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This is a book about the encounters that contemporary North American fiction stages with distinct strands of self-help. Its central argument is that the varied practices of ever-expanding and diversifying self-help cultures are generatively elastic sites of inspiration as well as antagonism for contemporary authors: spaces where they can explore what it means to be better on personal, ethical, and societal terms. It offers new perspectives on the work of nine very different writers by exploring how they play different forms of self-help off against one another. This book shows how in the clashes between practices ranging from commencement speeches and grassroots communitarian self-help to time-management productivity manuals, trauma recovery theories, pop-neuroscience, and makeover cultures, contemporary writers try to find ways of reimagining authority and agency beyond individualism, asking how - and if - it is possible to live and write 'better' in our compromised neoliberal world.
This article discusses some potentially harmful consequences of the Big Society agenda for small voluntary organisations, using a theoretical framework suggested by the later work of Pierre Bourdieu. I explore the way in which a voluntary self-help group for people with heart disease evolved, as a result of the pursuit of external funding. This paper focuses on the rapid rise of specific kinds of leaders—members with a professional background, relevant skills and an orientation to the group that enabled them to pursue funding opportunities and to gain increasing control despite the opposition of the long-standing volunteers and the founders of the group. I conclude that government policy to enhance the role of the voluntary sector in the delivery of welfare services may encourage certain kinds of leaders to become powerful in small voluntary organisations. This may adversely affect their organisational structure and lead members to feel dispossessed.
Chapter 3 considers the self-help of time management, productivity, and creative timeflow in conversation with the work of Tao Lin and Myriam Gurba. First, I examine Lin’s autofictional novels, especially Taipei (2013), exploring how his relationship with time management evolves through ideas of micromanaged self-control, a self-tracking ‘virtual self’, and psychedelic, aleatory, and New Age temporalities. Then, by attending to Gurba’s memoir, Mean (2017), as well as the self-help advice podcast she co-hosted, I look at how her sense of therapeutic ‘trauma time’ and queer Chicanx asynchronic time combine to produce a form of ‘writer’s block’ that challenges the notion of literary production as a rational activity. The chapter argues that both authors play with diverse self-help discourses to explore agency and control in the processes of writing and life, illuminating broader tensions in contemporary culture between ideas of writers as disciplined, entrepreneurial craftspeople or as recalcitrant, romantic artists.
The introduction sets up the book’s exploration of the complex relationship between contemporary North American fiction and self-help culture over the past 25 years, arguing that recent writers stage encounters between diverse self-help practices to interrogate changing conceptions of authorship, selfhood, and society. Specifically, I position literary engagements with self-help as a way for writers to negotiate anxieties around individual, social, and writerly agency in a moment when traditional sovereign accounts of selfhood are under pressure from poststructuralist critiques of subjecthood and the shaping forces of systemic power, new technologies, and planetary crisis. I begin with an analysis of Deb Olin Unferth’s graphic novel, I, Parrot, then provide context on self-help in America, from long-standing advice, conduct, and wisdom traditions to today’s diversified, commercialized landscape of guidance literature and practices across the three central themes of the book: authority and public address, time management and productivity, and body and brain improvement. I argue that fiction writers can capture the nuanced sociopolitical paradoxes and multiplicities within self-help culture by bringing critical and creative energies to bear on deconstructing and reimaging its tropes and practices.
Chapter 5 offers a comparative reading of novels by Benjamin Kunkel (Indecision), Miranda July (The First Bad Man), and Alexandra Kleeman (You Too Can Have a Body Like Mine). From distinct perspectives, each of these writers engage with material discourses of body–brain improvement to critique contemporary demands for biomedicalized self-transformation while imagining more expansive forms of embodied subjectivity. Drawing on competing narratives of neuroplasticity, psychedelic transformation, New Age practices, cults, and makeover cultures, these authors stage unconventional coming-of-age stories in which protagonists cultivate new relationships with their physical selves and the wider networks of bodies in their societies. Their visions of embodied psychology and nervous feeling seek to decentre humanist verities and transcend the limits of identity as they grapple with bodily particularity and ‘universal’ corporealities.
The Coda explores contexts of speculative fictional responses to environmental crises as a way of bringing together the varied dialogues between literature, self-help, and agency at the heart of this study. It begins by surveying narratives of climate apocalypse and speculative possibility by Alexandra Kleeman, Margaret Atwood, Lidia Yuknavitch, and others before turning to consider in more depth Ben Lerner’s autofiction trilogy (Leaving the Atocha Station, 10:04, and The Topeka School) and his dialogic textual interactions with the work of his mother, bestselling feminist self-help author Harriet Lerner. These final reflections illuminate the submerged utopian and dystopian fantasies around personal and political change evident throughout the book and consider how self-help both enables and forecloses potentials for individual and collective authorship and agency in contemporary writing. The Coda argues that by pushing self-help to its limits – sometimes beyond the bounds of the human self – contemporary authors offer nuanced perspectives on what it means to ‘be better’, ethically, personally, ecologically, and socially, in a world of ongoing crisis.
David Foster Wallace’s work is soaked through with self-help practices – from Infinite Jest’s satirical-yet-serious portrayals of recovery culture to the critiques of self-absorbed personal growth cultures in his novels and stories and his more positive accounts of intergenerational advice transmission. Chapter 1 considers Wallace as writer and public advice giver, focusing on his posthumously published novel, The Pale King (2011), his 2005 commencement address at Kenyon College, and manuscripts from the Wallace archives, including an unpublished and unstudied letter composed in 1990 for James Harmon’s edited collection, Take My Advice: Recommendations for the Next Generation. I focus on Wallace’s lifelong engagement with self-help as a troubled but productive space through which to explore his concerns around public and private life, generational and gendered communications, and the transition to adult citizenship, and suggest that Wallace’s fantasies of advisory authority emerge, in part, as a response to the social fragmentation and individualism he attributes to post-1960s self-help.
Chapter 4 extends my exploration of time management by looking at Sheila Heti’s novel-from-life, Motherhood (2018), interrogating how Heti’s engagement with contrasting models of time management allows her to consider questions of everyday time use within broader negotiations of socially normative lifecycles and the ‘infinity’ time she associates with art-making. Through close readings of Heti’s texts alongside self-help works by David Allen, Stephen Covey, and Mihaly Csikszentmihalyi, it argues that Heti’s writing dramatizes tensions between conflicting temporalities, from the linear, future-oriented time of productivity guides to the expansive time of creative flow, fate, and chance.
Chapter 2 continues to focus on self-help public speech and cultural authority but turns to the work of Paul Beatty, in particular his early novel, Tuff (2000), and later work, The Sellout, published in 2015, the same year Beatty also gave a commencement address. I explore Beatty’s ambivalent engagement with multiple discourses of self-help, from his burlesques of assimilationist ‘racial uplift’ leadership to his depictions of Black women’s empowerment cultures and descriptions of African-American social psychology frameworks. I argue that while Beatty satirizes the booming voices of self-help speakers, the reductiveness of self-help mottos, and the individualizing effects of ‘self esteem’ culture, he also finds aesthetically and ethically generative possibilities in grassroots self-help praxis and the clash of lived, communitarian forms of wisdom.
In this systematic review, we identify and critically appraise randomised controlled trials of effectiveness of available educational, behavioural, cognitive, and self-management support interventions for individuals with chronic migraine.
Background:
Non-pharmacological interventions have the potential to help people living with chronic migraine. Little is known about their true effectiveness.
Methods:
We searched Cochrane, Embase, Medline, PsychINFO, Scopus, and Web of Science for randomised controlled trials assessing the effectiveness of educational, behavioural, cognitive, and self-management support interventions, compared to usual care, for adults with chronic migraine. Our outcomes of interest were headache frequency, headache-related disability, quality of life, pain intensity, medication consumption, and psychological wellbeing at baseline and follow-up.
Findings:
We included six randomised controlled trials (713 participants) whose interventions met our inclusion criteria: two educational, two psycho-educational, and two behavioural interventions. Trial heterogeneity precluded statistical pooling. Several small trials reported some between-group differences. One trial (N = 177) found more people had ≥50 reduction in headache frequency at 12 months following a psychological (mindfulness-based) intervention added to acute medication withdrawal in people with medication overuse headache: 43/89 (48%) control vs. 69/88 (78%) intervention, p < 0.001. However, the largest included study (N = 396) had effectively excluded the possibility that their intervention had a worthwhile effect on headache-related disability at 12 months; mean difference in Headache Impact Test (HIT-6) 0.7 (95% Confidence Interval −0.65 to 1.97). Current evidence does not support the use of educational, behavioural, cognitive, and self-management support interventions for individuals with chronic migraine to improve headache-related symptoms and quality of life. Very limited evidence suggests they may contribute towards headache frequency reduction.
'Self-Made' success is now an American badge of honor that rewards individualist ambitions while it hammers against community obligations. Yet, four centuries ago, our foundational stories actually disparaged ambitious upstarts as dangerous and selfish threats to a healthy society. In Pamela Walker Laird's fascinating history of why and how storytellers forged this American myth, she reveals how the goals for self-improvement evolved from serving the community to supporting individualist dreams of wealth and esteem. Simplistic stories of self-made success and failure emerged that disregarded people's advantages and disadvantages and fostered inequality. Fortunately, Self-Made also recovers long-standing, alternative traditions of self-improvement to serve the common good. These challenges to the myth have offered inspiration, often coming, surprisingly, from Americans associated with self-made success, such as Benjamin Franklin, Frederick Douglass, and Horatio Alger. Here are real stories that show that no one lives – no one succeeds or fails – in a vacuum.
Marked increases in mental health services utilisation across university settings mean that students often spend long periods waiting for evaluation and treatment.
Aims
To assess whether digital unguided self-help delivered while waiting for face-to-face therapy could reduce anxiety and depression and improve functioning in university students.
Method
We retrospectively analysed routinely collected data from the student mental health service at the University of Padua, Italy. From June 2022, all students waiting for clinical evaluation and treatment received a self-help stress management booklet (The World Health Organization’s Doing What Matters in Time of Stress (DWM)). The clinical evaluation included depression (Patient Health Questionnaire-9), anxiety (Generalised Anxiety Disorder-7) and functional impairment (Work and Social Adjustment Scale). Single-group interrupted time series (ITS) analyses compared outcomes in users contacting the service between October 2021 and 23 June 2022 (pre-intervention) and, respectively, between 24 June 2022 and 18 November 2023 (post-intervention).
Results
Seven hundred and forty-nine Italian students (77% women, median age 23 years) were included; of these, 411 (55%) received the intervention and 338 (45%) did not. ITS indicated that the intervention introduction coincided with immediate and sharp decreases in depression (level change, β = −2.26, 95% CI −3.89, −0.64), anxiety (β = −1.50, 95% CI −3.89, −0.65) and impaired functioning (β = −2.66, 95% CI −4.64, −0.60), all largely maintained over time.
Conclusions
In the absence of a control group, no causal inferences about intervention effects could be drawn. DWM should be studied as a promising candidate for bridging waiting time for face-to-face treatment.
Judge Carolyn Kuhl (L.A. Superior Court), until recently the chief judge of the nation’s largest trial court system, offers an important contribution to the debate about whether and how to relax “courthouse UPL” – the possibility that judges, court clerks, other court staff, and AI-enabled chatbots might plausibly narrow the justice gap by providing self-represented litigants with necessary assistance. At once a history lesson and an in-the-trenches look at a decade of L.A. court reforms, Judge Kuhl shows how the anxieties about judicial and court neutrality have given way to a rich array of reform options that are producing concrete lessons for other judicial reformers looking for alternatives to conventional forms of legal help.
The Introduction focuses on the experiences of victims of the Holocaust rather than perpetrators. It addresses victims’ perceptions, understandings, reactions, self-help and varied attempts at resistance. It also concerns Roma, mentally and physically challenged individuals, Slavs and Soviet POWs, and homosexuals. Finally, it addresses historiography, as do most of the chapters in this volume.
Examining rescue during 1940–1945, this chapter asks what possibilities of self-help were available and what strategies were developed to take action? Could Jewish organizations continue to operate under the Nazi regime? What forms of cooperation were forged with non-Jewish organizations and individuals, such as members of the Christian churches, and did these raise chances of survival?
In this chapter we examine how people with Hoarding disorder can help themselves. This is not a “quick fix” and does take time, commitment, and courage to face up to your problems. We will start by looking at how a ban on new items coming into the property is the first “golden rule” of treatment. We will examine how it can be useful but not essential to have a friend or family member also involved in the process. The principles of discarding objects are discussed with the idea of holding on to objects for the shortest time possible, making an immediate decision and then sticking with it and not going back on that decision. Finally, we will then list helpful resources and groups who may be able to assist you.
The COVID-19 pandemic has had a negative impact on the population’s mental health, particularly for individuals with health anxiety (HA) and obsessive compulsive disorder (OCD). This is in conjunction with a significant change in accessibility of face-to-face psychological services which have had to rapidly adapt to the remote delivery of therapy.
Aims:
Using a single-arm open trial design, the study aimed to evaluate the effectiveness of evidence-based CBT interventions for HA and OCD delivered via a blend of online therapist consultations interspersed with self-study reading materials. A secondary aim was to evaluate remote training workshops provided to therapists.
Method:
Therapists attended three half-day remote workshops after which consecutive participants with HA or OCD were assigned to therapists for treatment. Monthly expert supervision was provided. Patients completed routine outcome measures at each session and an idiosyncratic measure of pre-occupation with COVID-19 at pre- and post-treatment.
Results:
Significant and comparable improvements were observed on measures of anxiety, depression and social adjustment from pre- to post-treatment in both the HA (n=14) and OCD (n=20) groups. Disorder-specific measures also showed significant improvements after treatment. The HA group showed greater levels of change on the COVID-19-specific questionnaire. The training workshops were well received by therapists, who valued the monthly supervision sessions.
Conclusions:
The study provides support for the effectiveness of the online delivery of CBT for HA and OCD supported by the inclusion of additional self-study booklets.
Muslim leaders of the UOIF further cement their claim to respectability through an elite project of community-building. This project consists of forming a respectable class of Muslims who embody the petit bourgeois values of hard work, politeness, and individual responsibility. This is concretely enacted through various institutions, starting with private Muslim schools, and implemented through a range of regular activities, such as reading groups, diploma ceremonies, and self-development workshops. This chapter draws on comparisons made with Black elites in the US and upper-class Jews in nineteenth-century Europe to show that French Muslim leaders’ uplift ideology is also scripted into bodies. Physical exercise, hygienic practices, and appropriate outfits comprise the primary medium of perfectionist politics seeking dignity. These politics are articulated using the language of Islamic virtues – the centrality of education is predicated upon the Quranic injunction iqrāʾ (“read”), the search for professional accomplishment is understood as a duty of iḥsān (excellence), and the importance of behavioral exemplarity is reasoned in reference to ādāb (good manners) and akhlāq (ethical conduct). These moral principles, however, are also consistent with neoliberal definitions of social worth and rely on the continuous erection of boundaries against lower-class, “undeserving” coreligionists.
This book challenges the traditional understanding of belligerent reprisals as a mechanism aimed at enforcing the laws of armed conflict. By re-instating reciprocity at the core of belligerent reprisals, it construes them as tools designed to re-calibrate the legal relationship between parties to armed conflict and pursue the belligerents' equality of rights and obligations in both a formal and a substantive sense. It combines an inquiry into the conceptual issues surrounding the notion of belligerent reprisals, with an analysis of State and international practice on their purpose and function. Encompassing international and non-international armed conflicts, it provides a first comprehensive account of the role of reprisals in governing legal interaction during wartime, and offers new grounds to address questions on their applicability, lawfulness, regulation, and desirability. This title is part of the Flip it Open Programme and may also be available Open Access. Check our website Cambridge Core for details.