Book Summary and Reviews of The Best Minds by Jonathan Rosen

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Pegeen_B

The crisis of mental health care
A close if anecdotal look at the impact of schizophrenia on a bright young man and on his spouse , friends and work colleagues. Two aspects of this book entwine : the actual personal experience of a mind ravaged but also the flurry of treatments. Raised on the specter of Nurse Ratchet and rigid penalizing institutions , the 70’s- 90’s pushed back against psychotropic drugs and hospitalization , but perhaps with even less relief and success of treatment. Although most schizophrenics are not violent , this book does stand as a warning against simply treating this illness with Good Intentions. As so often true a moderate path between heavy drug and institutionalization and unproven untested less invasive treatments is probably the most effective .

Shetreadssoftly

very highly recommended account of the life of Michael Laudor
The Best Minds: A Story of Friendship, Madness, and the Tragedy of Good Intentions by Jonathan Rosen is a very highly recommended account of the life of Michael Laudor, his schizophrenia, and an exploration of the history of how we treat mental illness.

Michael Laudor and Jonathan Rosen became best friends almost immediately after they met in 1973 when the Rosens moved to New Rochelle, New York. Rosen shares stories of their childhood and Michael's brilliant mind and commanding presence even when young. By the time the two both got into Yale, they were no longer as close as they were as children, but still kept in touch. Michael graduated in three years and moved on to a consulting job. After a year the stress became too much and Michael was beginning to struggle with his mental health. He moved home and this is where he was when he had his first psychotic break. He was diagnosed with paranoid schizophrenia in the locked ward of a psychiatric hospital.

Michael learned he was accepted into Yale Law School while he was hospitalized. A year and a half later while still experiencing delusions, he attended Yale Law and graduated with a whole lot of help from others. Later his story was featured in The New York Times and he sold his memoir. A film on his life was being planned. But then Michael had another psychotic break and stabbed his girlfriend Carrie to death with a kitchen knife, the act that grabbed headlines and national attention.

The history of the shifting views on mental illness and treatment is also address, including the 1980s deinstitutionalization. The history did feel a bit long, but is perhaps provided as a beneficial account for those who are not familiar with changing views and treatments over the years. Certainly it influenced the treatment Michael did or didn't receive, even while he was an activist for accommodating the mentally ill.

Rosen follows Michael's life, as well as his own, thoughtfully, with honesty and self reflection. Many details are included to help establish a complete portrait of a man, family, and community. This well-written narrative carefully explores friendship, family, and the nature of mental illness and how we have failed people who need intervention and help. Honestly, it wasn't a five until I reached the end and everything was brought to the heartbreaking conclusion.
Disclosure: My review copy was courtesy of Penguin via NetGalley.