better to live and if you get caught with cancer, well, you're time is up. She's also caustic about healthy eating and workmen out.

The stuff about cells was moderately interesting. But I found the ways she champions science and scorns religion just ridiculous. The pandemic has shown that people have swapped religion for science, and turned science back into a religion. We've all got to die of something.

Suffice to say, this book has dated quickly.
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Janie U
3.0 out of 5 stars Interesting opinion and I love that she speaks out but I struggled with a few of the chaptersReviewed in the United Kingdom on September 8, 2019
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I've read a few books about death and the human urge to control it so was curious about this book, particularly when I had enjoyed "Nickel and Dimed" by the same author.
It is just over 200 pages and split into 12 chapters, the titles of which give hints about their contents.
I was immediately hooked into the author's style of writing in the same way of her last book I read. I'm certainly of her opinion that I want to be in control of any medical intervention. I'm 20 years younger than the author at the time she wrote this book so have a slightly difference perspective but still very strongly believe that life should not be extended artificially with no advantage.
The first four or five chapters were completely absorbing but then she strayed off topic into the science which I found much less engaging than her opinions. Once the topic headed towards society's views of aging and death, I felt more interested again. There wasn't much that I found startling but it was good to have another opinion.
I'm very much in agreement with the statement headlines in the book but think her analysis is so deep that it goes off at a few unnecessary tangents. The book did keep my attention to the end but it was a struggle.
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Ransen Owen
5.0 out of 5 stars Points out many things I had not thought aboutReviewed in the United Kingdom on June 29, 2020
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An interesting read and points out many things I had not thought about. (The most worrying personally is the very slow long lingering decline if you've been fit most of your life.)

The one criticism is that she does not mention the mystery of all this, the world, our existence. But maybe this is not the book to do it.

Still, 5 stars yes.

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Wellman
5.0 out of 5 stars Sensible bookReviewed in the United Kingdom on January 14, 2019
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At last, a knowledgeable piece of writing on an awkward subject which is familiar to us all. Written with humour, mirth and passion.
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===

- The New York Times

BOOKS OF THE TIMES

Barbara Ehrenreich Urges Us to Accept, Accept the Dying of the Light



By Parul Sehgal
April 10, 2018


The most purely, proudly American genre of writing might be the to-do list. From Benjamin Franklin’s 13-week plan for self-optimization to young Gatsby’s daily routine (“practice elocution, poise and how to attain it”), nothing captures quite so well our essential optimism, mania for self-improvement and suspicion of leisure — not to mention the unapologetic grasping that so galled de Tocqueville.



The key word in the Declaration of Independence isn’t life, liberty or happiness, the writer Patricia Hampl has pointed out. It’s pursuit.

All this striving is getting in the way of living, Barbara Ehrenreich argues in “Natural Causes” — and it’s making dying more painful and humiliating than it needs to be.

Her new book is blunt: Nothing in modern life prepares us for the leaving of it. We treat aging as an outrage or, worse, as a sin. In our addiction to betterment, we’ve replaced “health” — an absence of sickness — with the amorphous “wellness” and a flurry of overtesting, fad diets and pointless “alternative” treatments.

“Every death can now be understood as suicide,” she writes. “We persist in subjecting anyone who dies at a seemingly untimely age to a kind of bio-moral autopsy: Did she smoke? Drink excessively? Eat too much fat and not enough fiber? Can she, in other words, be blamed for her own death?”

At 76 years old, Ehrenreich has decided that she is old enough to die. She forswears annual exams, cancer screenings and any other measure “expected of a responsible person with health insurance.” There will be no more mammograms, no more tedious lectures, no more pawing physicians. “Not only do I reject the torment of a medicalized death, but I refuse to accept a medicalized life.”

It’s reasonable, even honorable to so coolly make peace with the inevitable. But I confess wanting a bit more raging against the dying of the light. Ehrenreich is irreplaceable to the culture, with her rigor and skepticism, her allergy to comforting illusions. Only she would offer a grim riff on the Rev. Dr. Martin Luther King Jr. (“The arc of history is long,” she writes, “but it bends toward catastrophic annihilation”) as incentive to action not defeatism.

Ehrenreich has called herself a “mythbuster by trade.” In previous books, she’s assailed the positive-thinking movement (“Bright-sided”), and gone undercover to investigate low-wage work in the era of welfare reform (“Nickel and Dimed”) and middle-class job insecurity (“Bait and Switch”).

The wellness movement, as you might imagine, doesn’t stand a chance. She fillets it with ease and relish — revealing the paucity of research supporting the usefulness of everything from annual physical exams to meditation — and dismantles nostrums about the innate balance and wisdom of the body.

She introduces us to a world of dystopian “intrabody conflict.” (Ehrenreich has a Ph.D. in cellular immunology.) Our bodies are subject to randomness and even outright “conflict at the cellular level.” She cites a biologist who describes pregnancy as “maternal-fetal competition”: The fetus tries to siphon off the nutrients from the mother, whose body struggles to retain them for herself. Our immune system has been found to nourish cancer cells (“the fire department is indeed staffed by arsonists”).

“Natural Causes” is peevish, tender and deeply, distinctively odd — and often redeemed by its oddness. Ehrenreich is so offended by the American conflation of health with virtue and offers charming contrarian essays on the “defiant self-nurturance” of cigarette smoking, for example, and the dangers of eating fruit. The pleasures of her prose are often local, in the animated language, especially where scientific descriptions are concerned. Her description of cells rushing to staunch a wound is so full of wonder and delight that it recalls Italo Calvino.

There are, however, a few swan dives into near-nonsense. In arguing that the wellness epidemic seeks to prettify our body’s actual processes, she reveals a horror of menstruation — a “violent occurrence” that she claims can be “appalling, even terrifying, to the young girl who experiences it.” She rails against “pro-menstrual propaganda” that dares “normalize this.”

It’s a confusing moment of squeamishness and overstatement from a woman who was politicized as a young mother by the funky feminism of the 1970s. (There’s even a fond mention of a speculum in these pages.)

More surprising, Ehrenreich never really grapples with the obvious point that most Americans suffer from a lack — not excess — of access to basic health care. This is especially true for women of color, as the alarming rates of maternal mortality make clear.

Ehrenreich’s focus on relatively rarefied issues and pet preoccupations make it clear that this is a book born out of private not public concerns — despite masquerading as such. It possesses what the critic Helen Vendler described as “the strange binocular style” of late works, in which the writer is attentive to death’s encroaching shadow but also vividly alive to the present moment. There is a feeling of Ehrenreich getting her affairs in order, slaying a few final foes.


The wellness movement neatly dispatched, 
she sits in contemplation of death itself in the book’s concluding, very beautiful passages, bringing to it her characteristic curiosity and awe at the natural world.

 “It is one thing to die into a dead world and, metaphorically speaking, leave one’s bones to bleach on a desert lit only by a dying star,” she writes.

“It is another thing to die into the actual world, which seethes with life, with agency other than our own, and at the very least, with endless possibility.”seething definition: 1. extremely angry but unable or unwilling to express it clearly

I’m reminded of a haiku by Mizuta Masahide, the 17th-century Japanese poet who commemorated the burning down of his barn, which left him homeless: “My storehouse burned down—/now nothing stands between me/and the moon above.”
Correction: April 12, 2018

An earlier version of this review misstated the profession of Helen Vendler. She is a critic, not a poet.
Correction: April 12, 2018

An earlier version of a capsule summary with this review misstated the title of the book. It is “Natural Causes,” not "Natural States.”


Follow Parul Sehgal on Twitter: @parul_sehgal.

Natural Causes
An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer
By Barbara Ehrenreich
234 pages. Twelve. $27.
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