We Are Not Saved
This was my entry to the 2026 ACX Book Review Contest. Given that it was, sadly, judged inadequate to the high standards of the ACX readership, I must now inflict it on you. Hopefully, with your obviously lower standards, you’ll enjoy it. It is ridiculously long. These warnings aside, I would urge you to at least read parts one and two. The Knowledge Machine: How Irrationality Created Modern Science By: Michael Strevens 0. Why This Book? Out of the tens of millions of books ever written over the centuries, why review this one? Because science is the secret to the creation of the modern world...
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I. If you don’t live in Utah, you may not have heard that the Great Salt Lake is in trouble. It’s been rapidly dwindling in size and depth, and while it’s never going to disappear entirely (though look at the ), there are always issues when an environment goes through a rapid transformation. The big worry is that the lake will become so salty that even brine shrimp and brine flies can no longer survive. This would eliminate a major source of food for migrating birds, while at the same time a shrinking lake also removes the wetlands they use for mid-migration habitat. There are other...
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The Desecration of Man: How the Rejection of God Degrades Our Humanity By: Carl R. Trueman Published: 2026 256 Pages Briefly, what is this book about? In the standard story of the transition from the premodern to the modern, the world has gradually been disenchanted. Depending on who you are, this is either a good thing, a sad thing, or a mixed thing. Trueman’s contention is that disenchantment has, over the last few decades, transitioned to desecration. In his telling, the modern world hasn’t just outgrown the sacred, it’s rebelled against it. Much like a headstrong teenager might...
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We Are Not Saved
Do Not Go Gentle: The Case Against Assisted Death By: Kathleen Stock Published: 2026 304 pages Briefly, what is this book about? The general topic is right there in the subtitle, but Stock separates out two distinct ideological foundations. There are those who consider assisted death (a term she prefers over “assisted dying”) to be a way of eliminating suffering. And then there are those who view it as a principle of liberty: If we allow people absolute bodily autonomy, why should someone be prevented from choosing to end their life? One problem with having two ideologies is that they...
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Annihilation: A Novel By: Michel Houellebecq Translated by: Shaun Whiteside Published: 2022 (English translation 2024) 544 Pages Briefly, what is this book about? Houellebecq is a well-known French author, and this book felt very French to me. What does that mean? Good question… Certainly there is a lot of wine drinking, a fair number of R-rated sex scenes, and French politics plays a major part as well. Mostly I think there’s a lushness, and a lack of action or even conclusion, which reads more as European decadence than the typical American delusion I’m used to. I opened with a...
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Picky: How American Children Became the Fussiest Eaters in History By: Helen Zoe Veit Published: 2026 304 Pages Briefly, what is this book about? Stop me if you’ve heard this one… Up until the beginning of the 20th century we never ever did this one thing, and then starting in the 20th century attitudes and culture gradually changed until now, this very new thing, that basically never existed historically, is accepted as a fact of life. For this go-around it’s children being picky about food. The whole concept only began to emerge in the 1930s and back then it was just used to identify...
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Last Branch Standing: A Potentially Surprising, Occasionally Witty Journey Inside Today's Supreme Court By: Sarah Isgur Published: 2026 416 Pages Briefly, what is this book about? A deep dive into the Roberts Court, with a historical framing of the Court as a whole. Two main themes run through the book. First, while people want to evaluate the Court on the single axis of liberal vs. conservative, there is a second, perhaps more important axis that tracks the institutionalism of the justices—respect for precedent, maintaining the legitimacy of the Court, congressional deference, etc....
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We Are Not Saved
Against the Machine: On the Unmaking of Humanity By: Paul Kingsnorth Published: 2025 368 Pages Briefly, what is this book about? Before Kingsnorth can tell you how to be against the Machine, he first sets out to define it. The Machine is multi-faceted, but Kingsnorth distills it down into four S’s: Science, The Self, Sex, and the Screen. To take a position “against the Machine” he urges a return to the four P’s: People, Place, Prayer, and the Past. But before you grasp this simple heuristic too firmly, it turns out that not all P’s are good, and not all S’s are bad. He is opposed...
info_outlineDelano is very much an example of something being wrong with psychiatry, the question is how emblematic is her experience?
Unshrunk: A Story of Psychiatric Treatment Resistance
By: Laura Delano
Published: 2025
352 Pages
Briefly, what is this book about?
An autobiographical tale of Delano’s experience with the mental health industry starting at the age of thirteen. Among other things, it covers her bipolar diagnosis, eating disorders, cutting, and one, nearly successful, suicide attempt. On the treatment side of the ledger she took at least a dozen drugs, engaged in constant therapy, and was committed to psychiatric hospitals and treatment programs on several occasions. In the end she decided that most of her problems stemmed from the substances she was taking, both those that are recognized as harmful, like cocaine and alcohol, and those that were supposed to help her. A major theme of the book is that the horrible withdrawal symptoms that accompany most psychiatric drugs go a long way towards creating the impression that “the drugs are helping”.
Woven through all of this, Delano provides significant research illustrating the bad incentives, and shoddy testing engaged in by the pharmaceutical industry, along with critiques of the DSM, the paradigm of mental illness as a chemical imbalance, and reliance on drugs as a first line of treatment.
What authorial biases should I be aware of?
Delano includes some extensive research. This is not merely an n=1 anecdote, there are clearly a significant number of people who are taking too many psychiatric drugs, and don’t have the skills to taper off those drugs. Also Delano is explicitly not “antimedication” or “antipsychiatry”. Nevertheless, it is clear that she is not a neutral observer, that she is profoundly distrustful of the pharmaceutical industry, and that she came by this distrust honestly, even if it doesn’t necessarily apply to everyone.
It should also be mentioned that money was never a problem for Delano, which probably meant both that she received too much care, but also that she had a large support network available during every phase of her journey.
Who should read this book?
The debate over how to care for the mentally ill is both fascinating and fraught. It sits at a convoluted nexus that includes healthcare availability, cost, worries over youth, violence, homelessness, anti- and pro- drug narratives, and a weird tangle of culture war issues. Navigating this mess is going to take as much information as we can get and this is a great book describing one of the many angles available for approaching it.
As a more specific matter I would recommend it to psychologists and psychiatrists as something of a counter-narrative/steelman for those who are wary of medications and interventions.
Finally, for those seeking to taper or get off of medication, this book is essential reading, and the idea of hyperbolic tapering may be the single most important bit of knowledge it contains.
If you want a taste of things, I read this as part of the Blocked and Reported book club, and they had an interview with Delano which was quite good.
Specific thoughts: Mental health treatment is crazy complicated