The Center Cannot Hold

From Publishers Weekly

In this engrossing memoir, Saks, a professor of law and psychiatry at the University of Southern California, demonstrates a novelist's skill of creating character, dialogue and suspense. From her extraordinary perspective as both expert and sufferer (diagnosis: Chronic paranoid schizophrenia with acute exacerbation; prognosis: Grave), Saks carries the reader from the early little quirks to the full blown falling apart, flying apart, exploding psychosis. Schizophrenia rolls in like a slow fog, as Saks shows, becoming imperceptibly thicker as time goes on.- Along the way to stability (treatment, not cure), Saks is treated with a pharmacopeia of drugs and by a chorus of therapists. In her jargon-free style, she describes the workings of the drugs (getting med-free, a constant motif) and the ideas of the therapists and physicians (psychologist, psychiatrist, psychoanalyst, cardiologist, endocrinologist). Her personal experience of a world in which she is both frightened and frightening is graphically drawn and leads directly to her advocacy of mental patients' civil rights as they confront compulsory medication, civil commitment, the abuse of restraints and the absurdities of the mental care system. She is a strong proponent of talk therapy (While medication had kept me alive, it had been psychoanalysis that helped me find a life worth living). This is heavy reading, but Saks's account will certainly stand out in its field.

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From Booklist

At eight years old, Saks began suffering hallucinations and obsessive fears of being attacked. An adolescent experimentation with drugs provoked her parents to enroll her in a drug treatment program. But Saks' incredible self-control masked the fact that she was suffering from a debilitating mental illness. By the time she entered graduate school at Oxford University, her symptoms were so severe—including full-blown psychotic episodes and suicidal fantasies—that she was hospitalized. Through Oxford, law school at Yale, and a move to Los Angeles to work in the law school of the University of California, Saks struggled mightily to balance her ambitions with her illness, which was eventually diagnosed as schizophrenia. Never wanting to concede to her mental illness, Saks founds calm and comfort in a rigorous work routine. An analyst characterized her as having three lives: as Elyn, as Professor Saks, and as the Lady of the Charts mental patient. As Saks battled to get off medication and leave behind the Lady of the Charts, she fought for the rights of mental patients, and came to terms with her own limitations. Bush, Vanessa

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