Life at the Bottom

Between 1990 and 2000, "Theodore Dalrymple," whose real name is Anthony Daniels, worked as a physician at City Hospital and Birmingham Prison, both located in the Winson Green area of Birmingham, England. During this time, he wrote essays on topics related to his work, such as his discussions with patients and inmates. Individual essays began being published periodically in the American quarterly magazine City Journal in 1994. The collection does not contain all of the essays he wrote about his experiences, but only the ones he considered the best, whether for their humour or their truth. In his attempts to have his collection published in a single work, Dalrymple turned to "an American house of conservative leaning" ==Content==

The collection of essays has an introduction, an index, and two sections called "Grim Reality" and "Grimmer Theory." The sections are individually broken up into chapters, with sixteen in "Grim Reality" and six in "Grimmer Theory." Each chapter is an individual essay, which were published in separate issues of City Journal around seven years prior. The chapters are organised thematically, not necessarily in chronological order. The essays focus largely on the underclass and the premise that in the latter half of the 20th century, poverty and hunger are no longer descriptive of the poor. Instead, lack of money has been replaced with "emptiness, agonies, violence and moral squalor." A number of chapters discuss the "ferocious young egoist" that is meant to represent male youths who are violent and obsessive toward their significant others. Dalrymple also writes about his views on the "destruction of...family ties," arguing that without family ties it is nearly impossible to rise out of the underclass. These issues, among others, are described as resulting from the "intellectual foundation...[which] makes a permanent underclass possible." This is meant to be directed against intellectuals and liberals that form the many ideas absorbed into the mentality of the underclass. In the larger first section titled "Grim Reality," Dalrymple "uses specific stories from his practice and from some journalistic forays to show how the 'fundamental premise of popular culture' leads to actions that wreck people's lives." This section covers things like modern Bohemianism, drug addictions and overdoses, lack of education, familial obligations, physical abuse and the concept of personal responsibility for choices made. Then, in the section "Grimmer Theory," he "shows that the twentieth century's intellectuals have provided members of the underclass with a battery of rationalizations by which they can shift the blame for their misery away from their actions and attitudes and can unleash their hatred of everyone who challenges their outlook." Focusing on ideas more than events, this section considers the concepts of relativism, determinism and egalitarianism, and how each idea, in their creation by the bourgeoisie intellectuals, adversely affects the underclass. ==Themes==

The work explores the various worldviews of individuals and societies and the impositions of society on those within it. Dalrymple states that "...everyone has a Weltanschauung, a worldview, whether he knows it or not...Their ideas make themselves manifest even in the language they use." The book also explains the philosophy of social determinism held by those Dalrymple interviewed, and how the welfare state and the socialist tenets within it help feed this mindset. However, Dalrymple never directly accuses socialism and the welfare state in his essays, instead focusing on the beliefs and reasons for why the patients and inmates take the destructive actions that they did. This is expressed with determinism in that they believe that their actions must be based on their childhoods or the failure of society in the past to help them. Those patients that Dalrymple speaks with "seem surprised and tell him that he's the first person they've ever talked to who suggests that they can change their lives for the better," further emphasising the mindset in which their society has placed them. An important subset to this deterministic theme, related to the original worldview idea as well, is the lack of personal responsibility that those in the underclass accept for their own actions. An example of this, which is repeated numerous times throughout the collection, is the statement, "The knife went in," in reference to the words of one of Dalrymple's patients who was in jail for murder. This sort of speech makes a person's actions seem like they are something separate from the person themselves and that they have no control over it. A sub-theme that is mentioned is the conflict between two groups, the Indian Sikhs and the Pakistani Muslims, who "not only cannot get along with each other but also cannot adapt to secular Britain." This conflict is shown throughout the collection, usually when an Indian or Pakistani woman is acting as a patient for Dalrymple, who then extracts the story for why the person is there. However, there are only a few stories told from the perspective of Indian Sikhs and Pakistani Muslims since the majority of the patients and prisoners that Dalrymple interviews are white. ==Style==

Meic Pearse of Third Way magazine described the style of the collection as "funny yet depressing, easy to read yet extremely profound." Doctor D. of the National Review considered the style to be "extraordinary," with "clear and penetrating prose" that was "always fearless for the truth." James R. Otteson, in his novel Actual Ethics, spoke of how Dalrymple "does not employ the facts and figures," but "relies instead on his anecdotal experience." This, however, allows the "patterns [to] crystallize with pellucid clarity [very clear, transparently clear]." ==Critical reception==

Life at the Bottom has received mostly positive reviews. Gregory Schneider of the Topeka Capital-Journal called the collection "the best exploration of the problems of poverty ever written." America magazine writer, Peter Heinegg, considered the essays to be a "barrage of breathtakingly horrible true-life...stories," but he said that Dalrymple puts too much of his personal "snorting indignation" into the text without letting the reader draw their own conclusions. He ended by saying, "Dalrymple's case sounds like a paranoid tirade or perverse tribute, but it is at least partially redeemed by the barrage of breathtakingly horrible true-life (one assumes) stories that this very angry doctor tells...to bolster it." John Clark of Liberty magazine called it "so compelling...that I read it cover to cover in a day's time—and later reread it twice." and as "an insightful and devastating eyewitness account of the white underclass in Britain" in Jewish World Review. Overall, Sowell said that the collection was able to explain that "One of the most telling examples of the social destructiveness of the left's welfare state vision can be found among the white slum dwellers in Britain." ==See also==