Christopher Lane's SHYNESS reviewed in the New York Review of Books

Volume 56, Number 1 · January 15, 2009, The New York Review of Books
Drug Companies & Doctors: A Story of Corruption
By Marcia Angell

Side Effects: A Prosecutor, a Whistleblower, and a Bestselling Antidepressant on Trial
by Alison Bass

Algonquin Books of Chapel Hill, 260 pp., $24.95
Our Daily Meds: How the Pharmaceutical Companies Transformed Themselves into Slick Marketing Machines and Hooked the Nation on Prescription Drugs
by Melody Petersen

Sarah Crichton/Farrar, Straus and Giroux, 432 pp., $26.00
Shyness: How Normal Behavior Became a Sickness
by Christopher Lane

Yale University Press, 263 pp., $27.50; $18.00 (paper)

Recently Senator Charles Grassley, ranking Republican on the Senate Finance Committee, has been looking into financial ties between the pharmaceutical industry and the academic physicians who largely determine the market value of prescription drugs. He hasn't had to look very hard.

Take the case of Dr. Joseph L. Biederman, professor of psychiatry at Harvard Medical School and chief of pediatric psychopharmacology at Harvard's Massachusetts General Hospital. Thanks largely to him, children as young as two years old are now being diagnosed with bipolar disorder and treated with a cocktail of powerful drugs, many of which were not approved by the Food and Drug Administration (FDA) for that purpose and none of which were approved for children below ten years of age.

Legally, physicians may use drugs that have already been approved for a particular purpose for any other purpose they choose, but such use should be based on good published scientific evidence. That seems not to be the case here. Biederman's own studies of the drugs he advocates to treat childhood bipolar disorder were, as The New York Times summarized the opinions of its expert sources, "so small and loosely designed that they were largely inconclusive."[1]

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Peter Gosselin's HIGH WIRE in the New York Review

Trapped in the New 'You're On Your Own' World
Robert M. Solow
The New York Review of Books, November 20, 2008

When the Bush-Cheney administration proposed to replace Social Security with a system of individually accumulated, individually owned, and individually invested accounts, my first thought was that its goal was to take the Social out of Social Security. It took a few minutes longer to realize that it also intended to take the Security out of Social Security.

That attempt failed. In recent years, however, a mixture of public and private policy decisions and impersonal market developments has had the broad effect of shifting many financial risks from established institutions, including even society at large, to individuals who are unable to cope with them in an adequate way. Information may be impossibly difficult for citizens to process; or else the basic information may not be available to individuals or private groups. Sometimes the scale of the possible bad outcomes may be overwhelming. Sometimes the appropriate insurance market cannot function or just does not exist. The result is that individuals and families can be the casualties of situations that once would have been handled by a more centralized and more bearable allocation of risks.

The current turmoil in credit markets and the recession that is sure to follow are likely to drive this trend further. Banks, insurance companies, and other financial institutions have seen too many risks go sour. They will be more determined than ever to push further risks onto those needy borrowers who are too weak and too ignorant to bargain hard. Families, small businesses, and other borrowers of last resort will be under great pressure.

Peter Gosselin's excellent and thoughtful book, High Wire: The Precarious Financial Lives of American Families, is not the first to explore this territory. Two others that come to mind are Louis Uchitelle's The Disposable American and Jacob Hacker's The Great Risk Shift. Gosselin is like Uchitelle in combining social criticism with substantial stories of recognizable people who have been trapped by bad luck or bad judgment in this new you're-on-your-own world; he differs in covering a much broader variety of risks and risk-bearers than Uchitelle's focus on workers and job-related risks. Hacker's book also ranges over many issues, but does not have Gosselin's expert journalistic use of recognizable cases. (Professor Hacker is currently engaged in a Rockefeller Foundation–sponsored effort to construct a general "Index of Economic Security"—to show empirically how economic security varies over time and across social groups.)

Gosselin, who works in the Washington bureau of the Los Angeles Times, does a fine job of connecting the stories he tells to general ideas and to economy- wide statistical markers, some developed for his particular purpose. He has produced a readable and valuable book...

To read the full review, click here.