Sloan has done well to sound the alarm, while providing an excellent primer on how medical evidence should be collected.
Sloan (Behavioral Medicine/Columbia Univ.) takes a close look at the growing encroachment of religion in yet another sphere of American life: medicine.
In a series of well-argued, well-documented chapters, Sloan first addresses the medicine tradition in which ill health and disease were linked to moral turpitude and the displeasure of the gods. Disturbingly, he sees signs of a return of this anti-scientific attitude in the rise of religious fundamentalism and New Age touchy-feely behavior. Next, he addresses the “research” purporting to show that religiosity pays off—that going to church and praying or having prayers said for you are good for your health and lead to lower mortality rates. His arguments here form a neat summary on how science works, and on the pitfalls that can beset the design, conduct, analysis and reporting of a clinical trial. For example, the research suggesting that regular attendance at church services (as opposed to even sporadic attendance) was associated with lower mortality rates totally ignored a confounder: People who are sick or disabled are not likely to be regular churchgoers. Other egregious examples include making multiple comparisons after a trial to search for some secondary outcome measure or for a subset of patients where the findings appear statistically significant. (Chances are that such a finding is indeed by chance alone.) Finally, the author deals with the many ethical issues that arise when doctors are encouraged to take spiritual histories, ask their patients to pray or otherwise promote religion. Issues here involve the white-coated authority vs. the vulnerable patient, the lack of training of physicians in areas of religion, the trivializing of faith and even the potential for studies that would explore whether Christian prayer is more healthful than Jewish, Muslim or Buddhist.
Sloan has done well to sound the alarm, while providing an excellent primer on how medical evidence should be collected.Pub Date: Nov. 1, 2006
ISBN: 0-312-34881-9
Page Count: 304
Publisher: St. Martin's
Review Posted Online: June 24, 2010
Kirkus Reviews Issue: Sept. 15, 2006
If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.
The authors have created a sort of anti-Book of Virtues in this encyclopedic compendium of the ways and means of power.
Everyone wants power and everyone is in a constant duplicitous game to gain more power at the expense of others, according to Greene, a screenwriter and former editor at Esquire (Elffers, a book packager, designed the volume, with its attractive marginalia). We live today as courtiers once did in royal courts: we must appear civil while attempting to crush all those around us. This power game can be played well or poorly, and in these 48 laws culled from the history and wisdom of the world’s greatest power players are the rules that must be followed to win. These laws boil down to being as ruthless, selfish, manipulative, and deceitful as possible. Each law, however, gets its own chapter: “Conceal Your Intentions,” “Always Say Less Than Necessary,” “Pose as a Friend, Work as a Spy,” and so on. Each chapter is conveniently broken down into sections on what happened to those who transgressed or observed the particular law, the key elements in this law, and ways to defensively reverse this law when it’s used against you. Quotations in the margins amplify the lesson being taught. While compelling in the way an auto accident might be, the book is simply nonsense. Rules often contradict each other. We are told, for instance, to “be conspicuous at all cost,” then told to “behave like others.” More seriously, Greene never really defines “power,” and he merely asserts, rather than offers evidence for, the Hobbesian world of all against all in which he insists we live. The world may be like this at times, but often it isn’t. To ask why this is so would be a far more useful project.
If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.Pub Date: Sept. 1, 1998
ISBN: 0-670-88146-5
Page Count: 430
Publisher: Viking
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: July 15, 1998
BOOK REVIEW
BOOK REVIEW
BOOK TO SCREEN
This a book of earlier, philosophical essays concerned with the essential "absurdity" of life and the concept that- to overcome the strong tendency to suicide in every thoughtful man-one must accept life on its own terms with its values of revolt, liberty and passion. A dreary thesis- derived from and distorting the beliefs of the founders of existentialism, Jaspers, Heldegger and Kierkegaard, etc., the point of view seems peculiarly outmoded. It is based on the experience of war and the resistance, liberally laced with Andre Gide's excessive intellectualism. The younger existentialists such as Sartre and Camus, with their gift for the terse novel or intense drama, seem to have omitted from their philosophy all the deep religiosity which permeates the work of the great existentialist thinkers. This contributes to a basic lack of vitality in themselves, in these essays, and ten years after the war Camus seems unaware that the life force has healed old wounds... Largely for avant garde aesthetes and his special coterie.
Pub Date: Sept. 26, 1955
ISBN: 0679733736
Page Count: 228
Publisher: Knopf
Review Posted Online: Sept. 19, 2011
Kirkus Reviews Issue: Sept. 1, 1955
© Copyright 2024 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
bookshelf
