Dear Reader…have you ever wished you could earn a living by making stuff up? Have you ever fantasized about living the life of a writer? If so, PERPETUATING TROUBLE is the humorous cautionary tale you need to read. “I avoided writers very carefully because they can perpetuate trouble as no one else can,” wrote F. Scott Fitzgerald. In this memoir, novelist Chris Orcutt shows how true this is. Debunking the myths, Orcutt reveals that the writing life is really one of crushing solitude, chronic dissatisfaction, mood swings and self-doubt, and where successes, when they come, are like diner mints—sweet, but short-lived. And everyday life is equally stressful, with callous urologists, curmudgeonly painters, flirtatious receptionists, personal feuds and petty thefts. For the writer, all of this leads to one thing—perpetual trouble. Yet, Orcutt’s deep love of language, his saintly wife, and his indomitable sense of humor keep him going. Whether picking up two female hitchhikers who later turn out to be aliens from another planet, or divesting himself of a hoard of tacky paintings, or using philosophy to get out of a traffic ticket, Orcutt finds the humor and the art in his trials. It’s also a life of love and sadness, as he recounts a whirlwind love affair with a ravishing redhead, and the death of his beloved writing companion, his cat. In the end, Orcutt discovers that to be a writer, he must be part adventurer, crusader, humorist, lover, philosopher, and, of course, troublemaker. PERPETUATING TROUBLE is Orcutt’s tenth book, and by far his most personal work to date.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Probing the ominous side of career advice to "follow your passion," this data-driven study explains how the passion principle fails us and perpetuates inequality by class, gender, and race; and it suggests how we can reconfigure our relationships to paid work. "Follow your passion" is a popular mantra for career decision-making in the United States. Passion-seeking seems like a promising path for avoiding the potential drudgery of a life of paid work, but this "passion principle"—seductive as it is—does not universally translate. The Trouble with Passion reveals the significant downside of the passion principle: the concept helps culturally legitimize and reproduce an exploited, overworked white-collar labor force and broadly serves to reinforce class, race, and gender segregation and inequality. Grounding her investigation in the paradoxical tensions between capitalism's demand for ideal workers and our cultural expectations for self-expression, sociologist Erin A. Cech draws on interviews that follow students from college into the workforce, surveys of US workers, and experimental data to explain why the passion principle is such an attractive, if deceptive, career decision-making mantra, particularly for the college educated. Passion-seeking presumes middle-class safety nets and springboards and penalizes first-generation and working-class young adults who seek passion without them. The ripple effects of this mantra undermine the promise of college as a tool for social and economic mobility. The passion principle also feeds into a culture of overwork, encouraging white-collar workers to tolerate precarious employment and gladly sacrifice time, money, and leisure for work they are passionate about. And potential employers covet, but won't compensate, passion among job applicants. This book asks, What does it take to center passion in career decisions? Who gets ahead and who gets left behind by passion-seeking? The Trouble with Passion calls for citizens, educators, college administrators, and industry leaders to reconsider how we think about good jobs and, by extension, good lives.

Hoolifan is the story of one man, Martin King, and his experiences spanning three decades with the country's foremost soccer gang. Chelsea have always been at the cutting edge of football violence, and King himself was at the heart of the evolving Chelsea mob for some 30 years. From his first visit to a football ground in the early 1960s, he charts his development from a rattle-waving child through to a fully fledged member of the notorious Chelsea Shed in the 1970s and finally to his exploits as a key player in the most feared football gang of the 1980s and 1990s - the so-called Chelsea Headhunters. King describes the leading characters of the various eras, not just from Chelsea but from across the country. He also records every clash, ambush and act of revenge in vivid detail, as well as the camaraderie and style of this most infamous soccer gang. This is not just another book on the well-trodden subject of football hooliganism, as, unlike so many authors, Martin King makes no attempt to distance himself from the violence and leaves readers to draw their own conclusions. At times provocative, often humorous and always honest, Hoolifan places the phenomenon of football hooliganism in its true social context.

With intellectual reference points that include Foucault and Freud, Wittig, Kristeva and Irigaray, this is one of the most talked-about scholarly works of the past fifty years and is perhaps the essential work of contemporary feminist thought.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Dr. Michel Cohen, named by the New York Post as the hip, "must-have" pediatrician, has an important message for parents: Don't worry so much. In an easy-reference alphabetical format, The New Basics clearly lays out the concerns you may face as aparent and explains how to solve them -- without fuss, without stress, and without harming your child by using unnecessary medicines or interventions. With sensitivity and love, Dr. Michel describes proven techniques for keeping your children healthy and happy without driving yourself crazy. He will show you how to set positive habits for sleeping and eating and how to treat ailments early and effectively. You'll learn when antibiotics are helpful and when they can be harmful. If you're having trouble breast feeding, pumping, or bottle weaning, Dr. Michel has the advice to set you back on track. If after several months your baby is still not sleeping through the night, The New Basics will provide you with tried-and-true methods to help ease this difficult transition for babies and parents. Dr. Michel recognizes that you're probably asking the same questions his own patients' parents frequently ask, so he includes a section called "Real Questions from Real Parents" throughout the book. You'll find important answers about treating asthma, head injuries, fevers, stomach bugs, colic, earaches, and other ailments. More than just a book on how to care for your child's physical well-being, The New Basics also covers such parenting challenges as biting, hitting, ADD, separation anxiety, how to prevent the terrible twos (and threes and fours ...), and preparing your child for a new sibling.