This book confirms Alexis de Tocqueville’s idea, dating back a century and a half, that American democracy is rooted in civil society. Citizens’ involvement in family, school, work, voluntary associations, and religion has a significant impact on their participation as voters, campaigners, donors, community activists, and protesters.

The authors focus on the central issues of involvement: how people come to be active and the issues they raise when they do. They find fascinating differences along cultural lines, among African-Americans, Latinos, and Anglo-Whites, as well as between the religiously observant and the secular. They observe family activism moving from generation to generation, and they look into the special role of issues that elicit involvement, including abortion rights and social welfare.

This far-reaching analysis, based on an original survey of 15,000 individuals, including 2,500 long personal interviews, shows that some individuals have a greater voice in politics than others, and that this inequality results not just from varying inclinations toward activity, but also from unequal access to vital resources such as education. Citizens’ voices are especially unequal when participation depends on contributions of money rather than contributions of time. This deeply researched study brilliantly illuminates the many facets of civic consciousness and action and confirms their quintessential role in American democracy.

Compiling decades of fieldwork, two acclaimed scholars offer strategies for strengthening democracies by nurturing the voices of children and encouraging public awareness of their role as citizens.

Voice, Choice, and Action is the fruit of the extraordinary personal and professional partnership of a psychiatrist and a neurobiologist whose research and social activism have informed each other for the last thirty years. Inspired by the 1989 United Nations Convention on the Rights of the Child, Felton Earls and Mary Carlson embarked on a series of international studies that would recognize the voice of children. In Romania they witnessed the consequences of infant institutionalization under the Ceaușescu regime. In Brazil they encountered street children who had banded together to advocate effectively for themselves. In Chicago Earls explored the origins of prosocial and antisocial behavior with teenagers. Children all over the world demonstrated an unappreciated but powerful interest in the common good.

On the basis of these experiences, Earls and Carlson mounted a rigorous field study in Moshi, Tanzania, which demonstrated that young citizens could change attitudes about HIV/AIDS and mobilize their communities to confront the epidemic. The program, outlined in this book, promoted children’s communicative and reasoning capacities, guiding their growth as deliberative citizens. The program’s success in reducing stigma and promoting universal testing for HIV exceeded all expectations.

Here in vivid detail are the science, ethics, and everyday practice of fostering young citizens eager to confront diverse health and social challenges. At a moment when adults regularly profess dismay about our capacity for effective action, Voice, Choice, and Action offers inspiration and tools for participatory democracy.