But once he began working, he found it impossible to tell the two apart. While working with poor patients from the South and West sides of Chicago, he realized personal therapy could not take into account the impact unemployment, poverty, housing, and other structural urban issues have on individual and community well-being. It is easy to be depressed if you live in a neighborhood that has few available supportive resources or is terrorized by gun violence. We are able to diagnose people with depression, but how does one heal a neighborhood?This City Is Killing Me: Community Trauma and Toxic Stress in Urban America, brings policy and psychiatry together. Through a remarkable set of case studies, Foiles opens up his clinical door to allow us to overhear the stories of Jacqueline, Frida, Robert, Luis, Anthony, and other poor Chicagoans. As we listen, Foiles teaches us how he diagnoses, explains how psychiatrists before him would analyze these patients, and, through statistics and the example of Chicago, teaches us how policy decisions have contributed to these individuals’ suffering. It is a remarkable, unique work of social work and psychology with an urgent political call to action at its core.

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