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FROM PARALYSIS TO FATIGUE

A HISTORY OF PSYCHOSOMATIC ILLNESS IN THE MODERN ERA

Like other cultural phenomena, psychosomatic illnesses are subject to changes in fashion; here, Shorter (The Healthy Century, 1987, etc.) has applied his considerable skill in researching medical history to an examination of these trends from the mid-18th century to the present. Shorter defines psychosomatic illness as ``any illness in which physical symptoms, produced by the action of the unconscious mind, are defined by the individual as evidence of organic disease and for which medical help is sought.'' He identifies doctors' attitudes and beliefs as major cultural factors in determining what symptoms the unconscious mind selects, and examines how doctors' ideas have changed as new theories about disease have evolved. He also looks at the changing doctor-patient relationship over the past two-and-a-half centuries, making clear why ``the vapors'' and hysteric fits of paralysis, once especially common among women, are now quite unacceptable (as are the horrific treatments devised by some doctors to deal with them). Shorter notes that today chronic fatigue syndrome (CFS) is perhaps the most fashionable psychosomatic complaint in a spectrum that includes yeast infections, food allergies, and what has been called the ``twentieth-century disease,'' or ``total allergy syndrome.'' Using CFS as an example, the author traces how a psychosomatic illness becomes fashionable as the mass media, supplanting medical authority, disseminate pseudoscientific information about genuine, difficult-to-diagnose organic diseases to suggestible individuals with quite different symptoms. Whereas the ``stifling intimacy of family life'' in Victorian times increased the propensity for certain psychosomatic illnesses, he explains, today social isolation and exposure to media sensationalism produce others. A fine, example-filled account of how different times and different mores produce different psychosomatic illnesses.

Pub Date: Dec. 16, 1991

ISBN: 0-02-928665-4

Page Count: 400

Publisher: Free Press

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Oct. 15, 1991

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THINKING, FAST AND SLOW

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our...

A psychologist and Nobel Prize winner summarizes and synthesizes the recent decades of research on intuition and systematic thinking.

The author of several scholarly texts, Kahneman (Emeritus Psychology and Public Affairs/Princeton Univ.) now offers general readers not just the findings of psychological research but also a better understanding of how research questions arise and how scholars systematically frame and answer them. He begins with the distinction between System 1 and System 2 mental operations, the former referring to quick, automatic thought, the latter to more effortful, overt thinking. We rely heavily, writes, on System 1, resorting to the higher-energy System 2 only when we need or want to. Kahneman continually refers to System 2 as “lazy”: We don’t want to think rigorously about something. The author then explores the nuances of our two-system minds, showing how they perform in various situations. Psychological experiments have repeatedly revealed that our intuitions are generally wrong, that our assessments are based on biases and that our System 1 hates doubt and despises ambiguity. Kahneman largely avoids jargon; when he does use some (“heuristics,” for example), he argues that such terms really ought to join our everyday vocabulary. He reviews many fundamental concepts in psychology and statistics (regression to the mean, the narrative fallacy, the optimistic bias), showing how they relate to his overall concerns about how we think and why we make the decisions that we do. Some of the later chapters (dealing with risk-taking and statistics and probabilities) are denser than others (some readers may resent such demands on System 2!), but the passages that deal with the economic and political implications of the research are gripping.

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our minds.

Pub Date: Nov. 1, 2011

ISBN: 978-0-374-27563-1

Page Count: 512

Publisher: Farrar, Straus and Giroux

Review Posted Online: Sept. 3, 2011

Kirkus Reviews Issue: Sept. 15, 2011

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MASTERY

Readers unfamiliar with the anecdotal material Greene presents may find interesting avenues to pursue, but they should...

Greene (The 33 Strategies of War, 2007, etc.) believes that genius can be learned if we pay attention and reject social conformity.

The author suggests that our emergence as a species with stereoscopic, frontal vision and sophisticated hand-eye coordination gave us an advantage over earlier humans and primates because it allowed us to contemplate a situation and ponder alternatives for action. This, along with the advantages conferred by mirror neurons, which allow us to intuit what others may be thinking, contributed to our ability to learn, pass on inventions to future generations and improve our problem-solving ability. Throughout most of human history, we were hunter-gatherers, and our brains are engineered accordingly. The author has a jaundiced view of our modern technological society, which, he writes, encourages quick, rash judgments. We fail to spend the time needed to develop thorough mastery of a subject. Greene writes that every human is “born unique,” with specific potential that we can develop if we listen to our inner voice. He offers many interesting but tendentious examples to illustrate his theory, including Einstein, Darwin, Mozart and Temple Grandin. In the case of Darwin, Greene ignores the formative intellectual influences that shaped his thought, including the discovery of geological evolution with which he was familiar before his famous voyage. The author uses Grandin's struggle to overcome autistic social handicaps as a model for the necessity for everyone to create a deceptive social mask.

Readers unfamiliar with the anecdotal material Greene presents may find interesting avenues to pursue, but they should beware of the author's quirky, sometimes misleading brush-stroke characterizations.

Pub Date: Nov. 13, 2012

ISBN: 978-0-670-02496-4

Page Count: 320

Publisher: Viking

Review Posted Online: Sept. 12, 2012

Kirkus Reviews Issue: Oct. 1, 2012

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