email page print pageAll Topic Reviews
"Are You There Alone?""Who Could That Be at This Hour?"3 Willows4th of July99 DaysA Beautiful MindA Change in AltitudeA Corner Of The UniverseA Falling KnifeA Frog ThingA Great and Terrible BeautyA People's History of ChristianityA Question of BloodA Slight Trick of the MindA Step Toward FallingA Thousand Miles from NowhereA Tragic Kind of WonderfulA Voyage Long and StrangeA Wedding in December Abraham LincolnAcross the River and Into the TreesADHD NationAfter DarkAgainst EmpathyAgainst Medical AdviceAll the Bright PlacesAll the Way HomeAll Unquiet ThingsAlphavilleAlways Forever MaybeAlways Too Much And Never EnoughAmerica AmericaAmong the DepartedAn EducationAn Object of BeautyAnatomy of a MisfitAre You There, Vodka? It's Me, ChelseaAsymmetryBad BoyBad RatsBarbara the Slut and Other PeopleBeach RoadBeat the ReaperBeauty QueensBed of RosesBefore I DieBefore I FallBefore the FrostBig BrotherBiteBlack Elk SpeaksBlameBleed for MeBlonde FaithBlood, Salt, WaterBody SurfingBog ChildBoneMan's DaughtersBoomsdayBorder CrossingBorn Standing UpBoys Are DogsBoys Will Put You on a Pedestal (So They Can Look Up Your Skirt)Brava, ValentineBreak Through PainBreathingBridge of SighsBrief Interviews with Hideous MenBring Them HomeBrutalBy BloodC StreetCalm Beneath the WavesCanadaCellCemetery DanceChange Your Brain, Change Your LifeCheeverCinnamon KissCleopatraClose Your EyesCompulsionCross CountryCyborgasmDakotaDancing at the Shame PromDarkest FearDavid Sedaris Live at Carnegie HallDead EvenDead Little Mean GirlDear Zoe,Death Without TenureDeceptionDefending JacobDefine NormalDeliriumDevil in the DetailsDiscovering Pig MagicDisturbing GroundDivergentDivine JusticeDivisaderoDoing ItDon't Wake UpDown the Rabbit HoleDr. Andrew Weil's Mindbody ToolkitDress Your Family in Corduroy and DenimDriftlessEven Dogs in the WildEvery Exquisite ThingEvery Little Thing in the WorldEye ContactFaith, Hope, and Ivy JuneFaking NormalFalling ManFamily and Other CatastrophesFamily FirstFans of the Impossible LifeFear of the DarkFellsideField of BloodFile Under: 13 Suspicious IncidentsFiregirlFlat Lake in WinterForest of the PygmiesFortunate SonFraudFreak the MightyFree RefillsFull Steam Ahead!Furiously HappyGenerosityGenomeGetting a Good Night's SleepGetting the Love You Want Audio CompanionGiftedGirl in TranslationGod Is DeadGod Is Not OneGods and BeastsGoing BovineGood and GoneGranny Torrelli Makes SoupGraysonHappy FamilyHappy Mutant Baby PillsHarmlessHe's Just Not That Into YouHealthy AgingHeartbeatHeftHigh HeatHolidays on IceHot MilkHotel on the Corner of Bitter and SweetHotel WorldHotels of North AmericaHow a Gunman Says GoodbyeHow Full Is Your Bucket?How Successful People ThinkHow to Build a HouseHow to See Yourself As You Really AreHow to Set a Fire and WhyHunger Makes Me a Modern GirlHurt Go HappyHypnography for MenHypnography for WomenI Am I Am I AmI Am Not Joey PigzaI Can See YouI Drink for a ReasonI Feel Bad About My NeckI'd Know You AnywhereI'm Traveling AloneIdiot AmericaIf a Tree Falls at Lunch PeriodIf I StayIf You StayImagine Me GoneIn ZanesvilleInfinite JestInheritanceInnocentInside the O'BriensInvincibleInvisibleIt Takes OneJennifer, Hecate, Macbeth, William McKinley, and Me, ElizabethJust LifeKeeping LucyKiss of Broken GlassKissing Ted Callahan (And Other Guys)Knife CreekLeaping BeautyLie to MeLies My Girlfriend Told MeLife After LifeLife InterruptedLife of PiLife StrategiesLisey's StoryLitLittle Black LiesLittle ScarletLive For Your Listening PleasureLiving Your DreamLong Shadow of Small GhostsLooking for BobowiczLosers BracketLost in the ForestLove Is a Mix TapeLove Times ThreeLove, AubreyLowboyMadappleMade for LoveMade For YouMagical ThinkingMagnificenceMaliceMan in the WoodsMarlenaMeditation in a New York MinuteMeetings with a Remarkable ManMiddlesexMind MappingMindfulness for BeginnersMirrorMaskMischlingMissing PresumedMolly Moon's Incredible Book of HypnotismMommies Who DrinkMunich AirportMy AbandonmentMy Life Among the Serial KillersMy Name Is RedMy One Hundred AdventuresMy Sister's KeeperName All the AnimalsNelson Mandela's Favorite African FolktalesNemesisNever Let Me GoNew York 2140Night FilmNina: AdolescenceNinety DaysNone of the AboveNot a Crime to Be PoorNothingNurtureShockObjects of My AffectionOdd Child OutOh My GothOlive's OceanOn Chesil BeachOne Flew Over The Cuckoo's NestOutliersOutside Looking InPaint It BlackPanicParadise LodgeParanoiaPeace Is Every BreathPeople Who Eat DarknessPharmakonPictures of Hollis WoodsPictures of YouPilgrim at Tinker CreekPlaying with FirePlease Stop Laughing at UsPositivityPresumed InnocentPretty Girl-13Prisoner of Night and FogPuddlejumpersPunkzillaPutneyRacing the DevilReady for AnythingRebuttalReleaseRequiemRescueRevolutionary RoadRoomRun for Your LifeSay You're SorryScatSchool of FearSearching for Sylvie LeeSeason to TasteSecrets of a Passionate MarriageSee How SmallSeeds of HopeSex and SpiritSide Effects May VarySilencedSimon vs. the Homo Sapiens AgendaSinlessSix Impossible ThingsSkelligSleeping BeautySleepyheadSnowSo Brave, Young and HandsomeSolitaireSomeday This Pain Will Be Useful to YouSourlandSquirrel Seeks ChipmunkStill in LoveStill MissingStory of a GirlStress ReliefSupreme CourtshipSurviving OpheliaSwimming to ElbaSworn to SilenceSycamoreSymptoms of Being HumanTeaseTeaseTell the Truth, Shame the DevilTen Minutes to RelaxTestimonyThat Old Cape MagicThe DrifterThe Abortionist's DaughterThe AccidentalThe Accidental BillionairesThe AdultsThe Almost MoonThe Anatomy of HopeThe ArrangementThe Art of ChoosingThe Art of Exceptional LivingThe Artist of DisappearanceThe Average American MarriageThe Bastard on the Couch CDThe Beat Goes OnThe Best AwfulThe Big LoveThe Boat RockerThe Book of JoeThe Book of LiesThe Book of the DeadThe Bookshop on the ShoreThe Boy at the KeyholeThe Boy Who DaredThe Boyfriend ListThe Brass VerdictThe Breakout PrincipleThe Burden of ProofThe Case for GodThe Case of the Case of Mistaken IdentityThe Cemetery BoysThe ChemistThe Chosen OneThe ClosersThe Consciousness PlagueThe Conspiracy ClubThe Cuckoo's CallingThe Dangerous Art of Blending InThe Day I Ate Whatever I WantedThe Dead Fathers ClubThe Death of Bunny MunroThe Devotion of Suspect XThe Disreputable History of Frankie Landau-BanksThe Diviner's TaleThe DollmakerThe Dressmaker of Khair KhanaThe Dynamite RoomThe Earth, My Butt, and Other Big Round ThingsThe EndThe End of Our StoryThe Erotic EdgeThe Essential KamasutraThe Family GeneThe First Fifteen Lives of Harry AugustThe Forgotten GirlsThe Fortunate OnesThe Geography of You and MeThe Gift of an Ordinary DayThe Gingerbread GirlThe Girl in 6EThe Girl in the GardenThe Girl on Mill StreetThe Girl Who Kicked the Hornet's NestThe Girl Who Played with FireThe Girl with the Dragon TattooThe Grief of OthersThe Grim GrottoThe Guise of AnotherThe Guy Not TakenThe Heart of YogaThe Hearts of MenThe Heretic's DaughterThe Ice QueenThe Ice TwinsThe Immortal Life of Henrietta LacksThe InseparablesThe InterestingsThe Keeper of Lost CausesThe Keeper of Lost ThingsThe Kings of LondonThe Language God TalksThe Language of SecretsThe Language Of YogaThe Last ChildThe Last MileThe Last Time We Say GoodbyeThe Male BrainThe Man from BeijingThe Man in My BasementThe Man Who Couldn't EatThe Map of True PlacesThe Marriage PlotThe Memory Book The Mermaids SingingThe Ministry of Special CasesThe MuralistThe Museum of InnocenceThe Mystery of the Third LucretiaThe Myth of LazinessThe NarrowsThe Necessary Death of Lewis WinterThe New YorkersThe NewleywedsThe NixThe NursesThe Only Girl in the WorldThe Opposite of InvisibleThe Other Side of the StoryThe Outcasts of 19 Schuyler PlaceThe Particular Sadness of Lemon CakeThe PastThe Penultimate PerilThe Perfect GirlThe PostcardThe Pregnant WidowThe Promise of a LieThe PyramidThe Qi Healing KitThe Quiet RoomThe ReaderThe Republican BrainThe Rule of FourThe Rules of SurvivalThe Savage CityThe ScarecrowThe Second GirlThe Secret Life of BeesThe Secret of Lost ThingsThe Secret ScriptureThe Secret SpeechThe Secret Wisdom of the EarthThe ShallowsThe SharkThe Shock of the FallThe Silent BoyThe SisterThe Song of the Jade LilyThe Sound of Broken GlassThe SpindlersThe Stillwater GirlsThe Story HourThe Story of Beautiful GirlThe Sudden Arrival of ViolenceThe Summer ChildrenThe Survival ListThe Survivors ClubThe Sweet Relief of Missing ChildrenThe Sweetness at the Bottom of the PieThe Tail of Emily WindsnapThe Tenth JusticeThe Thing About JellyfishThe Third AngelThe TouristThe Treasure Map of BoysThe Trouble with Goats and SheepThe Unexpected Inheritance of Inspector ChopraThe Unfortunate Decisions of Dahlia MossThe UnquietThe Unseen WorldThe VegetarianThe View from SaturdayThe WaveThe Weed That Strings the Hangman's BagThe Weight of the NationThe Whiz Mob and the Grenadine KidThe Whole TruthThe WilloughbysThe Witch ElmThe Witch's BoyThe Wolves of AndoverThe Words We Live ByThe Wrong Side of GoodbyeThe Year of the FloodThe Year That FollowsThe Yin Yoga KitThings You Didnt SeeThirteen Reasons WhyThis Beautiful LifeThis Body of DeathThis Book Is Not Good For YouThis Full HouseThis Is HowThose GirlsThose Who Wish Me DeadTony & SusanToo Much HappinessTooth and NailTouchTransformation TriburbiaTrue BelieverTrue CompassTrust ExerciseTruth & BeautyTwinmakerTwistedTwo Can PlayTwo Little Girls in BlueUnaccustomed EarthUnder Rose-Tainted SkiesUnder the HarrowUnder the InfluenceUnder WildwoodUniversal HarvesterUnlessUnthinkingUp in the AirVacuum in the DarkVery ValentineVisits from The Drowned GirlVoid MoonWaiting for SunriseWalkingWarWatching the DarkWays to Die in GlasgowWe Are OkayWhat the Dog SawWhen My Heart Joins the ThousandWhen We Were AnimalsWhen You Are Engulfed in FlamesWhen You Reach MeWhere She WentWherever You Go, There You AreWhite HotWild AwakeWild ChildWildwoodWill They Ever Trust Us Again?Wolf in White VanWomen's Murder Club Box SetYoga SanctuaryYou Know Me WellYou Look Different in Real LifeYou Should Have KnownYou Will Know Me
Jerome Groopman's ability to weave
together moving tales of his patients with thoughtful reflections on the nature
of medicine has been well established in his previous books, Second Opinions
and The Measure of Our Days. In The Anatomy of Hope, he
ruminates on the possibility of hope in patients with extremely serious
diseases. Most of the patients in these stories have cancer with often-fatal
consequences. He starts off with the case of a devout Jewish woman he met when
he was only a medical student, who lacked the will to fight her breast cancer
because she believes it is a punishment from God. Eventually, too late, her
doctor convinced her to accept the treatment which might have saved her life,
but Groopman's training didn't include any discussion of what the doctor said
to the patient to change her mind. Later on in his career, when he himself was
a young doctor acting as an apprentice of another well-established doctor, he
was troubled by the case of a patient with incurable cancer who was misled into
believing that her treatment could achieve a cure. The chemotherapy she
received could provide a remission of the cancer, but it was virtually certain
that she would eventually die from the disease. In Groopman's view, this false
hope was a disservice to the patients, and ultimately cause them to feel
bitterness and disappointment, and can also lead the doctors to feel guilt or
This experience led Groopman to be
much more open with his patients about the truth of their prognoses. He came
to believe that patients need the truth and it is counterproductive to try to
stop patients from worrying by hiding facts from them. Yet he also found that
the blunt telling of grim medical statistics can drain patients of hope and
life. As with many doctors, Groopman found it almost impossible when treating
patients with terrible disease to find some middle ground between false hope
and depressing truth. His central quest in this book is to explore how to
create such middle ground.
In the other cases, Groopman tells
stories of oncologists who themselves get cancer. Some insist on painful
experimental treatment in full knowledge that the chances that it will provide
a cure are slim. Sometimes, they are driven by hope, but in other cases, by
desperation. In other cases, the afflicted doctors give up the fight against
cancer prematurely, as if they are unable to summon up the hope they tried to
give to their patients. Finally, Groopman tells his own story, not of cancer,
but of a disabling back problem that threatened to significantly curtail his
life. He tried several different therapies, but they didn't seem to help, and
even made the problem worse. Finally, he himself gave up hope in his own
recovery, and just tried to live with the progressively worsening problem, with
his life becoming ever more circumscribed. It was only through meeting a
specialist who confronted him with his own refusal to hope that he came to find
a cure. This personal experience gave him further insight into the ways that
fear can overcome hope.
Groopman's discussion of hope fits
in very well with a great deal of other work on the mind-body connection.
While he is skeptical about the overblown claims of some alternative medicine
that the right attitude can in itself end serious disease, he does explain some
of the evidence that one's mental attitude can have a powerful impact on the
course of one's recovery. Hope can have both direct and indirect beneficial
effects in fighting disease. Therefore, it is an essential element in
treatment, so it is very troubling that specialists are not given more training
in how to enable their patients to become hopeful.
While The Anatomy of Hope is
an excellent discussion of the relation of emotion and illness, it says very
little about mental disorders. For people with chronically disabling mental
illnesses, it is all too easy to become hopeless, and this itself makes the
illness worse, and can lead to substance abuse or suicidal actions.
Psychiatric patients need hope, and their clinicians and families need to know
how to help them become hopeful. Groopman's book may provide some clues, but
clearly this is an area that needs much more exploration.
Groopman himself reads the abridged
audiobook. His performance is a little wooden at times, with rather slow and
methodical pronunciation of each individual word. Nevertheless, his words are
always eloquent enough to hold one's attention, and at other points his reading
is more natural and fluid.
© 2004 Christian Perring. All
Perring, Ph.D., is Academic Chair of the Arts & Humanities
Division and Chair of the Philosophy Department at Dowling College, Long Island.
He is also editor of Metapsychology Online Review. His main
research is on philosophical issues in medicine, psychiatry and psychology.