Mount Misery - Softcover

Shem, Samuel

Softcover

ISBN 10: 055277622X ISBN 13: 9780552776226

Publisher: Black Swan, 2009

Synopsis

Welcome to Mount Misery psychiatric hospital, home of the crazed, the suicidal, the Machiavellian and the wicked. And that's just the doctors. For Dr Roy Basch, proudly starting his residency there, it is a bewildering and nightmarish experience. The different disciplines appear to compete with one another to find the best ways to reduce the patients to gibbering wrecks. As he immerses himself in the system, he discovers that the process of treating the patients has less to do with making them better and more with maintaining the flow of insurance company money. Basch believes that he can find meaning here, but in an enclosed world which has lost its head, he soon finds that survival, not meaning, is the most valuable lesson he will learn.

Mount Misery is hilarious, provocative and terrifying. Filled with biting irony and a wonderful sense of the absurd, it is an absorbing and authentic report from within the crumbling fortress of psychiatry and tells you everything you'll never learn in therapy. And it's a hell of a sight funnier too.

About this title

Review:

Anyone who has read Samuel Shem's previous novel, The House of God, will be familiar with Dr. Roy Basch, the protagonist of Mount Misery. When last seen, Dr. Basch was completing a grueling residency; Mount Misery finds him beginning his psychiatric training at an upscale New England mental hospital. His introduction to the myriad forms of therapy available today--everything from Freudian psychoanalysis to psychopharmacology--provides Mr. Shem with plenty of blackly humorous grist for his mill. In this hospital, apparently, you need a score card to tell the doctors from the patients.

Shem (the pseudonym of psychiatrist and playwright Dr. Stephen Bergman) delights in broad parody. He creates, for example, characters such as Dr. Heiler who gives lectures entitled "Borderline Germans and German Borderlines," or Dr. A. K. Lowell, whose devotion to Freudian analysis is so extreme that she refuses to speak to patients at all. Though the humor can be clumsy at times, Shem makes some serious points about the perils of psychotherapy in which the therapist is not above reproach.

From the Inside Flap:

From the Laws of Mount Misery:

There are no laws in psychiatry.

Now, from the author of the riotous, moving, bestselling classic, The House of God, comes a lacerating and brilliant novel of doctors and patients in a psychiatric hospital. Mount Misery is a prestigious facility set in the rolling green hills of New England, its country club atmosphere maintained by generous corporate contributions. Dr. Roy Basch (hero of The House of God) is lucky enough to train there *only to discover doctors caught up in the circus of competing psychiatric theories, and patients who are often there for one main reason: they've got good insurance.
From the Laws of Mount Misery:

Your colleagues will hurt you more than your patients.

On rounds at Mount Misery, it's not always easy for Basch to tell the patients from the doctors: Errol Cabot, the drug cowboy whose practice provides him with guinea pigs for his imaginative prescription cocktails . . . Blair Heiler, the world expert on borderlines (a diagnosis that applies to just about everybody) . . . A. K. Lowell, née Aliyah K. Lowenschteiner, whose Freudian analytic technique is so razor sharp it prohibits her from actually speaking to patients . . . And Schlomo Dove, the loony, outlandish shrink accused of having sex with a beautiful, well-to-do female patient.
From the Laws of Mount Misery:

Psychiatrists specialize in their defects.

For Basch the practice of psychiatry soon becomes a nightmare in which psychiatrists compete with one another to find the best ways to reduce human beings to blubbering drug-addled pods, or incite them to an extreme where excessive rage is the only rational response, or tie them up in Freudian knots. And all the while, the doctors seem less interested in their patients' mental health than in a host of other things *managed care insurance money, drug company research grants and kickbacks, and their own professional advancement.
From the Laws of Mount Misery:

In psychiatry, first comes treatment, then comes diagnosis.

What The House of God did for doctoring the body, Mount Misery does for doctoring the mind. A practicing psychiatrist, Samuel Shem brings vivid authenticity and extraordinary storytelling gifts to this long-awaited sequel, to create a novel that is laugh-out-loud hilarious, terrifying, and provocative. Filled with biting irony and a wonderful sense of the absurd, Mount Misery tells you everything you'll never learn in therapy. And it's a hell of a lot funnier.
From the Hardcover edition.

About this edition

• Publisher: Black Swan
• Publication date: 2009
• ISBN 10: 055277622X
• ISBN 13: 9780552776226
• Binding: Paperback
• Number of pages: 576