Book Review: Unnatural Causes by Richard Shepherd

I received a copy of this book in exchange for an honest review.

When I saw this on Netgalley, I was intrigued. I was already reading a book on the concept of death and what comes after for bodies (The Curious Lives of Human Cadavers) so I was fascinated to read about the work of a pathologist in a world that still feels very inaccessible to the general public. The book encompasses many famous cases that Richard Shepherd has been directly involved with during what could be called the ‘golden age’ of pathology,  as well as examining the personal troubles pathologists may face in the course of their career.

My first thought while reading was just how ‘human’ Richard Shepherd came across in his writing. He treats his patients with obvious care, and has a great passion for the profession and with passing that knowledge on. It was lovely to read about an individual who actively seeks to improve their profession, not only for their own benefit, but for the greater good. His writing certainly made the concept of post mortem more acceptable and less ‘scary’ or morbid.

I found the content itself rather mixed. I think this is a result of the fact it was written over a long period of time, and is full of information, but unfortunately not all of it is that compelling. I loved the chapters based around his work and cases, which ranged from mass disasters like the Marchioness sinking to famous cases such as the Stephen Lawrence murder and Princess Diana. These cases are often described quite clinically, with a detached scientific approach, of how the autopsies are carried out and the processes and agencies involved. It’s empathetic and to the point but without getting too personal. The earlier sections also include some almost ‘Sherlock Holmes’ style deductions to cases that helped determine what happened to the deceased, which I really enjoyed. However, these become less frequent as the book progresses due to the changing nature of pathology as a profession and the introduction of DNA evidence.

There are also some truly heartbreaking chapters dedicated to the difficult, and often controversial, subject of child autopsies. The subject is dealt with delicately, with a range of cases explored, while still managing to convey the emotional difficulties encountered by all involved.

I would say that the book does tend to jump from case to case quite rapidly, sometimes disrupting the overall flow of the book. As it progresses these examples of cases also become less frequent, which was a shame as I found them so interesting. However, the latter half is compelling on a more personal level, as we see the harsher realities of experiencing so much death, as well as the often unnerving cross examinations in court which can lead to self doubt and PTSD. I personally would have preferred less focus on the author’s private life as I was less interested in it, however it does make him feel more approachable.

A thoughtful insight into a closeted world that’s told with obvious passion and extensive knowledge of the subject.

 - 4 stars