Book Review: The Price of Silence
By Hilary Levey Friedman
Like Dara-Lynn Weiss before her, writing a negative piece about her child secured Liza Long a book deal. Her emotionally raw blog post, “I Am Adam Lanza’s Mother” (originally published anonymously on her blog The Anarchist Soccer Mom as “Thinking the Unthinkable”), penned in response to the Newtown shootings, quickly went viral after appearing on The Blue Review and then The Huffington Post. The reaction was extreme in both directions, with some applauding Long’s courage and identifying with her family’s struggle and others calling her an imposter and suggesting she is the one who needs mental health monitoring.
Her just-published book, The Price of Silence: A Mom’s Perspective on Mental Illness, is an expansion of that polarizing post. According to the Introduction this is a book for two different audiences. The first is those families who have a child with a mental illness to let them know they aren’t alone by sharing her family’s experience. The second is for those who are “surprised to learn that one in five children in the United States has a serious and debilitating mental disorder, an audience that believes mental illness is something we still shouldn’t talk about except behind closed doors in private rooms.” The Price of Silence succeeds in addressing the latter audience more than the former.
Long is at her best when describing the labyrinth families must navigate when they have a child with a mental illness. A myriad of acronyms must be decoded, reports must be written, and parents have to accustom themselves to the idea of dealing first with administrators and educators in public schools and then with first responders like police officers before frequently turning to the juvenile justice system. Though “institutions” no longer exist (in many cases, happily so), no good system has developed to figure out how to take care of the mentally ill, especially children. Many have to enter juvenile detention and hope to stay on parole to get actual treatment at an affordable price. Long writes of parents divorcing so their child can access services with a reduced family income, and poverty in general is a big issue when it comes to children’s mental health. She explains, “In some states, this transition from school to prison is so regular that it’s been called a ‘pipeline,’ one that disproportionately affects poor children and their families.”
One of the most practical suggestions Long makes in The Price of Silence is that pediatricians need to be better trained to identify the warning signs of various forms of mental illness, and not just autism. Though it is true that there is much still unknown about the science of mental illness, more is being understood every day through new imaging techniques and DNA analysis. Because Long discusses a lot of of-the-moment research, the book might not hold up well over time. But her message that there is a complex interplay between genetics, parenting, and the environment, and her reminder that people with mental illness are usually the victims of violence (and when they are violent it is usually against themselves) ensure that The Price of Silence is an important book.
The book falls flat in describing what it is like in Long’s family, which clearly has a complicated dynamic with four children, an ex-husband, and a new partner, along with a change of family religion. She refers to an acrimonious divorce and custody battles, but doesn’t get into specifics and if anything is clear it is that the situation isn’t resolved. That murkiness dulls the larger messages of her book and it may have been more effective to limit the more personal to one chapter.
While Long’s blog post did net her a book deal, it also caused a lot of anguish as her ex-husband had their two youngest children removed from her home on the basis of the violence described. At the same time because her piece reached so many it ultimately led her to a child psychiatrist who seems to have at long last provided a diagnosis and treatment for her son. Now diagnosed with juvenile bipolar disorder with a “Fear of Harm” phenotype, “Michael” is doing better and spending more time with his younger siblings. In many ways Liza Long is not like Adam Lanza’s mom because she acknowledges her son’s illness and will never have guns in the house. And hopefully her message and suggestions can help other mothers avoid the sad fate of Nancy Lanza and those impacted by acts of violence by sick young men.
Hilary Levey Friedman, PhD is a sociologist and writer. You can learn more about her work at www.hilaryleveyfriedman.com.