Title: Detour from Normal
Author: Ken Dickson
Publisher: CreateSpace, Kindle Edition 324 pages
Publication Date: December 9, 2013
Genre: Biographies and Memoirs, Psychology
This book is the story of how a perfectly normal and healthy, middle-aged man, goes from living an average life, to being a dangerously manic patient overnight. Dickson tells his own story as it begins with a bout of diverticulitis, and ends with a court appearance to fight for his own right to refuse psychiatric treatment. This is a medical horror story that you probably haven't heard before; typically when we think of medical malpractice or negligence in the United States, the images of an incorrect limb being amputated by mistake, or a life-threatening infection caused by unwashed hands usually come to mind. Never have I heard a story in which the psychedelic side effects from drugs used during surgery completely ruin a man's life... this was a first, and that is part of what makes it very interesting.
Things that I liked:
- I always enjoy a good page-turner!
- I've worked in the medical field for a few years, and I've often wondered about some of our "special" (i.e., crazy) patients. This memoir gives a pretty unique look into the mind of someone who went manic basically overnight after having an adverse reaction to one or more of the medications he was given during an emergency surgery. I feel like this sort of thing or other similar reactions to the trauma that a medical emergency can place on the body may be happening a lot more than we realize (or would care to acknowledge), so in a way it gives me a little more incentive to be gracious with some of our high anxiety and needier patients. Understanding where a person comes from is always a major step in the process of being empathetic and able to genuinely care for an individual who isn't particularly easy to deal with. It actually even softened my heart towards those who have ANY mental disability (including addiction and substance abuse), simply because it gives you a glimpse into what could be going on inside of their minds. It reminds you that they often have complex thoughts and feelings, and even when they seem to be losing their minds, there is also a lot of potential for sound and legitimate thought processes to be going on that perhaps only they would understand. It would be terribly frustrating to have formed a completely cohesive thought that no one else in the world can follow!
- Ken Dickson does a great job of telling his story. This is a fundamentally interesting narrative, regardless of who tells it, but something about the way that he writes is very captivating. I think that more than anything it's the reality of what's going on that really hooks you. Aside from a few chapters that went a little too deep into his personal manic world that he creates (there's just a little too much detail that lacks relevance), this book has you really anxious to get to the end and see what happens to this incredibly unfortunate individual. The inclusion of diary entries by his wife also really lend themselves to the intrigue.
- In the final section of the book, Dickson offers a few follow-up chapters that sort of make sense out of everything that has happened up to that point. He gives some good insight that would be especially helpful to anyone experiencing this kind of sudden psychological change in a family member or friend. As I said above, knowing what goes through a person's mind can be the key to understanding how to tolerate their behavior, as well as lend yourself to their healing process. He gives good advice on how to catch the warning signs and prevent the worst possible scenarios from playing out.
Things I didn't like:
- The only thing that I felt was "missing" in the book was the perspective of Dickson's children. They are mentioned a few times, but we never see their reaction to the completely bizarre situation. In reality, these kids lost their dad for the better part of a year, and he was considered to be unstable and dangerous for a long time. A sudden change in behavior like this would be a little traumatizing, so I'm surprised that he doesn't mention them or how they responded in any more detail.
- Parts of the story did feel contrived. I don't mean that in the worst way, just that some portions felt extremely natural and honest and real, and others felt like he forced the point a bit for the drama it would draw. I choose to believe that this was all told as close as possible to reality, but there's a part of me that thinks Dickson's memory (or lack thereof) would be pretty well contorted after all that he went through. Something about the overall ambience of the book lacks authenticity, simply because it seems too far-fetched to believe that he could truly remember that much and in such great detail, but who knows?! Perhaps this is PRECISELY how it happened.
Would I recommend this book? Yes, and I have! To anyone interested in psychology, this is definitely a productive read. It would also be beneficial for others who work in various practices of healthcare, or those who have friends/relatives with a psychological diagnoses. Aside from those would would "need" it, it's just a pretty good book for anyone who enjoys reading/true stories/harrowing tales.
On a scale of 1-5, I give this book 4 stars ONLY because it did leave me wondering how faithful his memory could possibly be on a few occasions. As I said before, I am choosing not to be a cynic on this one. I believe that-even if not 100% accurate-this story is the complete truth as Dickson remembers it, and that any detours from reality were unintentional and not in any way an effort to pad the story.
This comment has been removed by the author.
ReplyDeleteHi Julia,
ReplyDeleteThank you for the very detailed and thorough review. I did want to clarify a few things. I get a few readers who question the authenticity of my writing because of the level of detail. At the beginning of the book, I state that the details are not just from my memory, but also from 1200 pages of medical and mental health records, from Beth's detailed journal, and from interviewing friends and family.
In addition, I've revisited places that I could and researched others online that I could not. For instance, there are photos of the cafeteria, rec room, and staff desk from Pinecrest online.
Sometimes, when I could not visit a facility directly, I spoke to staff to confirm what it looked like (the PDC) or even looked through a door window directly into the unit (Phoenix Mercy).
Another important fact is that unlike other mentally ill patients, I was not medicated during the brunt of my confinement because I refused medication. Because of that, I had the sharpest memory of my life (perhaps due to adrenaline or some other chemical/hormone). I would die to have that memory today! Those strong memories persisted even after my memory returned to mediocre. It took writing this book to allow me to let go of them so that I could live a normal life once more. Everyone around me got pretty sick of my detailed stories of my mental health misadventures!
It is difficult for people to understand how changed someone might be as a result of such traumas. They tend to look only at their own life and experiences and make judgments accordingly. After all, how else can we relate without ever having had such experiences ourselves? How can we possibly know what it is like to not eat or drink for nine days, for example--and that doesn't even touch the mental heath aspects.
As far as detail, I included a great level of it for medical and mental health professionals in hopes that it would help them to provide better patient treatment. I doubt that there are many other references for mania which include so much useful data. That said, my own experience may be unique. In that case, I could trim it for reader's sake.
Finally, the #1 complaint. I could have left out my manic visions or summarized them for the sake of the story, however, such grandiose visions are a hallmark of mania. I wanted the reader to be immersed in the totality of them so that they might be better prepared when it happens to someone they love. I literally could not let go of my fixation. I spoke of it frequently and strategized about it even more. It is a fact of manic life and by damping it, I would do my readers a great disservice. I do agree, however, that tempering it down would make for a more palatable read. Perhaps if I land a major publisher someday, we'll revisit those aspects of the book and perhaps in doing so, tell a more effective story.
Thanks again for your honesty. I wish I could make everyone happy, but more than that, I hope that what I shared will improve someone's chance for better treatment or even give them back a normal life. There are plenty of normal people in the world, but someone's got to look out for the ones who are struggling. My heart goes out to them every day.
Sincerely,
Ken Dickson
Author of Detour from Normal
Hi, Ken!
DeleteThank you so much for your response! Of course, hearing this additional commentary is very useful in helping me understand your point of view as the author of this unique and incredible story even more so (if only I could participate in this sort of dialogue with all authors I read!). As I said in my review, at no point in time did I feel like you were trying to dramatize the story whatsoever-the book reads as though you are truly trying to assist in the understanding of what you experienced, and for that, I applaud you.
I sincerely hope that you do land a major publisher, and the sooner the better! Your story is important, to anyone and everyone who will listen. To be honest, I never anticipated a response to ANY of my posts, and much less so from the author himself--I write for my own benefit and don't foresee any major audience at any point in the future (I haven't told more than 3 people that I blog), but I will say that your book has been the topic of several conversations that I've had lately (mainly at work), and it seems like that makes your efforts a success. Education and awareness are always the first step, and you're already running down that path!
Again, thank you for your response, it seems like you are putting in the effort at the grass roots level, and I am sure it will pay off! Rest assured, what you've created is a brilliant piece of work that will change lives... I will be doing my part to see that it does!
Thanks,
Julia