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BOOKS FOR YOUR CATHOLIC WISHLIST

Hidden Valley Road by Robert Kolker

9/28/2025

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Hidden Valley Road [2020] came to my attention through my wife’s book club. Margaret was engrossed by this non-fiction narrative of a large Catholic family beset with a cruel disease, side-by-side with actual medical hypotheses and studies, and as I am a psychotherapist, she would share her layperson's observations. So of course I purchased my own copy, and I have to say that rarely have I seen the suffering of mental illness in real time coupled with the agonizing and pressured research of scientists to find the cause of a specific and dangerous syndrome. I wish I could say this narrative was unique, but it is not…because mental illness impacts our church communities, including our priests, as this story reveals. The author is the award-winning New York Times’ Robert Kolker.
 
THE FAMILY NARRATIVE: First off, I need to assure you that all the family narrative is based on the best available evidence, including self-reporting and releasing of family medical records. The family names are pseudonyms to protect privacy.
 
The story begins with the marriage of Don and Mimi Galvin. Don was a strict Catholic from birth; Mimi converted to Catholicism at some point in the marriage. They were married during World War II. Don’s exact position with his military superiors is never exactly defined in the book. Don is inclined to exaggerate his importance at times to his family, referring to himself as an intimate advisor to President Eisenhauer, for example. But he and Mimi were frequently invited to military high society functions. In their gravy years with the military the Galvins made close friends with a millionaire couple who play a continuing role in the Galvin story, though different Galvin children remember them as positive and negative influences. Also, a factor, Don Galvin’s income was considerably lower than that of his associates.
 
The author notes that Don Galvin’s Catholicism was lived out in the couple’s having twelve children between 1945 and 1965, though Kolker, an author with the eye of a therapist, comes to believe that the later children may have been conceived for Mimi’s needs, even more than Don’s. The first ten were boys, the last two, girls. As their firstborn son, Donald, passed into adolescence, he began to manifest an angry, physical, aggressive behavior, particularly toward the next oldest sibling, who responded in kind. As the years progressed, six of the boys demonstrated this angry, aggressive behavior; four did not.
 
Donald was the first—but certainly not the last--in his family to encounter the world of psychiatric treatment, and several self-destructive episodes led to the first entry in his chart, “possible schizophrenic reaction.” Schizophrenia. [p. 63]
 
A CROSS NO ONE SHOULD BEAR: Kolker does an excellent interplay in whisking the reader between the growing drama of six sons presenting schizophrenic symptoms, on the one hand, and the development of treatment modalities over the many years of the family affliction. The Galvins’ children grew up during a time of considerable disagreement and animosity in the mental health community. On the one hand were the “talking cure” practitioners, descendants of Freudian psychoanalysis, who believed that all psychotic behavior was a product of inner conflicts which could be resolved by talking out and identifying the heart of the conflict.
 
But on the other side were practitioners and researchers who believed that the disease was organic, most likely in one or more regions of the brain, and that the best treatments were medical—hospitalization, medication, and electroshock, if necessary. The six Galvin boys ran the gamut of such treatments and institutionalizations throughout their lives, but they [and the rest of their family] became the object of intense medical research across the country. Multiple cases of schizophrenia in a family are highly unusual; the odds against six identified subjects in a nuclear family are in the trillions. In the quest to study the genesis of the disease, all the members of the family were studied and tested to detect a genetic marker peculiar to or absent from the six afflicted boys, and the other way around, a process that went on for decades.
 
The symptoms of schizophrenia, defined here by the Mayo Clinic, explain how hard it is for a patient to exist in a “normal setting” such as a home or apartment. This disease falls into the category of “personality disorder,” or disorder of thought, which one of my professors described as bad wiring in the brain. Schizophrenia and other personality disorders are worlds apart, treatment wise, from ‘disorders of mood” such as depression, anxiety, panic attacks, etc. Therapy assists depressed patients because the patients’ thought processes, although often mistaken, are intact enough to implement changes of circumstances and behavior with traditional therapy and modest medication. Medications for mood disorders are far more benign, although the risk of suicide increases with depressed mood. There is more known to science about mood disorder, though not enough. I myself have taken antidepressants since 1990—but it took seven different meds and ten years to find the right one. My drug, nefazodone, is an SNRI or “selective norepinephrine reception inhibitor” in the brain, a cousin to the SSRI Prozac/fluoxetine family, which inhibits serotonin reuptake. However, when I go for my refills, the pharmacy instructions always begin with “the full operation of this medication is still not entirely understood.” A fair statement for much of what we do in psychiatry and mental health practice.
 
LIFE IN THE GALVIN HOUSEHOLD. Mimi strove to keep her family together. In practice this meant providing room and board for her six afflicted sons as they spent their adulthood cycling through hospitalizations, prisons, flop-house arrangements, and extended periods of wandering the countryside. Compliance with prescribed medications was hard to enforce. [See the side effects of thorazine.]Money was tight, particularly after Don’s retirement from the military. Often the family could not afford topflight mental health facilities and was forced to institutionalize sons in lower budget state facilities for months at a time. During their time at home at Hidden Valley Road, Mimi did her best to police some kind of order—regular meals, hygiene, etc.—but at best the atmosphere was chaotic, and at times dangerous.
 
Personality disorders are marked by inability to feel for others. And while schizophrenia creates numerous impairments, sexual drive is often not impaired. As the Galvin family grew up, with multiple unhealthy men coming into the prime of adulthood and sexual drive, the situation of the two youngest girls [offspring #11 and #12] just coming into puberty created a seriously unsafe environment. At this juncture Mimi accepted an offer from an affluent couple in her circle to allow the oldest girl to live with this other family for some years, in a high society environment with the best schools. This was a cruel blow to the younger sister who for years afterward wondered why she had been left behind. I myself puzzled over the intentions of Mimi and the generous couple; if the latter took the older girl to save her, so to speak, why leave the younger and more vulnerable one behind?
 
Don would eventually die of cancer, and the deaths of most of the afflicted sons would open a new psychological episode for the family: processing the questions and angers of the six who were not physically afflicted by schizophrenia. In the final chapters of this work, Kolker interviews the two youngest daughters at some length to explore the lot of the survivors, so to speak. Three of the four unafflicted brothers maintained relationships with Mimi and the homestead, though they wisely kept their children [and themselves] at a safe distance. The daughters likewise married, though they were wary of reassurances of researchers that their offspring were not at higher risk for inheriting schizophrenia. In fact, an autopsy of Don’s brain found no abnormalities, a point that Mimi did not acknowledge to herself. As Kolker observes, “Mimi knew what she knew.”
 
In reading the family postmortem, so to speak, what appears to have troubled Mimi’s surviving children was their mother’s perfection and autocratic ways, specifically her determination to care for her sick boys above everything else. Mimi never totally accepted a medical cause for her sons’ illnesses—in her older years she blamed her husband’s family despite the absence of medical proof available at the time. But in her declining years in the 1990’s she learned of a stunning betrayal of her trust years earlier that, in her mind but probably wrongly, became the lynchpin of her interpretation of the family’s troubles in her final reckonings before her death.
 
The two sisters, Margaret and Mary/Lindsay, “had issues” between them—as in why one got cut loose and the other left behind in the mayhem. However, they came to realize that they would be the final chroniclers of this long and tragic epic, as well as the glue that held the surviving family together, and both became valuable sources as Kolker rounds out his narrative.
 
LOOKING AT THIS NARRATIVE FROM THE VANTAGE POINT OF CATHOLIC LIFE: The United States Conference of Catholic Bishops lists the “corporal works of mercy,” and it says this about the sick: “Offer to assist caregivers of chronically sick family members on a one-time or periodic basis. Give caregivers time off from their caregiving responsibilities so they can rest, complete personal chores, or enjoy a relaxing break.” This is excellent counsel, to be sure, although some forms of illness present with dangerous symptoms—infectious conditions, for example, or schizophrenic chaos. If a parish is considering a ministry to the sick and to caregivers, it would be wise to seek professional input in staff planning and recruiting volunteers as well as periodic continuing education for those working with the sick.
 
It is a common feature of personality disordered individuals to deny they are ill or different in any way…and hence, can be highly resistant to prescribed drugs, or even suggestions meant to help. I learned this the hard way in the confessional. I had a penitent who was caught up in a situation which caused serious anxiety and guilt. After some weeks I became confident that the penitent might be suffering from obsessive compulsive disorder as the root cause. So, I said, “You know, the next time you see your doc, ask if a tricyclic antidepressant might help you regain control.” The penitent roared back: “I don’t come in here for headshrinker bull----. I come for absolution.” So much for my good intentions. But it is true that some forms of disease require unusual and extraordinary methods of comforting access. And to paraphrase Jesus, some issues are addressed only by prayer and fasting.
 
The same is true with family members of the sick. Mimi, for example, had her way of caring for family business. An astute parish minister visiting her house might take considerable issue with the makeup and management of the home, but still need to find the prayer, the interaction, and the practical assistance to lift the spiritual and possibly even the physical burden of the caregiver for a time. If you are an extraordinary minister of the Eucharist, you should probably discuss the condition of your patient[s] and their settings with your pastor in reference to their symptoms and behaviors as well as the possibility to administer the sacrament in a meaningful and devout fashion. [When I ran this sentence past my wife, who had read the book before me, she said “you mean, a minister might feel awkward giving communion with adult Donald walking stark naked through the house,” as was his wont.]
 
The story detailed in Hidden Valley Road covers nearly a half century. Although the author is able to identify some progress of science over that time including the extraordinary sacrifices of individual scientists, a definition of schizophrenia, let alone a cure, remains far into the future. The treatment and containment of patients today is basically the same as that employed in the care of the Garvin boys. We have a long way to go to ameliorate, let alone cure, many diseases that cripple individuals and disrupt families and marriages.
 
While Catholic teachings in recent years such as Fratelli Tutti have exhorted us to become more engaged in thinking and acting as a community in the care of the planet, health care in our country and the world is a demanding issue crying for help. It is also an issue that involves individuals of all faiths and cultures. Catholic Americans can be rightly proud of our history of the care of the sick. Historians of both the Confederate and Union Armies of the Civil War highlight the extraordinary interventions of Catholic sisters in treating wounded soldiers across the entire landscape of that war.
 
Today, health care is a business, and everyone is a player—and a present or potential client as well. Each of us is also a taxpayer, hopefully an informed one. The past years and months have not been kind to honest medicine. Massive federal and state cuts have impacted the health services currently available, Medicare and Medicaid, among others. Monies for research are harder to come by. Each year during “Medicare reset time” either I or the people close to me relate how our long-time providers are no longer “in-network” and our copays, naturally, are increased. Kolker is eminently fair in his narrative, but he does observe that Big Pharma has not been motivated to aggressively pursue new formularies for schizophrenic disorder.
 
In our sermon last night [Saturday, September 27], our celebrant developed a magnificent theme about Lazarus the poor man. Lazarus was not just poor; he was also “covered with sores,” as St. Luke describes him. “The dogs came and licked his sores.” Lazarus was shut out from sustenance and health care by the gate at the rich man’s residence. And, more chilling, the day is coming when the circumstances will be reversed, and Lazarus will recline in health and rest in Abraham’s bosom while the rich man was consumed in the fires of judgment. That day is coming for us, too.
 
Let it be said that we opened our mouths and cried for a national compassion and a just system of healing. God expects that none of his children will be locked out of humanity and left to be licked by dogs.


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Martin Luther by Eric Metaxas.

9/14/2025

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Martin Luther did not single-handedly redefine western Christianity. His friends and confidants, and later agents of “civil” governments, promulgated and expounded the central keys of Luther’s theology in a variety of ways and for multiple purposes and interpretations, such that baptism no longer meant the same things across individual and communal consciences by the time of his death. By the same token, his opponents and enemies chose to interpret his body of work in the narrowest of constraints as devoid of any relevance to the pastoral condition of the Catholic Church, in a monumental effort to protect and preserve the historical structure of belief and practice.
 
Whether one admires Luther or not, he did enjoy exquisite timing. In his excellent history of the medieval era, the historian Kevin Madigan [Medieval Christianity, 2015] concludes by summarizing the mood of Catholics on the eve of Luther as torn between frantic efforts to be saved [e.g., indulgences], and massive depression and despair of the very possibility of salvation. Luther, if I remember all the details of this work, never resorted to the rush to efficacious relics for salvific guarantees, even if his protector, Frederick the Wise, owned over 19,000 of them. Luther’s desperation was the “perfect sacramental confession,” which sometimes stretched to six hours. Scrupulosity was his idol in his early years, but Luther at least came to gradual insight to know he was living a sick variant of a religious life.
 
This unbearable tension on the question of salvation played out in the flesh and bones of Martin Luther. Eric Metaxas understands his subject, Luther, and his times equally well. But the author stays thoroughly with Luther throughout his work. To be sure, there are engaging figures passing through the German landscape in the religious upheavals of the times. The anguish of the tormented Augustinian monk, his scrupulosity and fear of damnation, summarizes the catch-22 of thoughtful Christians throughout the medieval era. Luther’s unique position in history is his eventual understanding that the malaise of religion was not simply a matter of reforming it. Wycliff and Hus had trod that road before, to their peril, and even Francis of Assisi and Innocent III did not dare pose a redefinition of the road to salvation; until Luther, the stock solution toward reform was repaving the road, not dismantling it.
 
Luther came to understand that the psycho-religious crisis of his time required a new hermeneutic or interpretive key: a turn to the Bible and an interpretation of the Word in which God’s mercy, manifested in the crucifixion of Jesus, became a highly personal encounter. Luther does for religion what Rene Descartes would do for philosophy a century later with the Frenchman’s “I think, therefore I am.” For Luther, it was belief in the God within him by which the Christian can state, “I am.” Metaxas carries forth the narrative of Luther’s insight and conversion with precision and detail, in a way that the reader can sense the psychological peace that Luther found in his discovery of God’s personal affection and the very real possibility of divine communion, heart to heart.
 
Luther was not an intentional iconoclast, though it might seem so from the distance of time. His theological reflections led him to disengage his followers from traditional church practices that, in his view, interfered or obstructed the believer’s access to a personal communion with the Word of God. For example, his reduction of Church sacraments from seven to two is based not just on the premise that Christ, in his view, never explicitly instituted five of the sacraments, but also on his reservations whether all the sacraments do what they are purported to do. Consider Holy Orders. Luther was a priest himself, and he certainly witnessed other priests of weak faith and immoral conduct. In the theology of the time, and even today in Roman Catholic practice, the integrity of the rite superseded the disposition of the priest. A “bad priest” can bring saving grace, so to speak, a premise Luther found erroneous. [Of course, the reader is free to respond with the question of whether any priest is truly holy enough to affect the consecration of the bread and wine or other miracles of God contained in the sacraments.]
 
At the same time, the author does not whitewash the sufferings of an aging man who is of sound enough mind to realize, as his influence spread, that his theology of the Bible and personal salvation was as divisive as it was freeing. At some point, community was necessary to set boundaries of behavior and belief, one reason being the very integrity of the Scriptures themselves. Luther and his friend Erasmus, among others, realized that the official Church translation, St. Jerome’s fifth century Latin Bible, the Vulgate, was plagued with translational errors. Luther devoted enormous amounts of time to a German translation of the Bible, corrected and accessible to all members of the church in his region.
 
As Metaxas points out, Luther came to realize that reformed churches needed structure. But he was not pleased with many of the new forms of church bodies erupting throughout Europe—which seemed eager to police congregations. By the time of his death the Calvinist movement and the anabaptists were energetic and attainable, depending upon where one lived. As he grew older, married, and raised a family, Luther was no longer the directing prophet of change in this religious era of reinvention. As a husband he was bachelor-like, and his wife complained that he was too wrapped up in his work. He seemed, however, to enjoy the atmosphere of familial living.
 
This work is a splendid introduction to Luther and his special position in religious history. It occurs to me that in 2025, when one of the largest denominations is “Nones,” we may be seeing a resurgence of the religious divide that Luther faced: the frantic on one hand, and the depressed on the other who have given up religious hope. 
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