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Healthcare Systems & Policy

Healthcare systems decide who gets care, what kind and at what cost. Andrew Solomon's The Noonday Demon, a National Book Award-winning study of depression, looks beyond personal experience at how depression is treated: medication, therapy and access to care, the politics of mental health and how poverty affects treatment. It is a wide-ranging and humane book for readers who want to understand both the illness and the systems meant to help. More books on health systems will join this shelf; see Health & Medicine for related reading.

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The Noonday Demon

An Atlas of Depression

By Andrew Solomon

Andrew Solomon examines depression as an illness, a lived ordeal, a cultural category, and a public problem. Beginning with his own severe depressive episodes, he moves outward through interviews with other sufferers, clinicians, researchers, policymakers, and people working within religious or traditional healing systems. The result combines memoir, reportage, medical history, social analysis, and philosophical inquiry. Rather than offering a single explanation, Solomon studies the interaction of biology, experience, poverty, stigma, treatment, family relationships, and individual will. He considers medication, psychotherapy, alternative approaches, suicide, addiction, political responses, and the unequal conditions under which people seek care. The book’s central achievement is its refusal to reduce depression either to ordinary sadness or to a purely chemical malfunction. It presents the condition as at once bodily and psychological, private and social—an experience that can erode…

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