The Dignity of Dependence argues that women’s equal rights depend on advocating for women as women.
The world is not ready to welcome women as women; a culture that fears dependence and asks everyone to aim for autonomy and independence will always be a society hostile to women. Women are expected to care for those around them while living in a society that despises need and penalizes those who care for the weak.
The Dignity of Dependence aims to liberate women and men from this corrosive and false ideal of the human person as strongest alone. Leah Libresco Sargeant argues that to thrive, human beings need to exist in webs of mutual dependence, not in isolating, radical autonomy. Women’s equal dignity doesn’t require women to deny biological reality or attempt to be interchangeable with men. Sargeant advocates for building a culture that accepts and celebrates women as they are rather than demanding that women keep their relationships and their bodies in check. The fight for women’s dignity is a fight for a full, human dignity—a dignity that isn’t threatened by dependence. It is our need for each other that makes us human.
A sharp, sympathetic case for human flourishing rendered through a close reading of the female experience. Modern society asserts a false anthropology, Leah argues: that of the independence of the human person. No one is truly separable from others, which a woman both understands and exhibits, in the particularity of the physical limitations and the gifts granted her by the nature of her femininity.
Leah’s proposal is compassionate, unhesitating, and woven through with a wealth of resources. Reading, I felt chastened by my own history of cherishing autonomy over and against allowing my needs to serve as invitations into the pores of my life. I also found here a wonderful reminder of the beauty and givenness of being a woman in the world, with its burdens and its accompanying honors and joys. Much to contemplate for the modern reader—whether man or woman!—who seeks to live courageously with the truth that, as Leah writes, “It is the largeness of our love that exposes us to risk.”
In a 2015 television ad for Campbell's soup, the sick boyfriend on the couch says, "You know, when I got sick, my mom used to make me chicken noodle soup." His girlfriend says, "Aww, okay." She walks away (you think to make him soup) and then she throws his phone to him and says, "You should call your mom." And she leaves the house.
This commercial kept coming to mind as I read The Dignity of Dependence.
"[M]any men and women live... believing in a narrow definition of "normal" life as autonomous life." There isn't room for care if every individual is expected to be fully independent at all times.
When do you make soup for others? Who makes soup for you?
Modern American society is a bed of Procrustes, where everyone is expected to fit into a fully independent (male) shape. Any part of life that hangs off the sides of this bed (cycles of fertility, childbearing, caring for aging or sick parents, etc) is seen as an *individual* problem to be cut off.
"It's impossible for a human being to meet an inhumane demand. But it's easy to feel like the problem is individual, a personal weakness, not an intrinsically impossible standard."
I started Leah Libresco Sargeant's The Dignity of Dependence after hosting a community dinner, when I was so tired that I told myself I would not pass Go or collect $200, but Go Directly to Bed, once the kids were asleep. Then I opened this book.... 145 pages later, I only paused reading because I could not keep my eyes open. I finished the book right away. This book was gripping! I was so interested!
I was astonished to read the statistics that in a car crash, a woman is 17 per cent more likely to die, and 73 per cent more likely to be injured than a man in the same crash. But the real shock was hearing that the National Highway Traffic Safety Administration made no changes based on this data and instead blamed women for their own deaths because they were sitting "too close to the air bag." They're shorter on average!! What do you expect them to do?!
Instead of solving a *society* problem, like air bag settings, the industry is allowed to make women's shorter-on-average height an *individual* problem.
If height can be an individual problem, why not children? *You* "chose" to have children. (Nevermind that having children is the only way the human race continues!)
"Babies can't survive a culture that despises dependence. A baby who can't be easily accommodated is expected to be aborted. Women... cannot live a full, flourishing life when our basic biology is treated as a design flaw. We cannot pay an entry price in blood for an illusion of equality. A culture that idolizes autonomy can't value pregnancy."
I highly recommend reading The Dignity of Dependence, whatever your politics or current state in life. "We cannot treat the ordinary events of human life, like childbearing, education, and aging, as a surprise."
These topics are not women's issues, these are human issues. We all start as babies, we have times of dependence throughout our lives, and we grow old. We all need someone to make us soup.
Alisdair MacIntyre's Dependent Rational Animals caused a profound shift in my understanding of the human person, so when I saw this upcoming release from Notre Dame Press, I was immediately hopeful that Leah Libresco Sargeant's new book would further this theme. I was not disappointed!
This book explores the idea of dependence from a uniquely feminist perspective. Like MacIntyre, the author argues that dependence is a fundamental aspect of the human condition, one that we often try to ignore or outsmart in our misguided assertion of autonomy as our highest good. She focuses, though, on the particular dependencies inherent in the condition of womanhood, dependencies that are both biological and socially constructed. The result is a thought-provoking commentary on the choices we could make in order to better acknowledge and appreciate the reality of dependence and the ultimate necessity of accepting and honoring the beauty of our design. Seen as an essential aspect of our humanity, dependence and interdependence can become something fruitful and profound when we embrace them as strength rather than weakness.
Lots of food for thought here, and an insightful addition to the body of work inspired by MacIntyre.
Make no mistake, this book is for everyone, not just women. So grateful for Leah’s clear voice. Maybe pair with Atul Gawande’s “Being Mortal” if you want to lean into Leah’s discussion on medicine and anthropology or James K. A. Smith’s “You Are What You Love” if you want to lean into the theological side of things (which Leah didn’t get so much into since she intends for a wider audience than just Christians). Got to host a discussion on this brilliant little book at my church’s women’s retreat and it led to a stirring conversation on localism and neighborliness. :)
Review of The Dignity of Dependence: A Feminist Manifesto From the Perspective of a Feminist Public Health Practitioner
Leah Libresco Sargeant’s The Dignity of Dependence is a bold and necessary intervention in feminist thought—one that deeply resonates with the intersections of gender, health justice, and care ethics. As a public health practitioner committed to feminist praxis, I found myself both intellectually challenged and emotionally stirred by Sargeant’s radical rejection of autonomy as the ultimate feminist ideal and her celebration of interdependence as a site of power rather than shame.
Emotional Resonance: Liberation Through Interdependence Reading this book felt like exhaling after years of holding my breath in a field that often pays lip service to “community care” while still measuring success through metrics of individual self-sufficiency. Sargeant’s unflinching critique of neoliberal feminism—with its obsession with “leaning in” and personal productivity—validated my professional frustrations with public health systems that punish vulnerability while claiming to serve it.
Particularly moving was her framing of dependence as a fundamental feminist issue. This perspective immediately brought to mind the women I’ve worked with—those navigating addiction recovery, parenting with disabilities, or surviving intimate partner violence—whose strength is systematically undermined by systems that equate needing help with failure. There were moments when her words brought me to tears, especially when she exposed how our cultural obsession with independence creates what I’ve witnessed professionally: mothers afraid to seek addiction treatment for fear of losing custody, or elderly women rationing medications to avoid “burdening” their families.
Key Insights for Feminist Public Health The Myth of Self-Sufficiency in Health Policy: Sargeant’s work exposes how public health’s emphasis on “individual responsibility” in everything from weight management to medication adherence is fundamentally anti-feminist. Her framework helps explain why programs truly centering interdependence—like community-based doula models or mutual aid networks—show such transformative results.
Care Work as Power: The book’s reclamation of caregiving as political rather than passive aligns perfectly with feminist public health’s growing emphasis on valuing reproductive labor. It made me reconsider how we might redesign systems if we truly saw breastfeeding support workers or home health aides as leaders rather than “ancillary staff.”
Structural Stigma Laid Bare: Sargeant’s analysis helps name why punitive approaches to welfare, substance use, and disability services feel so viscerally wrong—they pathologize the very dependencies that make us human. This framework could revolutionize how we approach issues like the overdose crisis or maternal mortality.
Constructive Criticism
While profoundly impactful, I found myself wishing for:
-More explicit connection to structural oppression: The book’s philosophical depth sometimes floats above the material realities of how racism, capitalism, and ableism weaponize dependence. For readers who are public health practitioners, we need these connections to be made clearer. -Concrete applications: I longed for case studies showing how this philosophy might transform specific health initiatives—perhaps reimagining WIC programs or domestic violence shelters through this lens.
Final Thoughts The Dignity of Dependence is required reading for public health workers weary of band-aid solutions and ready to challenge the very foundations of how we conceptualize care. Sargeant doesn’t just diagnose our cultural sickness—she offers a radical prescription: that true liberation lies not in solitary independence, but in the sacred, messy web of mutual need.
Rating: ★★★★☆ (4.5/5) – A paradigm-shifting work that will linger in my practice for years to come.
Gratitude: Thank you to the publisher and Edelweiss for the complimentary review copy. At a time when burnout threatens our field and neoliberal reforms fail the most vulnerable, this manifesto offers both balm and blueprint.
As a mother, this book named for me truths that I have felt from the beginning. It was easy to resonate with. And yet I definitely needed this book in order to have words for it, because I have discovered in myself a strong distaste for dependence that needs to be rooted out. Sargaent clearly lays out how dependence is deeply human, so do deny it or attempt to live outside of its bounds, is to deny my humanity.
This past Sunday after church I joined my mother for lunch with my aunt and uncle. My uncle worked in building maintenance for many years and his cabin property in near Kamloops was dubbed "the Boot Camp," a testament to his blue collar sensibilities and drive to build and renovate. A few years ago he suffered a stroke and, while he has made some good progress in recovery, his memory has been permanently impaired and one of his hands can no longer perform the ordinary, everyday tasks that so many of us take for granted (at lunch he said rolling up the sleeve of his shirt takes him an hour). He and my aunt (who was never comfortable driving) now depend on their children or my mother to take them to appointments and errands.
I thought about my aunt and uncle as I finished reading Leah Libresco Sargeant's book The Dignity of Dependence: A Feminist Mainfesto (which has already sold out its original print run!). Sargeant's book reads more like a series of essays rather than being a connected whole, though the themes of a more humane society established on trust and relationships are prevalent throughout. Admittedly, as a man who has never been married, I couldn't relate to some of the book and it tends to be more American-centric (with Sargeant critiquing the USA's pitiable medical policies, particularly for lower socioeconomic classes and minorities).
Still, there is a lot of food for thought here. Sargeant and many of the other writers in the Fairer Disputations circle are a thought-provoking group of cultural commentators as they tread the line between radical leftist feminists who (of course) shout their abortions on the one side and complementarians and "trad wives" on the other hand who (as Sargeant points out) so thoroughly take on the role of the "angel of domesticity" that their husband effectively becomes a pure consumer of the home; yes, as the breadwinner he provides in this valuable way, but he may not contribute to the "second shift" - changing diapers, shopping for groceries, vacuuming the living room. Many of the Fairer Disputations writers have professional lives outside the home, even as they offer analysis of feminism and motherhood in the 21st century.
Lots of thoughts about this book—so good, although not quite what I was expecting when I set out reading it. She spent more time talking biology/pro-life concepts than I expected (which is great, don’t get me wrong). At times made it feel a little unclear what the exact emphasis of the book was.
That said, her approach to women’s rights from the perspective of prolife and her way of engaging interdependence as something to embrace as part of what makes us human as a society versus something to reject or work ourselves away from is something I’m still internalizing and processing (and the quantity of notes in the margins of my copy shows how relevant and engaging the read was for me). Approaching the topic of dependence as something to be embraced made me realize how much pride I have taken in “not being needy,” which she would challenge as being a point of loss of community and connection. Oof.
I honestly think this is more than simply a book about feminism, but a book about what makes us human, about what draws us together in community, and what happens when we try to bypass it, or supersede the things that make us human. Would recommend this to both men and women who are wanting to engage the topic of how to live in whole, healthy, welcoming communities and work places that engage and embrace the callings and abilities of all the individuals, recognizing the unique needs and gifting that each person brings to the table.
Sympathetic with the thesis: women's unique biological experience, rather than being denied should be celebrated and then, somewhat paradoxically, allowed to remind us of the fundamentally interdependent condition of all human beings. This condition is the norm, and it should be accommodated, embraced. I found the style not to my taste. Reads like extended op eds featuring one case study after another. Perhaps that's appropriate to the subject matter, but I was hoping for something more biblical, theological, philosophical.
This shifted the way I saw the world — and myself. Such a brilliant job unpacking our culture’s attitude toward vulnerability and need, and the trickle down effects of the way these beliefs are enacted
4.5 stars rounded up ⭐️ This book is bold, tender, and compelling. It sketches a multilayered picture of our current society’s foundation and fissures, using vivid and wide-ranging examples (an early one about the anatomy of car crash test dummies was especially powerful). It also weaves in proposals for course corrections big and small.
Favorite snippets include:
”Recognizing and honoring the differences between men and women means putting dependence at the heart of our account of what it means to be human. Dependence marks women more obviously and more intimately, but it is also impossible to tell the truth about who men are or treat them justly without accounting for our mutual dependence. No just society can be built on the basis of a false anthropology.” Page 19.
”When women’s vulnerability to the dependence of others makes them too large, too sprawling to fit easily into a culture of individuals, women face pressure to prune themselves.” Page 61.
”When the world swerves from our plans and expectations, we can resent the trick as unfair. Or we can become a little playful or even awed by a world larger than our own authorship. Hyde's commerce with accident" and Ruhl's "investigation of the pauses" give me a script for actively engaging with periods of weakness, need, and suffering, not just passively enduring them. I strive for open-handed curiosity, not numb fatalism.” Page 132.
Lots of good crossover with Eric Schumacher's The Good Gift of Weakness and some Wendell Berry here too (though I tend to see him everywhere). I read this much faster than I was expecting so that's something too. What if our world is designed with a false anthropology? A false conception of autonomy serves no one--male or female--well. Emil Brunner once wrote that "human existence, as such, is existence in responsibility." We were created to care and be cared for. To forget or pretend that this is not the case will only serve to make us more inhumane.
4.5 stars. I appreciated this book because it challenges people on the right and the left side of the political spectrum to imagine what a truly egalitarian society would look like. I was challenged myself, and I can't even decide which side of the spectrum I fall on anymore.
I could say so much more, but I appreciated so much how much this book looks not just at maternal caregiving, but all forms of human caregiving, as a single, initial thought on this wonderful book.
Tycker det var en intressant läsning. Mina ögon har nu öppnats upp till flera olika problem som existerar i nutidens samhälle. Jag gillar verkligen hur hon betonar att vi behöver skapa ett samhälle där vi människor står i beroende till varandra istället för det "self-made man" samhälle som vi nu lever i. Det handlar om att skapa ett samhälle där vi får vara beroende av varandra och ge kärlek till varandra. Jag ser flera paralleller med Joel Halldorfs bok som jag läste för ett par veckor sedan. Jag håller med om författaren i flera av hennes ståndpunkter och dessutom hennes argument. Ett intressant katolskt feministteologiskt verk!
Wondering how 'pro life feminism' can be a cogent category? Leah Sargeant provides an answer both philosophical and personal, professional and heartfelt. Are we designed to be interlocking, automated, independent thought-machines who happen to occupy the same space? Or do our relationships with others complicate that vision? Sargeant argues that a more humane world is one where we recognize our embodiment and dependence on others not as a bug to be fixed, but a reality to be accommodated. An accessible read for anyone who lives in a world defined by relationships of care (everyone).
I was eager to get my hands on this book after following Leah on Substack for a couple years and reading her writing as she worked on this!
In this book, she walks you through the inherent weakness and dependence of humans, not as humiliation but as invitations to humility. It is a lie to say we are autonomous beings, and so much of our lives speaks against this lie, starting from the very beginning where each of us rested in our mother’s womb.
If I could sum this up, I’d use Mother Theresa’s words: “we belong to each other”. And that belonging is embodied and particular.
I don’t agree with all of Libresco’s opinions or all of the ways that she framed the issues she discussed. But, I can acknowledge that there is always a significant importance in discussing all of these issues, of societal standards for care, of the intersectionality of dependence and gender, of understanding choice and independence and women, and in understanding the perspective of all of those around you.