2015年7月5日 星期日

Doctor Jerome Groopman《希望的解剖》The Anatomy of Hope: How People Prevail in the Face of Illness

Why do some people find and sustain hope during difficult circumstances, while others do not? What can we learn from those who do, and how is their example applicable to our own lives? The Anatomy of Hope is a journey of inspiring discovery, spanning some thirty years of Dr. Jerome Groopman’s practice, during which he encountered many extraordinary people and sought to answer these questions. 

This profound exploration begins when Groopman was a medical student, ignorant of the vital role of hope in patients’ lives–and it culminates in his remarkable quest to delineate a biology of hope. With appreciation for the human elements and the science, Groopman explains how to distinguish true hope from false hope–and how to gain an honest understanding of the reach and limits of this essential emotion.

Editorial Reviews

From Publishers Weekly

In this provocative book, New Yorker staff writer and Harvard Medical School professor Groopman (Second Opinions; The Measure of Our Days) explores the way hope affects one's capacity to cope with serious illness. Drawing on his 30-year career in hematology and oncology, Groopman presents stories based on his patients and his own debilitating back injury. Through these moving if somewhat one-dimensional portraits, he reveals the role of memory, family and faith in hope and how they can influence healing by affecting treatment decisions and resilience. Sharing his own blunders and successes, Groopman underscores the power doctors and other health care providers have to instill or kill hope. He also explains that hope can be fostered without glossing over medical realities: "Hope... does not cast a veil over perception and thought. In this way, it is different from blind optimism: It brings reality into sharp focus." In the final chapters of the book, Groopman examines the existing science behind the mind-body connection by reviewing, for example, remarkable studies on the placebo effect. By the end of the book, Groopman successfully convinces that hope can offer not only solace but strength to those living with medical uncertainty.
Copyright 2003 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

From The New England Journal of Medicine

In this book, Jerome Groopman shares with readers what he has learned about the need to keep hope alive, especially in the face of serious illness. The key themes he explores are the extent to which hope features in the experience of patients with chronic and terminal illnesses; the importance of hope in enabling patients, families, friends, and physicians to meet the challenges of serious illness; the various forms that hope can take; and the role of the physician in fostering or at least not extinguishing hope. Groopman discusses these problems through a series of thoughtful case histories, which will doubtless resonate with both clinicians and nonmedical readers. He then adds a summary of some current research into the physiological basis of what we call hope. The brief foray into the scientific understanding of hope, though of some interest, is in many ways a diversion from the main focus of this thoughtful book. The Anatomy of Hope is not about the science of medicine but, instead, examines the art of medicine. Reading it, I had a strong sense that a driving force behind the writing of this book was the author's wish to speak directly to clinicians, specifically to those responsible -- especially through example -- for the education of future generations of doctors. Groopman has learned the hard way about the important role hope can have in the experience of illness, and he wants to share these lessons. Just as parents know how painful it can be to watch one's child learn through painful mistakes, experienced doctors realize that the art of medicine is rarely acquired without mistakes. Unfortunately, when doctors make errors, patients must also pay the price, and in appealing to doctors not to underestimate the part they can play in fostering hope, Groopman clearly believes that both doctors and patients have something to gain. Somewhat lost within the text of this lovely book is a chapter in which the author tells of his own painful experience of a temporary loss of hope, the result of debilitating back pain. This understated chapter would have merited placement at the forefront of the book with a clear statement about why it was included. If I had to guess, I would say that as a result of his experience, Groopman knows the dreadful price that patients can pay when hope is lost, and the pivotal role that physicians can have in fostering and restoring that hope. He knows how ill prepared young doctors are for this task, how deeply older physicians regret lost opportunities, and how grateful patients are when physicians care. Deborah Kirklin, M.B., B.Ch.
Copyright © 2004 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS. --This text refers to an out of print or unavailable edition of this title.

傑拉米。格魯德曼是《紐約客》的專欄作者,也是哈佛大學醫學院的教授。2004年他出版了《希望的解剖》一書,根據自己長期醫治絕症病人積累的經驗,講述了一系列關於“希望”如何影響疾病的故事。其中一個故事,就是關於他的導師,世界胃癌研究的權威喬治。格裡芬教授的。1987年,格裡芬得了胃癌。
沒有人比格裡芬本人更加清楚真實的數據:他的半年生存率只有2-3%。面對這樣的存活幾率,很多人都會放棄,但是格裡芬決定採取高濃度的化療和高強度的放療。在很多醫生看來,這是毫無意義的努力,而且給病患帶來很大的痛苦,但是誰能說服格裡芬呢?世界上沒有人比他更懂得胃癌是怎麼回事。13年後,格裡芬仍然活著,而且看上去很健康。
回顧自己如何戰勝死亡,格裡芬說:“我是知道自己的概率的,只不過,如何選擇是我的權利。我真心想活下去,所以我必須戰鬥。”
格魯德曼在書中告訴讀者:哪怕是最可怕的疾病,也有其內在的不確定性,因此,希望的存在,對於戰勝疾病,就變得非常重要。不管生存機會多麼渺茫,只要不放棄,只要有希望,生存就有可能。
是的,只要有希望,就會有機會活下來。
謹以此,獻給那些仍然掙扎在生與死之間的,八仙事件中的病危患者。

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From Wikipedia, the free encyclopedia
The Anatomy of Hope: How People Prevail in the Face of Illness
Jérôme E. Groopman - The anatomy of hope how people prevail in the face of illness.jpeg
AuthorJerome Groopman
CountryUnited States
LanguageEnglish
Published2003, Random House
Media typePrint, e-book, audiobook
Pages272 pages
ISBN978-0-375-50638-3
The Anatomy of Hope: How People Prevail in the Face of Illness is a 2003 book by Doctor Jerome Groopman. The book was first published in hardback on December 23, 2003 through Random House and deals with the subject of hope and its effect on illnesses.[1][2]

Synopsis[edit]

In the book Groopman investigates how hope affects human beings that are either undergoing medical care or have a family member that is critically ill. He distinguishes the differences between the types of hope, such as whether or not someone is experiencing false or true hope. For the book, Groopman visits several laboratories that are researching the biological basis of hope to discover whether or not hope can scientifically change someone's physical well-being.[3]

Reception[edit]

Critical reception for Anatomy of Hope has been positive.[4][5] The New York Times praised Groopman for never definitively defining hope in the book, as they felt that this made the work succeed that much more in making its point.[6]

Adaptation[edit]

In 2007 HBO began work on a television series based upon the book. The series, which would have been produced and directed byJ.J. Abrams, would have been a medical drama.[7] A pilot episode was created and starred John OrtizSimon Callow, and Valarie Pettiford, but the series was never picked up.[8]

References[edit]

  1. Jump up^ "Dr. Jerome Groopman, 'Anatomy of Hope'". NPR. Retrieved 22 January 2014.
    Jump up^ Green, Nancy. "The anatomy of hope: How people prevail in the face of illness (review)". J Clin Invest. Retrieved 22 January 2014.[dead link]
    Jump up^ "How hope can help you heal". CNN. Retrieved 22 January 2014.
    Jump up^ "THE ANATOMY OF HOPE (review)". Kirkus Reviews. Retrieved 22 January 2014.
    Jump up^ Kirklin, Deborah (17 June 2004). "BOOK REVIEW: The Anatomy of Hope: How People Prevail in the Face of Illness". N Engl J Med 350(2627). doi:10.1056/NEJM200406173502524. Retrieved 22 January 2014.
    Jump up^ "Care of the Vital Organ". NYT. Retrieved 22 January 2014.
    Jump up^ "HBO OKs medical drama pilot with Abrams". THR. Retrieved 22 January 2014.
    Jump up^ "Photos:J.J. Abrams' Television Hits and Misses". MSN. Retrieved 22 January 2014.[dead link]



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