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A Lethal Inheritance: A Mother Uncovers the Science Behind Three Generations of Mental Illness [Paperback]

Victoria Costello
4.9 out of 5 stars  See all reviews (15 customer reviews)

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Book Description

January 24, 2012
From the review of A LETHAL INHERITANCE by Dean MacKinnon, MD of Johns Hopkins Medical School:  "In journalistic reviews of the scientific literature I always look out for the odd bit of pseudoscience or pop psychology that might undermine one's confidence in the author's understanding of the topic. Happily, I find that Ms. Costello's science and medical reporting, on topics both biological and clinical, is quite sound. Indeed, she not only avoids bad science, but she also avoids gushing overenthusiastically about the trendiest, most evanescent discoveries. I was consistently impressed with her scholarship and her way of making sense of science without resorting to jargon. She even goes the extra mile--late in the book she enrolls in a study on psychobiological markers of schizophrenia and describes the research process from the inside out."

From the book foreword by Terrie Moffitt, PhD Professor of Neuroscience, Kings College London, Institute of Psychiatry, and Duke University

Every family has secrets; only some secrets are lethal. In Victoria Costello's family mental illness had been given many names over at least four generations until this inherited conspiracy of silence finally endangered the youngest members of the family, her children.

In this riveting story--part memoir, detective story, and scientific investigation--in the tradition of the story of Henrietta Lacks, Costello recounts how the mental unraveling of her seventeen-year-old son Alex compelled her to look back into family history for clues to his condition. Eventually she tied Alex's descent into hallucinations and months of shoeless wandering on the streets of Los Angeles to his great grandfather's suicide on a New York City railroad track in 1913.

But this insight brought no quick relief. Within two years of Alex's diagnosis of paranoid schizophrenia, both she and her youngest son succumbed to two different mental disorders: major depression and anxiety disorder. Costello depicts her struggle to get the best possible mental health care for her sons and herself, treatment that ultimately brings each of them to full recovery. In the process, she discovers startling new neuroscience and genetic findings that explain how clusters of mental illness traverse family generations.

The author closes by translating what she's learned into a set of ground rules for "New, New Parenting," advice to help individuals and families recover from addictions and mental disorders, and prevent their return in future generations.

Writing for Booklist, Donna Chavez says about A Lethal Inheritance: "Science journalist Costello's educative memoir gives poignant testimony to the fact that not only do we stand on the shoulders of those who came before us; we carry their burdens as well. At the point where it was almost too late to intervene in her eldest son's mental deterioration, Costello embarked on a journey backward in time that moved her and both of her sons forward into a brighter future. ...The story Costello share is a twofer. It is a cautionary tale about the price families pay for keeping mental illness secret. It is also a road map for identifying risk factors for and recognizing early signs of psychiatric issues, the better to preempt advanced disease."

To see the Book Trailer for A Lethal Inheritance, go to:
 youtube.com/watch?v=naB8JzT9hQU

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A Lethal Inheritance: A Mother Uncovers the Science Behind Three Generations of Mental Illness + Perfect Chaos: A Daughter's Journey to Survive Bipolar, a Mother's Struggle to Save Her
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Editorial Reviews

Review

From Publisher's Weekly - A science journalist and mental health advocate in San Francisco, Costello offers both an affecting chronicle of her family's mental illness and a useful guide to detection and prevention. In the end, Costello presents a book of vigorous personal and factual research. (Jan.)
Reviewed on: 10/24/2011


From NAMI E-News - Although schizophrenia is often described in scientific, medical or psychological terms, it is, like all illnesses, an intensely personal experience. By focusing on individuals with mental illness and their families Costello gives a good overview of where we are now in uncovering its causes and treatments. 11/2011

"This honest, lucid book examines the urgent problems of family history and early diagnosis in mental illness from a personal and scientific standpoint. It will be invaluable to families trying to understand their own history, and to those who have been blind to such history."
--ANDREW SOLOMON
The Noonday Demon: An Atlas of Depression

"This book should be required reading for any parent with a family history of mental illness, for pediatricians, and for educators. Costello elegantly weaves personal history and scientific research into a compelling and profoundly important narrative..."
--AYELET WALDMAN,
author of Bad Mother


"...A Lethal Inheritance is a graceful balance between science and memoir."
--LINDA GRAY SEXTON, author of Half in Love, Surviving the Legacy of Suicide,
and Searching for Mercy Street: My Journey Back to My Mother, Ann Sexton "

From the Author

How and Why I Came to Write A Lethal Inheritance...

I began this book project with the premise that the world didn't need another memoir of mental illness -- unless I could find a novel and useful reason for sharing the intimate details of what had been the worst decade of my life.

After dealing in 1998 with the diagnosis of my eldest son Alex at age seventeen with paranoid schizophrenia, I then confronted my own lifelong depression followed rapidly by my youngest son's depression and anxiety disorder -- while navigating the emotional and practical fallout. Nothing prepares you for such an unraveling -- particularly when you come from a family steeped in denial, addiction, and hidden mental illness, as mine was. Eventually I would see that these historical family dysfunctions and secrets were as central to the story I had to tell as were the present-day diagnoses, and treatment decisions I was encountering. 

This is how I came to the decision to use my own family going back three generations as a case study on how mental illness and addiction traverse families.

 From the book:

I've learned three important lessons on my journey through mental illness. First, that I've done things in the wrong order. If we, as parents, get treatment for our own psychological or addiction issues, our children will suffer far less mental illness. If they're already struggling with a mental health challenge, we'll be of much greater help to them. That leads to my second discovery: intervening sooner for a mental health problem is better than picking up the pieces later -- for everyone. Lastly, I've learned that although we're each born with inherited liabilities and assets, throughout our lives our minds become largely what we make of them. Put simply, nurture can trump nature.

Once we get these three things, the game has changed, and we're living in the prevention model of mental wellness where healthy minds rule.


To read an excerpt: alethalinheritance.com/about-the-book/excerpt/

Product Details

  • Paperback: 220 pages
  • Publisher: Prometheus Books (January 24, 2012)
  • Language: English
  • ISBN-10: 1616144661
  • ISBN-13: 978-1616144661
  • Product Dimensions: 6 x 0.6 x 9 inches
  • Shipping Weight: 13.6 ounces (View shipping rates and policies)
  • Average Customer Review: 4.9 out of 5 stars  See all reviews (15 customer reviews)
  • Amazon Best Sellers Rank: #639,787 in Books (See Top 100 in Books)

More About the Author

Victoria Costello is an Emmy Award winning author of six books published in psychology, mental wellness, parenting and memoir. She blogs on HuffingtonPost, Mamapedia, PsychCentral, All About Psychology, Tween Parent, DivineCaroline, and Yahoo Health & Wellness News.

She is also a consumer with lived experience in recovery from lifelong major depresssion. In her work as a mental health advocate, she is a board member of the Mental Health Association of San Francisco, a producer of strength based recovery training materials for care managers at S.F.'s Family Services Agency and a speaker for parents and care providers around the country.

After co-authoring four books with medical and psychological experts, Victoria has two of her own titles releasing in 2011-2012.

Using memoir and the latest findings from genetics, brain imaging and behavioral science she tells a far reaching, and yet intimate story that will resonate with anyone who has dealt with mental illness in the family in A Lethal Inheritance, A Mother Uncovers the Science Behind Three Generations of Mental Illness, coming from Prometheus Books on January 24, 2012.

Visit the book website at: http://alethalinheritance.com

Also this year, Alpha Books releases Costello's how to on writing a healing memoir. The Complete Idiot's Guide to Writing a Memoir goes on sale December 6, 2011.

Currently available books include the psychology primer she coauthored for parents and college students, The Complete Idiot's Guide to Child and Adolescent Psychology, written with child psychiatrist Dr. Jack Westman. Her Everything Parent's Guide to Children with OCD written with Stephen Martin, MFT, is a well established parental resource.

In addition to her publishing activities in the mental health field she has hands on experience as the Executive Director of a community mental health center in Santa Rosa, CA.

Speaking and workshops topics include: prevention of mental health disorders for parents and children, using the latest science to interpret your personal risk based on family mental health histories, building emotional resilience and positive communication in families, strength based recovery, and self healing through memoir writing.



Customer Reviews

4.9 out of 5 stars
(15)
4.9 out of 5 stars
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A must read book if you struggle or someone in your family have mental health issues. maureen  |  7 reviewers made a similar statement
Before I read the first paragraph of book, (which captivated me - literally. Laura Shumaker  |  5 reviewers made a similar statement
Most Helpful Customer Reviews
4 of 4 people found the following review helpful
5.0 out of 5 stars A very important work February 20, 2012
Format:Paperback|Amazon Verified Purchase
As a mental health provider for children and families I cannot recommend this book highly enough. Ms Costello bravely combines her personal and family mental health history with some of the most recent scientific information about genetics, brain development and impact of the environment to the development and possible life time complications of mental illness. It is easy to read and she offers several check lists and strategies to identify and improve the lives of all who come in contact with these disorders, which is every one of us.

A must read for anyone who has EVER struggled with mental illness or has a family history of addiction, bipolar disorder, depression, conduct problems, ADHD etc.
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3 of 3 people found the following review helpful
5.0 out of 5 stars Perfect Balance of Science and Storytelling July 8, 2012
By Tonya
Format:Paperback
If your family has a history of depression, bipolar disorder, schizophrenia or a host of other mental health disorders, Ms. Costello's book is a must-read, (and it's certainly insightful for any reader with only a passing interest in mental illness). Her personal journey is candid and engaging, and I suspect familiar to most anyone whose family has locked away mental health secrets and tossed the key.

But it is the science and research documented in this book that make it a true treasure. Ms. Costello skillfully manages the challenge of presenting academic information and statistics that are at once enlightening and a pleasure to read.

My small issue with this book is its title. As a layperson with personal interest in mental health issues, I put down this book feeling as though a family history of mental health disorders does not mean an individual is left with a lethal inheritance. Even if your family tree is plagued with suicides, unexplained deaths and drug abuse as a means of self-medication, Ms. Costello and her extensive research offer steps to break the vicious genetics of mental illness. It's a happy irony that a book called A Lethal Inheritance can offer hope for you and your children.
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2 of 2 people found the following review helpful
5.0 out of 5 stars It's About Time September 7, 2012
By Tanager
Format:Paperback
Argh! Where was this book thirty years ago when I started my quest for some answers to these unfathomable questions? Trust me, there are more answers to some of life's most perplexing imponderables in this single book than I found in many years of research, reading, counseling sessions, church attendance, and personal conversations. While it's true that real breakthroughs in our scientific understanding of major mental illnesses have only been made fairly recently, one wonders why there aren't more books like this one dealing with seemingly impossible problems. Kudos to the author for her achievement! Can't wait to see what she tackles next!
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1 of 1 people found the following review helpful
By maureen
Format:Paperback|Amazon Verified Purchase
A must read book if you struggle or someone in your family have mental health issues.
There is so much information packed into this book,it is a great resource.
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1 of 1 people found the following review helpful
3.0 out of 5 stars An uneasy mix August 25, 2012
By Eyria
Format:Paperback
I hesitate to be critical about this book because it was clearly a labor of love for the author. The book outlines her research into the latest medical information on mental illness, as well as her own personal family history, and was inspired by her sons' struggles with schizophrenia and depression.

There is a lot of good information in the book, but I found it an uneasy mix of personal memoir and reporting on mental health issues. As a memoir, it didn't quite work for me. Although the author describes her sons' problems, and her own, there is a detached quality to her writing that kept me from connecting to them as people. Moreover, the author reports her own problems--drinking, depression, marital issues, self-destructive dating patterns--with honesty but little analysis or introspection. The unfortunate effect is to render her a less-than-sympathetic character. She often seems more concerned with the next medical intervention to take rather than with the person involved.

So, as a memoir, I found it lacking. As an investigation of current scientific research into mental illness, I think it is much better. There is a lot of interesting and useful information presented, including a point-by-point program of what to do as a parent if your child is facing mental health problems.
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1 of 1 people found the following review helpful
5.0 out of 5 stars Well written on a complex subject April 29, 2012
Format:Paperback
This book is well written and researched. This book grabs you from the beginning and keeps you engaged. While the author takes you on her own journey, she prompts you to evaluate your family history well. As many of us have had that family member that others whisper about and whose life and/or death was questionable, the author provides a foundation for the history behind this behavior and what hidden mental illness may have existed that continues to pass along family lines.
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1 of 1 people found the following review helpful
5.0 out of 5 stars A great and informative read about Mental Illness April 11, 2012
Format:Paperback
Before I read the first paragraph of book, (which captivated me - literally. I read the book all at once) I thought of myself as someone who knew a thing or two about mental illness. I soon found out that I knew very little.

Victoria Costello not only answered the questions I had about mental illness, but she educated me about the science (and legacy) of psychiatric disorders.I loved the quality of the author's writing and story telling. I was grateful that the author's account of raising two sons with severe mental illness (one with paranoid schizophrenia and the other with depression and anxiety) included hopeful tips about how parents can safeguard their child's mental health.
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Most Recent Customer Reviews
5.0 out of 5 stars A book that gives hope
Absolutely marvelous. A must read for parents regardless of whether you believe there is or is not mental illness in your ancestry. Read more
Published 14 months ago by jensmiles
5.0 out of 5 stars Mother & Scientist Perspective
I have bipolar disorder & my husband has ADHD. My son is 7 & has ADHD. Before getting pregnant, I was very conflicted as I did not want to pass on the bipolar. Read more
Published 15 months ago by Verrine
5.0 out of 5 stars A Painful Legacy--Powerful Research and Information that can Save...
In this informative and teeth-clenching memoir, Victoria Costello does a brave thing: she combines her considerable scientific research about the causes and treatments of mental... Read more
Published 15 months ago by Linda Joy Myers
5.0 out of 5 stars A truly fascinating book
This book is part memoir, part research paper, and 100% gripping. As someone who has grappled with severe depression and anxiety, I too have been forced to look at the twisted... Read more
Published 15 months ago by Susan C. McConnell
5.0 out of 5 stars Parent Survival Kit
Parenting is especially tough these days and for some the most ambitious of endeavors to unselfishly serve another. Read more
Published 16 months ago by Tracy T.
5.0 out of 5 stars Enthusiastically Recommended
This is an excellent read combining memoir and scholarship that is both sobering and hopeful. I recommend it highly, both to general readers and to parents raising troubled... Read more
Published 16 months ago by Helen Campbell
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