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352 pages, Unknown Binding
First published September 23, 2025
In 1981, the same year a man with a psychotic disorder shot him, Ronald Reagan called for a repeal of Jimmy Carter’s recently signed bill to expand federal community mental health programs. Then came the ’80s crack era, in which many people who likely needed mental health treatment began abusing drugs. They committed crimes and got locked up. This is how jails and prisons became the new asylums. By locking up those with psychiatric diagnoses, we’ve boomeranged back to the way things were done in antebellum America.
What we are now doing in America’s prisons is worse than what President Kennedy wanted us to stop doing: confining suffering people until they wither away. To see psychosis in prison, and our own indifference to it, is itself depressing. It’s always around me in here. I used to ignore it, until I started writing about it. And this is how journalism, in a sense, taught me how to be more empathetic. Men with serious mental illness aimlessly wander in prison yards picking up cigarette clips—shuffle, shuffle, stoop…People in prison can go years without a diagnosis and proper treatment…bolts of frenetic energy, episodes of odd behavior…But that bizarre behavior, as Milton came to experience, can get you pummeled... (180)
“The shaping of identity—it’s one of the unseen tragedies of true crime.”