Download now. Save Save Anatomy of an Illness. Original Title: Anatomy of an Illness. Related titles. Carousel Previous Carousel Next. Jump to Page. Search inside document. Anatomy of an I11ness Alexander Leaf, of Harvard Medical School, has recently made extensive clinical and social observations on very old people in several parts of the world. Complete retirement from active life does not seem to be a good way to reach a very old age.
Anatomy of an IlIness as Perceived by the Patient p. It was not just that the meals were poorly balanced; what seemed inexcusable to me was the profusion of processed foods, some of which contained preservatives of harmful dyes.
No wonder the White House Conference on Food, Nutrition, and Health made the melancholy observation that a great failure of medical schools is that they pay so little attention to the science of nutrition. The first is that the will to live is not a theoretical abstraction, but a physiologic reality with therapeutic char- acteristics. The second is that I was incredibly fortunate to have as my doctor a man who know that his biggest job was to encourage to the fullest the patient's will to live and to mobilize all the natural resources of body and mind to combat disease.
Hitzig was willing to set aside the large and often hazardous armamentarium of powerful drugs available to the modern physician when he became convinced that his patient might have something better to offer. He was also wise enough to know that the art of healing is still a frontier profession. And, though I can't be sure of this point, I have a hunch he believed that my own total involvement was'a major factor in my recovery.
Since I didn't accept the verdict, I wasn't trapped in the cycle of fear, depression, and panic that frequently accompanies a supposedly incurable illness. I must not make it seem, however, that I was unmindful of the seriousness of the problen or that I was in a festive mood throughout.
Being unable to move my body was all the evidence I needed that the specialists were dealing with real concerns. But deep down, I knew I had a good chance and relished the idea of bucking the odds. Adam Smith, in his book, Powers of the Mind, says he discussed my recovery with some of his doctor friends, asking them to explain why the combination of laughter and ascorbic acid worked so well.
The answer he got was that neither laughter nor ascorbic acid had anything to do with it and that I probably would have recovered if nothing had been done.
Two or three doctors, reflecting on the Adam Smith account, have commented that I was probably the beneficiary of a mammoth venture in self-administered placebos. In Bucharest in , I visited continued p. She spoke of her belief that there is a direct connection between a robust will to live and the chemical balances in the brain. She is convinced that creativity--one aspect of the will to live--produces the vital brain impulses that stimulate the pituitary gland, triggering effects on the pineal gland and the whole of the endocrine system.
It is possible that placebos have a key role in this process? Shouldn't this entire area be worth serious and sustained attention? I have learned never to underestimate the capacity of the human mind and body to regenerate-- even when the prospects seem most wretched.
The life-force may be the least understood force on earth. William James said that Human beings tend to live too far within self-imposed limits. It is possible that these limits will recede when we respect more fully the natural drive of the hunan mind and body toward perfectibility and regeneration.
Protecting and cherishing that natural drive may well represent the finest exercise of human freedom. The Mysterious Placebo Pp. Belief in recovery always is. Schweitzer how he accounted for the fact that anyone could possibly expect to become well after having been treated by a witch doctor, he said that I was asking him to divulge a secret that doctors have carried around inside them ever since Hippocrates.
Each patient carries his own doctor inside him. They come to us not knowing that truth. We are at our best when we give the doctor who resides within each patient a chance to go to work. Creativity and Longevity P. A man almost ninety, beset with the infirmities of old age, was able to cast off his affictions, at least temporarily, because he knew he had something of overriding importance to do.
There was no mystery about the way it worked, for it happened every day. Creativity for Pablo Casals was the source of his own cortisone. It is doubtful whether any antiinflammatory medication he would have taken would have been as Powerful or as Safe as the substances produced by the interaction of his mind and body.
The process is not strange. If he had been caught up in an emotional storm, the effects would have been manifested in an in- creased flow of hydrochloric acid to the stomach, in an upsurge of adrenal activity, in the production of corticoids, in the increase of blood pressure, and a faster heart beat.
But he was caught up in something else. He was caught up in his oun creativity, in his desire to accomplish a specific purpose, and the effect was both genuine and observable. And the effects on his body chemistry were no Tess pronounced--albeit in a positive way-- than they would have been if he had been through an emotional wringer. Each man has inside hima basic decency and goodness. If he listens to it and acts on it, he is giving a great deal of what it is the world needs most.
It is not complicated but it takes courage. It takes courage for a man to listen to his own goodness and act on it. Do we dare to be ourselves? This is the questions that counts. It has always seemed to me that hearty laughter is a good way to jog internally without having to go outdoors.
Sigmund Freud's fascination with the human mind was not confined to its malfunctioning or its torments. His researches were directed to the supremely mysterious station occupied by the brain in the universe. Wit and huror to him were highly differentiated manifestations of the uniqueness of the mind, He believed that mirth was a highly 8.
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