Lazy, Crazy, and Disgusting

The book provides an accessible, synthetic, and critical examination of the health effects of shame and stigma, one that was already long overdue when the book was published in 2019. That was before the onset of the current pandemic. The topic is of even more pressing concern now, when the public's health depends so much on the behavior of individuals.

The best thing about this book is that it is relatable on personal, institutional, and global levels. The book provides a timely contribution to the state of global health, especially the process of stigmatizing people with infectious disease.

This is a social justice–informed and critically important book for students, scholars, professionals, and policy makers in public health, medical anthropology, health-related social work, and health justice.

Providing a fresh look at the classic social science concept of stigma, this book adds to the literature on why humans so readily stigmatize while touching on the ways in which interventions designed to address a particular health problem may inadvertently contribute to further stigmatization and worsen health outcomes. Interesting, timely, and lucid, this provocative book makes an important contribution.

Despite the growing interest in global mental health, the issue of stigma deserves much more attention than it gets from medical social scientists and health providers. The approach here is highly original and important. I believe there is a wide scholarly and student audience for this teachable book.

This is a magnificent, highly engaging, and ethnographically informed examination of the fateful intersection of stigma and public health. It underscores, through multiple cases, the vital lessons of social science about the adverse consequences of shaming as a means of pushing people, especially the poor and marginalized, to fit socially accepted standards of appearance and behavior.

In Lazy, Crazy, and Disgusting, two eminent scholars of stigma have provided a deeply engaging road map for understanding the unintended consequences of weaponizing shame in the service of public health and its inevitable cascades along the usual fault lines that divide the poor and excluded from the rest of the world. What is, then, the authors' deceptively simple recommendation for physicians, development workers, and policy makers? Don't do it.

Lazy, Crazy, and Disgusting tackles the important topic of stigma and the way it seeps into public global health programs. Filled at every level with grounded examples that contradict perceived wisdom, the book is a model of critical thinking. It is both readily accessible and marvelously synthetic for the way it blends biology, culture, and social experience. A must-read for medical anthropologists, global and public health practitioners, and anyone interested in stigma.

Combining global reach with insightful depth, Brewis and Wutich forcefully counter shame-based, individually focused, and culturally unaware public health efforts. In the best tradition of social science, they document the unintended consequence of victimizing the most vulnerable. While acknowledging stigma's inevitability, this eye-opening warning offers a novel blueprint for improving population health.