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The Review

Understand the big ideas and provocative arguments shaping the academy. Delivered on Mondays. To read this newsletter as soon as it sends, sign up to receive it in your email inbox.

June 16, 2025
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From: Len Gutkin

Subject: The Review: The woke medical school?

In a recent essay in our pages, the physicians Sally Satel and Thomas S. Huddle probe and palpate some “dubious strains of social-justice advocacy infiltrating medicine,” especially medical education. The enumerated ills are many, including intrusive pro-Palestinian

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In a recent essay in our pages, the physicians Sally Satel and Thomas S. Huddle probe and palpate some “dubious strains of social-justice advocacy infiltrating medicine,” especially medical education. The enumerated ills are many, including intrusive pro-Palestinian activism disrupting hospital activity, doctrinaire pseudo-scientific assertions about the sources of racial health disparities, and institutional accreditation conditioned on “unconscious bias training,” which probably doesn’t work. “Medical students are now immersed in the notion that undertaking political advocacy is as important as learning gross anatomy, physiology, and pharmacology,” Satel and Huddle write. Their diagnosis: “This is the wrong lesson.” The last decade, they write, has been especially rotten.

This is not a new beat for Satel, a psychiatrist who has long been disturbed by what she sees as the deformation of medicine by politics. In an essay in Liberties called “The Woke Couch,” Satel excoriated the capture of training programs in psychiatric and psychological counseling by political orthodoxy. A representative anecdote:

In 2020, Lauren Holt enrolled in a mental health counseling program at a Jesuit university in New Orleans where “social justice indoctrination consumed a great deal of the training.” Many of her teachers were chronically unprepared, presented course material that was superficial, failed to grade assignments in a timely fashion, and ignored student emails — derelictions of duty that other students experienced as well. [...] [M]ediation sessions would be held, but only students who were marginalized (minorities, or gender non-conforming, or disabled) were allowed to participate. Lauren asked: “What about those of us who are not in ‘marginalized groups’? Do our concerns no longer matter? I find that difficult to swallow.” All hell broke loose. “Within minutes, I received a mountain of emails from other students calling me a bigot, a racist, a white bitch, all sorts of heinous things,” Lauren wrote in an article describing her ordeal. Eventually, she was told by a lower level administrator that the department head had decided she could not return for her second year unless she fulfilled the hours of therapy he requested she attend to manage her, as he put it, “incompetency” as a counselor and her “inability to listen to people.” The head also expected her to sign documentation stating she was, at that juncture, unfit to be a counselor. Lauren was not allowed to state her case or to defend herself.

Unwilling to be bullied by him, she filed a grievance. Though her complaint was successful and she was technically permitted to resume her coursework, faculty members were icy to her and her new advisor ignored her emails, and so she left school.

I was reminded of Satel’s “Woke Couch” earlier this month while reading a short piece by a Santa Clara University marriage and family therapy graduate student in The Wall Street Journal. The author, Naomi Epps Best, described a required course that sounds like something out of one of the wackier corners of the ’60s therapeutic counterculture. “We were told to write an eight- to 10-page ‘comprehensive sexual autobiography,’ which could include early sexual memories, masturbation, current experiences, and future goals with an action plan — all uploaded to a third-party platform for grading.” What would it mean, one wonders, to be graded on such a document? I’d like to see that rubric.

Best sees this bizarre course as an instance of therapy’s takeover by “critical theory,” by which she means something similar to what Satel means by “the woke couch.” “Therapists are no longer trained to be neutral,” Best writes, “they’re trained to be agents of political change.” But to me, the course’s demand for erotic self-disclosure sounds like it has less to do with contemporary activism than with an older, more or less cultlike strain in psychotherapy, one recently written about by Alexander Stille in his The Sullivanians: Sex, Psychotherapy, and the Wild Life of an American Commune. Not for the first time in recent years, the weirder wellsprings of the old countercultures seem not entirely to have gone dry.

Summer Reading Recs from Chronicle Staffers

Beach time is coming, so I asked my colleagues what to read. Here’s what they suggested:

Emma Pettit, senior reporter: “Couples by John Updike: Ten couples, at least four affairs, and one Massachusetts small town.”

Brock Read, deputy managing editor: “Modern Nature, in which the iconoclastic British filmmaker and gay-rights activist Derek Jarman, having gone public with his HIV diagnosis, decamps for his cottage on the coast of Dungeness and throws himself into gardening as an act of meditation and mourning. Sometimes beatific, occasionally bitchy, frequently mesmerizing.”

Alison Krug, reports editor: “My go-to summer re-read has been Shark Heart, by Emily Habeck. A woman’s husband begins to turn into a shark, and there’s a lot of paperwork involved. I read a particularly devastating NYT review of it and picked it up that day on my way home from the office.”

Jenny Ruark, deputy managing editor: “I’ve only just discovered the poet Ross Gay, through his book Catalog of Unabashed Gratitude. I’m not usually drawn to free verse, which he favors, but his ebullient, earthy, humane poems are a powerful antidote to gloom and doom.”

Evan Goldstein, managing editor: “Buckley: The Life and Revolution That Changed America. Before Charlie Kirk and Christopher Rufo, there was William F. Buckley Jr. His 1951 bestseller, God and Man at Yale, established the template for conservative critiques of academe — a template still relevant today. Sam Tanenhaus has written a sweeping, decades-in-the-making biography that spans 1,000 pages and more than a half century of American political history.”

Anais Strickland, copy editor: “I’d recommend Chimamanda Ngozi Adichie’s new novel, Dream Count, which focuses on the lives of four women. It was a heart-wrenching read that left me reeling and raving at times because of what the characters endure.”

Scott Seymour, senior art director: “A Really Strange and Wonderful Time: The Chapel Hill Music Scene, 1989-1999 by Tom Maxwell. A history of the North Carolina music scene as ’80s ‘college rock’ transformed into the massive indie-rock scene of the ’90s, featuring the Mammoth and Merge Records labels and bands like Superchunk, Ben Folds Five, Southern Culture on the Skids, and Squirrel Nut Zippers.”

Stephanie Lee, senior writer: “I recently finished Women of War by Suzanne Cope, which tells the true stories of four women in Italy who were part of the antifascist resistance during World War II. It’s a timely read! At the moment, I’m loving Paved Paradise by Henry Grabar, a hilarious, eye-opening account of why America’s obsession with parking is destroying our cities. And I’m about to start re-reading Virginia Woolf’s classic Mrs. Dalloway in honor of its 100th birthday.”

Eugene McCormack, copy editor: “I recently discovered Steven Millhauser’s 1972 novel, Edwin Mullhouse, a fictional biography of a boy-genius writer who dies at 11, narrated by his obsessive friend. It’s dark and funny and gives an accurately unsettling view of childhood.”

Evan Kindley, associate editor: “Andrew Holleran, Dancer from the Dance. A lyrical, subtle 1978 novel about the agony and ecstasy of gay life in lower Manhattan between Stonewall and AIDS.”

Alex Kafka, senior editor: “The Silicon Shrink: How Artificial Intelligence Made the World an Asylum, by Daniel Oberhaus. The author, a former writer for Wired and a consultant for deep-tech startup firms, is certainly no technophobe. But he has serious and well-argued reservations about the medical, philosophical, behavioral, and privacy implications of fast-growing AI-based psychological apps and data sets.”

Jason Lee, copy editor: “Much of my pleasure reading is pop-culture focused, so I’ll recommend two books from author Sam Wasson for true movie nerds: The Path to Paradise: A Francis Ford Coppola Story, which details the director’s unrelenting quest to launch his American Zoetrope production company and gives an extraordinary behind-the-scenes account of filming Apocalypse Now, and The Big Goodbye: Chinatown and the Last Years of Hollywood, a fascinating deep dive into 1970s Hollywood and the making of an American classic.”

Dan Berrett, senior editor: “The Overstory, by Richard Powers. It reframes humans’ penchant for seeing themselves as the planet’s main (and only?) characters, and shrinks to proper size their obsessions, self-regard, and conception of time.”

For my part, I’ve just finished a volume of three D.H. Lawrence works I’d never read before: the novella St. Mawr and the short stories “The Woman Who Rode Away” and “The Princess,” collected in a Penguin Classics edition. All are set in New Mexico, where Lawrence lived for some of the 1920s. I was impressed by the introduction by James Lasdun, whom I hadn’t really heard of; I Googled him to discover that in 2013 he wrote a tremendously disturbing essay in our pages about being stalked.

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  • “He also claimed to have been visited by the Virgin Mary, and that she had delivered a box of Du Maurier cigarettes to him.” In The Nation, the Chronicle Review’s own Evan Kindley reviews Nathan Kernan’s new biography of the poet James Schuyler.
  • “In attempting to rehabilitate the precursor to the cramped notion of freedom offered by liberalism, he does not consider that one can ask the same question of freedom from dependence as freedom from interference: Free for what?” Also in The Nation, Samuel Moyn writes about Quentin Skinner’s long career by way of his new book, Liberty as Independence.
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Write to me at len.gutkin@chronicle.com.

Yours,

Len Gutkin

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