Most public controversies about the effects of chemicals on human health revolve around the risk of cancer—hardly surprising, considering that it is the second leading cause of death in the United States. People are concerned about the dangers of carcinogens in air, water, and food, and they expect their representatives in government to protect them from such hazards. On the other hand, the economic costs of eliminating every suspected carcinogen from the environment would cause tremendous economic hardship. How should policymakers use science to help strike a balance between the benefits of lowering the risk of cancer and the economic costs of regulation?

In this important book the authors squarely address the complex interaction of science and regulatory policy. They begin by clarifying the scientific issues that are central to regulatory decisions, then explain how and why scientists can honestly disagree about these issues. They demonstrate with two cogent case studies: the heated debates about formaldehyde and benzene, both useful but potentially toxic chemicals. By examining how scientists evaluated the risks from these chemicals, and what kinds of legislative, administrative, and judicial decisions emerged from the evaluations, the authors furnish insight into the checks and balances of health-risk regulation.

They point out that overselling science in this context is harmful to both science and democracy. Their final chapter proposes creative methods for constructing a bridge between the scientist and the regulator that will be invaluable to anyone concerned about health risks.

Families today are experiencing untold pressures and are expected to shoulder enormous burdens at a time when resources for support are becoming ever scarcer. This important book examines the effects of stress on both children and parents and explores various strategies for coping.

The authors—experts in child health and development and in business and social policy—emphasize that the problems of the family and of its members cannot be considered individually. They view the family as a dynamic system whose health is vitally related to its internal relationships and its interactions with other social networks. Stress in this context can be either a positive or a negative influence on the family’s effectiveness in raising children, depending on the personal and public resources available.

The strength of the book lies in its integrated approach to a many-sided problem. The authors provide reviews of research, clinical applications, and theoretical discussions, including several frameworks for understanding the constellation of factors within the family that affect children’s development. They examine specific situations that can present families with formidable challenges: unemployment, divorce, two-career families, single parenthood,teenage pregnancy, demands from the workplace. Some of these situations are traumatic but brief; others, such as chronic illness, require long-term coping strategies. The authors show the similarities that underlie these stressful situations—how they can affect the fabric of family life and the development of the young child.

The emphasis throughout the book is on policy implications: the urgent need for more enlightened and supportive corporate and government involvement. Unless we make the well-being of the family a priority, the number of children in adverse situations will continue to increase. This book will serve as an indispensable guide to psychologists, pediatricians, psychiatrists, educators, business executives, and government officials.

In Incommunicable, Charles L. Briggs examines the long-standing presumptions that medical discourse translates easily across geographic, racial, and class boundaries. Bringing linguistic and medical anthropology into conversation with Black and decolonial theory, he theorizes the failure in health communication as incommunicability, which negatively affects all patients, doctors, and healthcare providers. Briggs draws on W. E. B. Du Bois and the work of three philosopher-physicians—John Locke, Frantz Fanon, and Georges Canguilhem—to show how cultural models of communication and health have historically racialized people of color as being incapable of communicating rationally and understanding biomedical concepts. He outlines incommunicability through a study of COVID-19 discourse, in which health professionals defined the disease based on scientific medical knowledge in ways that reduced varieties of nonprofessional knowledge about COVID-19 to “misinformation” and “conspiracy theories.” This dismissal of nonprofessional knowledge led to a failure of communication that eroded trust in medical expertise. Building on efforts by social movements and coalitions of health professionals and patients to craft more just and equitable futures, Briggs helps imagine health systems and healthcare discourses beyond the oppressive weight of communicability and the stigma of incommunicability.