Emotional inteligence
patients to go elsewhere for care, while pleasing onestranslate into loyalty.Finally, medical ethics may demand such an approach.An editorial in the Journal of the AmericanMedical Association, commenting on a report that depressionincreases five fold the likelihood of dying afterbeing treated for a heart attack, notes: "[T]he cleardemonstration that psychological factors like depressionand social isolation distinguish the coronary heart diseasepatients at highest risk means it would be unethicalnot to start trying to treat these factors." 56If the findings on emotions and health mean anything,it is that medical care that neglects how people feel asthey battle a chronic or severe disease is no longer adequate.It is time for medicine to take more methodicaladvantage of the link between emotion and health. Whatis now the exception could—and should—be part of themainstream, so that a more caring medicine is availableto us all. At the least it would make medicine more humane.And, for some, it could speed the course of recovery."Compassion," as one patient put it in an open letterto his surgeon, "is not mere hand holding. It is goodmedicine." 57 360/661
PART FOURWINDOWS OFOPPORTUNITY
- Page 310 and 311: Still, since prejudices are a varie
- Page 312 and 313: 312/661that the explicit hierarchy
- Page 314 and 315: 314/661But harmony allows a group t
- Page 316 and 317: 316/661with people whose services m
- Page 318 and 319: 318/661self-motivated enough to tak
- Page 320 and 321: 320/661was irrelevant at that momen
- Page 322 and 323: 322/661by a medical model that dism
- Page 324 and 325: 324/661travel in the bloodstream th
- Page 326 and 327: 326/661cells are stored or made—a
- Page 328 and 329: 328/661bleeding is one of the most
- Page 330 and 331: 330/661percent or greater—a range
- Page 332 and 333: 332/661Once heart disease develops,
- Page 334 and 335: 334/661help them soften the attitud
- Page 336 and 337: 336/661that are conjured by the min
- Page 338 and 339: 338/661the most stressful lives, 47
- Page 340 and 341: stress, their ATP levels rose sharp
- Page 342 and 343: 342/661One complication in treating
- Page 344 and 345: 344/661walk again. But depressed wo
- Page 346 and 347: 346/661Like its near cousin optimis
- Page 348 and 349: 348/661comforting than the same sma
- Page 350 and 351: relationships take their own toll.
- Page 352 and 353: 352/661Perhaps the most powerful de
- Page 354 and 355: 354/661As we were leaving the exam
- Page 356 and 357: 356/661home—a progressive step th
- Page 358 and 359: 358/661effects would be to impart m
- Page 362 and 363: 12The Family CrucibleIt's a low-key
- Page 364 and 365: 364/661There are hundreds of studie
- Page 366 and 367: 366/661instance, use bargaining and
- Page 368 and 369: physiological indicators of emotion
- Page 370 and 371: 370/661The difference between the t
- Page 372 and 373: 4. Self-control. The ability to mod
- Page 374 and 375: 374/661efforts to get solace will m
- Page 376 and 377: opportunity at all, let alone equal
- Page 378 and 379: learned, and how grim the costs for
- Page 380 and 381: 380/661distress of a child nearby w
- Page 382 and 383: 382/661of the brain's limbic center
- Page 384 and 385: 384/661In ensuing months, the Purdy
- Page 386 and 387: 386/661disorder, or PTSD. At the co
- Page 388 and 389: endured semistarvation, the slaught
- Page 390 and 391: 390/661overwhelming terror. 4 While
- Page 392 and 393: and dying—or for a teacher there,
- Page 394 and 395: 394/661ceruleus—alerting the body
- Page 396 and 397: All these neural changes offer shor
- Page 398 and 399: of calm—the amygdala never relear
- Page 400 and 401: 400/661better outcome: sometimes in
- Page 402 and 403: ex-lover. The man brought them to a
- Page 404 and 405: 404/661friends and family to form a
- Page 406 and 407: 406/661The therapist encourages the
- Page 408 and 409: 408/661Aftereffects or occasional r
patients to go elsewhere for care, while pleasing ones
translate into loyalty.
Finally, medical ethics may demand such an approach.
An editorial in the Journal of the American
Medical Association, commenting on a report that depression
increases five fold the likelihood of dying after
being treated for a heart attack, notes: "[T]he clear
demonstration that psychological factors like depression
and social isolation distinguish the coronary heart disease
patients at highest risk means it would be unethical
not to start trying to treat these factors." 56
If the findings on emotions and health mean anything,
it is that medical care that neglects how people feel as
they battle a chronic or severe disease is no longer adequate.
It is time for medicine to take more methodical
advantage of the link between emotion and health. What
is now the exception could—and should—be part of the
mainstream, so that a more caring medicine is available
to us all. At the least it would make medicine more humane.
And, for some, it could speed the course of recovery.
"Compassion," as one patient put it in an open letter
to his surgeon, "is not mere hand holding. It is good
medicine." 57 360/661