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The Hospital Always Wins: A Memoir

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Issa Ibrahim’s memoir details in searing prose his development of severe mental illness leading to a horrific family tragedy, his acquittal by reason of insanity, and his subsequent commission to a mental hospital for nearly twenty years. 

Raised in an idyllic creative environment, mom and dad cultivating his talent, Issa watches his family’s descent into chaos in the drug-crazed late 1980s. Following his father’s death, Issa, grief-stricken and vulnerable, travels down a road that leads to psychosis—and to one of the most nightmarish scenarios conceivable.

Issa receives the insanity plea and is committed to an insane asylum with no release date. But that is only the beginning of his odyssey. Institutional and sexual sins cause further punishments, culminating in a heated legal battle for freedom. 

Written with great verve and immediacy,  The Hospital Always Wins  paints a detailed picture of a broken mental health system but also reveals the power of art, when nurtured in a benign environment, to provide a resource for recovery. Ultimately this is a story about survival and atonement through creativity and courage against almost insurmountable odds.

288 pages, Hardcover

First published June 1, 2016

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1313 people want to read

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Issa Ibrahim

3 books4 followers

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5 stars
49 (19%)
4 stars
79 (31%)
3 stars
74 (29%)
2 stars
36 (14%)
1 star
13 (5%)
Displaying 1 - 30 of 49 reviews
Profile Image for Elyse Walters.
4,010 reviews12k followers
March 29, 2016
"The Hospital Always Wins", is written by an absolutely extraordinary graphic artist.
Issa Ibrahim is also winner of the prestigious Edward R. Murrow & Third Coast 2014
Awards for Best News Documentary NPR's 'The Hospital Always Wins'....( an hour long feature)

This book is a powerful memoir of incarceration, rebellion, sex, drug, death, race, and art.
With peppery-high spirited prose he shares of his home life...and his institution life.
Issa's parents were often using marijuana and he grew up in a chaotic drugcrazed environment.
He developments severe mental illness as a young teenager....which leads to an accidental killing of his mother. He received the insanity plea and was committed to an insane asylum with no release date.

We get the inside story of what a broken Mental health system looks like from the eyes of Issa who spent 20 years of his life in the 'asylum environment'.
There were years when he was punished for sexual sins. There were legal battles for freedom...but my favorite parts of the book was when Issa begins to blossom from the power of his artwork. His art generously gets nurtured by the hospital staff...and it helps Issa with his recovery. It's really beautiful...it's a turning point of something positive within the hospital walls...(replenished my faith in humanity).

Creedmoor Psychiatric Hospital in Queens County, New York, is where Issa spent his years. They have one notable program which allowed Issa to thrive and showcase his work...called "The Living Museum".
The Living Museum is an art Studio dedicated to presenting the art produced by patients at the Creedmoor Center.

Issa's life story was very sad...but his spirit is very inspiring. The guy is a survivor. It was clear to me that he loved his mother deeply. Her death is a deep scar... but my God...he has repented. I had the feeling that even his mother knew it was an accident and forgave him immediately...whereas Issa spent his entire life making peace with himself.

No matter what I or anyone thinks of this story - or of things read about within the hospital walls ... the biggest lasting message - for me- is that it was a horrific mistake that Issa spent 20 years inside an institution. Insane... completely insane!

Bless this talented artist, this man! ...may the rest of his life be fill with love - art - great friendships - and much joy!

Thank You Chicago Review Press, Netgalley, and Issa Ibrahim,
Profile Image for Book Riot Community.
1,144 reviews308k followers
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May 5, 2016
I can’t express how awesome I thought this book was. It’s morally complex, vivid in setting and character development, and the pacing of this memoir kept me turning pages into the night. I found it somehow reminiscent of On the Road, even though it wasn’t about a road trip; maybe more like if Kerouac, Richard Wright, and Vincent van Gogh had all gotten together and written One Flew Over the Cuckoo’s Nest. (Never mind that it’s temporally impossible for that to have happened.)

– Susie Rodarme



from The Best Books We Read In April: http://bookriot.com/2016/04/29/riot-r...
Profile Image for Ally.
375 reviews34 followers
May 1, 2016
A very sad and meaningful read. As many of you know, mental illness memoirs are some of my favourite (if that's the right word) types of memoirs to read. I find it absolutely fascinating to be in the head of someone experiencing life in an entirely different and unique way. Previous stories I've read, though shocking and scary (see, Wasted, Manic) almost paled in comparison to this young man's story. This is not at all to belittle anyone's experience of their own mental illness, but more to point out that previous memoirs I've read have related more closely to self-harm than harm to others, especially loved ones, which I found particularly horrific in this case.

That being said, I didn't love the overall structure and style of this book. I understand why it was structured as it was, and I agree that it made it much easier for the reader not to prejudge this young man for the terrible crime he committed; however, I think just a year as the title of the Chapter would have made everything much clearer. Sometimes I had no idea if we were pre-hospital or not. I have seen this done effectively in other books, particularly Madness: A Bipolar Life, and Manic, but it really didn't work here for me.

But I think the real and very important story here is Issa's experience of being hospitalized in a system determined to keep him locked up rather than to contribute to meaningful therapy and a transition into a 'normal' life. It is absolutely abhorrent that psychiatrists and psychologists continue to get away with kind of behaviour that only serves to retrench power dynamics in psychiatric institutions and likely further contributes to feelings of low self worth and depression. This is an important story about a man who overcame these obstacles, and fought for the life he deserved.

Definitely worth a read if you're interested in drug-induced psychosis and experiences in the psychiatric ward.

An advanced review copy was provided by Netgalley in exchange for an honest review
Profile Image for Megalion.
1,481 reviews46 followers
other
August 12, 2016
NOTE: I don't feel comfortable rating this particular memoir in any official way because I feel that my 2 star reaction is specific to me and not quite indicative of how others might enjoy or not enjoy it.

I was really looking forward to this book as I'm always wanting to read about how other people have dealt with being bipolar.

I just could not get into it though. As I noted in my status update a couple months ago, I was having a hard time following the scattered narrative. Usually that's not a problem for me but I suspect that my inability to relate to his story was the main culprit.

I set it aside intending to return but after two months of dreading trying to get into it again, I'm letting myself off the hook.

One reason for not relating, I wasn't feeling any sympathy or empathy for his end. Augusten Burroughs similarly behaves like a brat at points in his childhood memoirs but in the context of his environment, it made sense that I remained intrigued by his story.

However, I would like to strongly emphasize that this is a Your Mileage May Vary (YMMV) situation. Others have really gotten a lot out of this book and you may too. This is simply ny personal reaction to a memoir that is volatile enough to go either way for people.

Thank you to the publisher for the free copy of this book in exchange for my honest review.
Profile Image for Kate.
21 reviews12 followers
July 15, 2016
Issa is an awesome writer, but he plays the victim way too much for me to fully sympathize. I completely understand that mental illness can take over rational thoughts and actions and I don't doubt that he wasn't in his right mind when he murdered his mom. He should be treated with compassion, but to feel slighted because you can't have your freedom after voices in your head made you murder is a bit too much.
Profile Image for Snem.
993 reviews9 followers
April 5, 2017
This was an interesting exploration of one man's mental illness and commentary on issues throughout the mental health system. The description of the madness during the actual killing of his mother was disturbing and really well done.

While this was really interesting, it's written a little too wordy and overworked. I didn't find the author particularly likeable or compelling. Structurally the timeline jumping does reflect the psychosis of the author, but is jarring for this reader. I wish it was written in chronological sequence. The relationships with all the women in this book was disturbingly manipulative on the part of all parties including the author.

Creedmoor holds a special place in my heart, but I only recommend this if you have a strong interest in mental illness books.
Profile Image for Whitney .
33 reviews38 followers
May 17, 2016
Full review with hyperlinks and whatnot on the blog: https://brownbooksandgreentea.com/201...

Issa Ibrahim is institutionalized for a very specific reason: readers will find out the details later, but it’s not a spoiler to reveal that he’s murdered his mother. According to him, it was a marijuana-induced psychosis, i.e. the drugs were a deadly choice for someone with potential preexisting mental health issues.

Because of this, Issa Ibrahim spends some time on Rikers Island, wins an insanity plea, and gets transferred to Creedmoor Hospital. Here, he stays nearly two decades, learning to live with his crime, and move toward a life beyond Creedmoor’s walls.

The Hospital Always Wins, perhaps a play on “the house always wins,”illustrates what an insanity plea really means. It’s an insider look at how the criminal justice system fails the mentally ill by placing them in facilities just as flawed as regular prisons. Ibraham describes both sexual relationships and assaults between patients and staff, as well as bureaucratic conspiracies to keep patients under lock down. It’s not pretty. In fact, on many occasions, it’s wholly disgusting.

Effectively disowned by his remaining family, Ibrahim immerses himself in his art. He’s commissioned by staff to illustrate tattoo designs and uses the money to increase his stockpile of art supplies. Art takes him far, and his art shows become one of few ways he’s allowed to leave the Creedmoor campus (escorted by male staff, of course).

Ibrahim’s artist statement: “My interest in the politics of race, mental illness, and popular culture informs my range of subject matter. I am telling a parallel narrative. My life as a psych patient, a flawed Superman, learning to navigate the many identities I had to assume in the system in order to survive various barriers to freedom, in addition to exposing the Everyman in the world at large. We are living in a comic strip, with plenty of super villains and heroes, love stories, cliffhangers, absurdist comedy and heartbreaking tragedy. With equal parts whimsy and warning, I use familiar icons in historical settings as reflections and metaphors for our own bankrupt culture.”

Ibrahim intersperses the recollection of his time at Creedmoor with memories of his mother, the most loving figure in his life. It’s an effective storytelling tactic, that builds to the crescendo– when he recounts exactly what happened the night of her death. It would be crass to end there, but Ibrahim also discusses how he begins to find closure.

The Hospital Always Wins is a purposefully cringe-inducing look behind a mental institution’s tightly closed doors. While Issa Ibrahim, for many reasons, is perhaps one of few who could tell this story, I found the people on the periphery a bit more interesting. I was personally turned off by what I interpreted as Ibrahim’s problematic relationship with women, with whom he seemed unable to build nonsexual bonds.

For those interested in Issa Ibrahim, I’m a much bigger advocate of his work elsewhere, including this article, and this appearance in an HBO documentary from several years back. In the recommended links, you’ll find engrossing details about his crime, diagnosis, and institutionalization. Heavy on the serious content and light on the schoolboy sexual details about him and the hospital staff.

I’d love to hear from some people who felt this book spoke to them. There is a discussion worth having about how mental health issues are handled in the criminal justice system, but this book missed a great opportunity to bring them to the fore.

Disclaimer: I was given this book in exchange for an honest review.
355 reviews1 follower
June 7, 2019
4.5 stars

I picked up this book because I grew up jsut a block away from Creedmoor (the hospital where Mr. Ibrahim spends the majority of his incarceration). I always knew what Creedmoor was but didn't really know what went on inside it and thats what drew me to this book. It was fascinating (and disturbing) to hear a lot about what went on inside.

I was particularly disturbed by Mr. Ibrahim being punished for his dalliances with two staff members. I agree that they were inappropriate but since he was a patient and they were staff it seems that they should have been guilty of sexual assault for sleeping with a man who they knew to be be mentally ill and were entrusted with his care. I understand that Mr. Ibrahim did not feel that way but he is a seriously mentally ill person battling addiction.

I feel bad for everything Mr. Ibrahim has been through and I hope he finds peace.

And I enjoyed learning some about the institution next door to where I grew up.
Profile Image for Kelly.
313 reviews
September 17, 2016
Wow I can't finish this. I expected an insightful look into the mind of a person who has suffered from a mental illness that tragically resulted in the death of his mother by his own hands, and is forever saddened by it and eternally remorseful. Instead, I get a memoir full of reasons why it's someone else's fault...sometimes society, sometimes his other family members, sometimes the fault of the dead woman herself. The last straw for me was his multi page complaints about his struggle to get a good haircut at the hospital, preceded by his tales of his use of women to get what he wants. I'm just not interested. But thanks to Edelweiss for the advanced readers copy.
Profile Image for Alison Donnelly.
90 reviews
September 14, 2016
It's not really true to say I liked this book. Ibrahim's story is overwhelming and disturbing. Two narratives are interwoven, his early years leading up to his psychosis and subsequent horrific crime and his twenty year stay in state psychiatric hospitals. Both are devastating and reveal a man who somehow survived and a critique of shocking staff and clinician misconduct in mental health facilities. Not for the faint hearted. At all.
Profile Image for Heather.
257 reviews17 followers
May 11, 2016
Nope. Just not for me. I found this writing pretentious and dull. Half way into the book, I admit, I skimmed. I fully understand that you don't always have to like your protagonists (even in non-fiction), but you should at least be interested. I'm not. After two months of trying to read this, I'm done.

**I received this copy via NetGalley in exchange for an honest review** (less)
Profile Image for Polly Krize.
2,134 reviews44 followers
June 7, 2016
I received an ARC of this book in exchange for an honest review.

A seemingly never-ending, dull journey into mental illness and its effects upon the author. Not meaning to be too critical, but this did not seem to be well-written and enunciated. Too wordy and plodding. Only my opinion.
Profile Image for Paul Spence.
1,563 reviews73 followers
December 15, 2017
Issa Ibrahim tells of his upbringing and ultimate incarceration in mental institutions
due to a terrible crime he committed. His family life had a great influence on him as he turned to
drugs, which may or may not have been a factor in his mental illness. But this story isn't
merely about drug use and mental illness, it's also about rehabilitation and repentance.

Growing up in a family environment that nurtured caring and creativity, Issa's loose family life also enabled him to be introduce to the drug culture of the 80's. Possibly his drug contributed to his mental illness which lead to his committing a terrible crime and his ultimate plea of insanity. The book documents his “incarceration” in mental institutions along with his recovery from his
illness. His road to recovery was long and not as straight as it could have been.

Briefly jailed in hellish Rikers Island, Ibrahim was ruled not guilty by reason of insanity and spent most of his years at Creedmoor, a huge state mental hospital in Queens Village, New York. He writes scathingly of its violence, homosexual sex, staff unprofessionalism, and administrative ineptitude. His talent for painting eventually got him to Creedmoor’s Living Museum, an art studio and sanctuary for patients, where he flourished.

Issa's compelling story was a good read. He is an intelligent and interesting man with a lot to
share. Some things you may wish he hadn't. Never knowing his crime until near the end
made this a page turner. His story is quite thought provoking and may, or may not, change
your opinion of the insanity plea and the role our mental institutions play in returning mentally
disturbed individuals to a normal lifestyle.

This occasionally overwhelming torrent of words reveals both an irrepressible individual with a talent for survival and a mental health system in dire need of repair.

I would definitely recommend this book.

Profile Image for Behrooz Parhami.
Author 10 books35 followers
July 16, 2023
I listened to the unabridged 10-hour audio version of this title (read by Kevin R. Free, Blackstone Audio, 2016).

In his early 20s, artist/musician/writer Issa Ibrahim became schizophrenic and killed his mother, whom he believed to be possessed. Ruled not guilty by reason of insanity, he was confined to a mental institution, whose violent, sexually-abusive, and bungling atmosphere made it much worse than a regular prison.

The book's relatively short chapters alternate between two parallel tales: Ibrahim's life before incarceration and his fight to regain his freedom afterwards. The two threads reach their respective climaxes near the end of the book, with the young Ibrahim killing his mother and the older Ibrahim set free, because his art, which kept him sane over the two decades in the mental hospital, and the sales of his work were viewed as signs of taking responsibility and the ability to lead a productive life.

Confinement to an ill-equipped, inadequately-staffed, and poorly-supervised mental institution is hardly any better than serving a regular prison term. Ibrahim states that at least in prison, there is a known release date, whereas at a mental hospital, the patient is at the mercy of a panel of experts, and so, may end up serving a life sentence.

Ibrahim's writing is alternately absorbing and mired by too much uninteresting details. I preserved in my listening, but must admit to having skipped a few sections of the latter kind. All in all, I consider this memoir a useful book for raising awareness of the sorry state of mental institutions, and mental healthcare more generally, in the US. Like the entirety of the US healthcare system, our handling of mental health is overdue for a serious overhaul.
Profile Image for Marisa Moorhouse.
8 reviews
May 3, 2024
✨A glimpse into what it means to be not guilty due to reason of insanity✨

📚The Hospital Always Wins
📝Issa Ibrahim

Rating:⭐️⭐️⭐️⭐️⭐️
📖288 pages

🗡️Graphic Violence
🧠Psychological

Issa Ibramhim’s memoir provides insight into the forensic inpatient psychiatric experience after he was acquitted by reason of insanity. As an artist and creator, Issa dives into his childhood and environment that led to horrific crimes and loss. A journey of roadblocks that led to a psychotic episode, contributed to Issa’s undetermined sentence at Creedmoor Psychiatric Center in Queens, New York. This insanity plea leads to turmoil within the mental health and legal systems; and Issa provides details about his experience within the walls of Riker’s, Creedmore, and other correctional and psychiatric facilities. Through art and creativity, Issa found an escape of expression as he spent time drawing, painting, and creating music. Despite unassailable odds, Issa navigates challenges through self-discovery to overcome the inevitable.

I have worked in emergency mental health and inpatient psychiatric facilities for a few years and it was shocking to hear some of the stories expressed in Issa’s memoir. As a direct clinical mental health provider, this book opened my eyes to the dangers of institutionalization and the long lasting effects of extensive psychiatric stays. This memoir touches upon the importance of boundaries of practitioners and flaws within the mental health system that have direct negative impacts among patients. Issa’s writing is inspiring and pulls you in as he speaks with dignity and grace. I recommend this book to any and all mental health and psychiatric providers.
Profile Image for Mark.
690 reviews9 followers
June 21, 2018
When Issa got to talking about his Mom at the beginning of the book I realized where this was headed. I could see it a mile away all be not quite sure that it was all due to drugs. My guess was a psychotic break from reality but I did not realize it will all be linked back to weed. But I do have to say once the excessive weed use of the family was described then I saw the connection. I personally have not tried weed. I don't know how to roll a roach but I do know that weed, in some people, can create psychosis. Or worsen psychosis in a person already dealing with that condition. Issa was the former and it turned deadly to him.

Knowing all that he did while locked up. The sex, for instance, made me want to stop the book. How could a hospital ket this go on to patient/person of power relationships go on for there lengths? But I went on to hear this book out literally since I listened to this book through the audiobook. The text can be enriching at times but then becomes too wordy and try hard to impress the reader. The book focused more on how the staff treated Issa rather than what therapy was like when regarding day to day therapy unless I had something to do with scandal or whatever report knocking Issa down.

Overall I was drawn in by being in a hospital for such an extended time but left with a somewhat satisfied listen to. Wish more about the day was like- like therapies throughout the day- but ended p being okay with how it panned out.
20 reviews1 follower
May 4, 2020
I was interested this mainly because I am an artist and have bipolar, and have an interest in outsider art, although I would classify my art as outsideresque not pure outsider. He’s a very talented artist, although not my cup of tea, and he admits his twisted pop art is not outsider at all, I agree. Even so the parts about art and the living museum were the most interesting part of the book, along with his bohemian swinging parents. His psychosis I didn’t find that interesting other than the crime; as long as he wasn’t smoking, he was not only ok, but highly successful artist in the hospital, and seemed to have no problem getting sex (seems lots of it described in detail) drugs and money on the inside with seemingly numerous jaunts to the outside. He didn’t suffer any kind of abuse as far as I could tell, didn’t seem to suffer much at all other than obvious guilt, but even then, tepid it seemed. He is also an intelligent articulate good looking guy, and arrogant by his own volition. Kind of perfect except the occasional completely avoidable psychosis (don’t smoke don’t run amok) But the crime, the different aspects of the insanity plea, were actually interesting. Mostly I found the book too ISSA-centric, he didn’t seem to have much empathy for the other patients or the staff, described more like cartoon characters. In the end I didn’t find him very likable, or cared much about his ‘struggle’ to get released, which prevented me from liking the book.
Profile Image for Keeley .
511 reviews12 followers
March 27, 2018
I received this one from NetGalley for review.

I have really mixed feelings about this one. I did really enjoy the writing style, but had some difficulty with the content. I'm finding that I'm not a huge fan of memoirs so this one may not be receiving a totally fair review from me.

The Hospital Always Wins is a reflection on Issa Ibrahim's life growing up in a household full of both music and marijuana use as well as his time spent in psychiatric facilities after being found not guilty by reason of insanity (not the exact words but he was able to use an insanity plea) after killing his mother.

He had a traumatic childhood which definitely can't be ignored when looking into what led him to where he ended up and that is something that the author also attempts to reckon with throughout the book. He is frequently blamed for his behavior while also excused for it because of the power differentials that exist between him and the other people involved.

I didn't love this one and at times it made me really uncomfortable. Had it been a fiction novel I think I would have an easier time rating it, but since it's supposed to be a true account of what the author experienced I have to change my rating system and I'm apparently not good at that.

If you're interested in reading memoirs about mental health issues, I would definitely recommend this one.
Profile Image for Tim.
85 reviews
September 24, 2019
Not really sure what I think about this book...Am I supposed to feel bad for a pot addicted murderer, who can't follow any of the rules of the institution he is in? Is he special and doesn't have to follow them because he is a talented artist? He ruined two staff members careers... although they definitely hold responsibility in their decisions, but the way this is written it sounds like we should sympathize with him for trashing the lives of people who were interested in helping him. At one time he was diagnosed with narcissistic disorder and seemed to have an issue with that and other diagnoses. Seems to me to be pretty accurate because the only person he seems to care about is himself. I must say that the book is well written and interesting, but I am not feeling bad for someone because they got a not guilty plea by reason of insanity plea and had to spend time in the psychiatric hospital. Especially someone who left a trail of destruction behind him everywhere he went...but oh yeah he was a talented artist soooo....It concerns me that this person is on the streets. And I must admit it troubles me that he seems to be capitalizing off of the murder of his mother.
Profile Image for Karin Mika.
736 reviews6 followers
August 28, 2019
Although Ibrahim tells the all too familiar tale of a flawed mental health system, I found him to be somewhat personally repugnant. He seemed not only directly responsible for most of his own problems, but somewhat unapologetically so. If there was something to feel sorry for in his situation and the things that occurred because of what he blamed as his flawed decision-making process, he made it tremendously difficult for me to feel any sorrow at all for him. It's not that he didn't "claim" to feel badly about things that had occurred, but it sure didn't seem as though he accepted much responsibility at all. His lack of self-awareness and ability to hurt so many others emotionally was rather alarming. The book was also hard to follow chronologically as it leaped from the present to past. I feel sorry for anyone with mental problems, and know that the mental health treatment facilities are horrific, but Ibrahim came off as a smug, arrogant, selfish, prick.
Profile Image for Ann237.
427 reviews5 followers
September 5, 2020
Hoopla Library

First this book is heavy on the foul language, explicit sexual description & drugs. With that said, the author tells the story of his life in a mental institution after a crime, and his fight to be able to leave the institution. He shares freely all the things he and others did, that was far from protocol for both patients and staff. the actions of the staff in this facility was far from therapeutic. Sadly I have heard nightmare incidents about other places people go for help. Some have gone in for a voluntary admission, while others are done court order. I believe that depending on the type of mental health place plays a huge difference on the actions of the staff. But many seem to forget not everyone is insane. Some are very smart & regular people who just are experiencing a tough time. But behavior of some can be down right awful. It is sad that from the time he was a patient it seems somethings never change.
Profile Image for Samantha.
156 reviews8 followers
August 19, 2020
I picked up this book because memoirs are one of my favorite genres to read, and because I have known many people caught up in the mental health hospital system. I was interested to learn Issa's story as an insanity plea patient, and I found the book interesting enough to finish, but the way that it was written was at first a little hard to follow, and had way too much to do with the patient/author's womanizing/sex life for my taste in a book. Issa seems to teeter between feeling bad for the way he has led his life and blaming everything that has ever happened to him on someone or something else. It's possible that this itself is a symptom of illness, but I found him and his writing a little too narcissistic to enjoy reading the book. The writing itself flows well, though. Thus, I'm going with goodreads' 2 stars - "it was ok."
This entire review has been hidden because of spoilers.
1,432 reviews15 followers
March 5, 2023
Psychosis secondary to marijuana abuse is a horrifying condition that is expertly described in this book. Issa’s traumatic childhood was exacerbated but his subsequent drug use.

He’s near 20 years and then he or mental hospital system is unfortunately not exaggerated. It is extremely difficult to get out of a forensic treatment facility given the rarity with which case reviews are conducted and the limited quality of the staff working in those facilities. The sex used to be real but the social worker 30 years older? Hmmm. Could be another delusion.

It would be interesting to see how his life spun out.
Profile Image for ollie :3.
16 reviews
April 22, 2025
the hospital always wins was one of the first memoirs i picked up, and was a really interesting introduction to the genre. ibrahim is charismatic, funny, and full of verve as he switches between his perspective from the hospital and slowly revealing how he ended up institutionalized in the first place. my one critique is the descriptions and perspectives he had on the women in his life, but it's easy to see why he held those views being someone who was made in the environment that he was.
Profile Image for Candra Hodge.
820 reviews6 followers
November 13, 2019
Inside look into the mind of a schizophrenic and a mental hospital

As a psychiatric nurse, I was intrigued by what this book could offer me and I was not let down. This book is a great inside look into the rationale of a schizophrenic. It is also a look into the negative side of mental health treatment. I do wish the book was written more chronologically, however.
Profile Image for Kerry Gibbons.
557 reviews6 followers
August 9, 2025
Wow what a fantastic and harrowing memoir. It’s incredibly tragic but didn’t overly bum me out, which is always a risk.

I’ve now recommended this book to my therapist and my best friend.

The multiple timelines definitely keeps the book interesting throughout. The different timelines are so different, it’s almost like multiple POV.
Profile Image for Roo.
94 reviews
April 23, 2025
There are some bits that could be edited a bit to elevate them to the eloquence of the rest of the book, but overall this is a very important and interesting perspective and an impressively compelling narrative. Condensing two decades of boredom and despair into something of this merit is admirable.
992 reviews
November 29, 2016
A memoir fan, this book was very interesting to me. Sad, disturbing at times, overall educational to me.
Profile Image for Jessica.
29 reviews11 followers
August 6, 2017
eye opening read. this was not a page turner, but I learned a lot about the interaction between the Justice system and mental health system. there's a lot of sexual acts in this story.
Profile Image for Jenny.
183 reviews8 followers
August 12, 2017
The take-away for me was that marijuana can actually trigger psychosis and schizophrenia in some people. Very well written and pretty horrifying.
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