克服癌症恐惧：风险、恐惧和担忧如何误导我们

English | November 28th, 2023 | ISBN: 1421447401 | 392 pages | True EPUB | 2.27 MB

Our fear of cancer causes great harm to individual health and to society.

The fear of cancer is understandable. But that fear is in some ways outdated, as it fails to account for the medical progress made against this family of diseases. In Curing Cancerphobia, David Ropeik reveals the fascinating historical and psychological roots of our fear of cancer and documents the dramatic health and financial harms caused when that fear exceeds the risk.

Fear of cancer drives millions for whom screening is not recommended to screen for the disease anyway, producing tens of thousands of emotionally damaging false positives and costing the US health care system an estimated $9.2 billion a year. At the same time, fear of cancer also causes many people for whom screening is recommended to avoid it altogether.

Modern screening technologies often identify cancers that do not spread or that grow so slowly they almost certainly will never cause harm in a person's lifetime. Yet many of these people, frightened by the word "cancer" in their diagnosis, understandably choose more aggressive and risky treatments than their clinical conditions require. These unnecessary treatments kill hundreds of people, cause severe side effects in thousands, and cost the health care system at least $5.2 billion a year.

Additionally, consumers spend billions of dollars on vitamins and supplements, organic food, and other products that promise to reduce our risk of cancer but do not actually reduce it. And an excessive fear of cancer causes resistance to potentially beneficial technologies like nuclear power and fluoridation of tap water. After documenting these harms, Ropeik offers tools and suggestions to help reduce the negative impacts of cancerphobia. Based on extensive research including interviews with experts and cancer patients, Curing Cancerphobia confronts our emotional relationship with the disease we fear more than any other.

我们的癌症恐惧对个人健康和社会都造成了巨大的伤害。 这种恐惧是可以理解的，但在某些方面它已经过时了。因为医学上对抗这一类疾病取得了显著的进步，但恐惧仍然存在。在《治愈癌症恐惧》一书中，大卫·罗佩克揭示了我们害怕癌症的历史和心理根源，并记录了当这种恐惧超过实际风险所造成的健康和财务损害。 癌症恐惧促使数百万不适合筛查的人进行不必要的筛查，导致上万次情感上的挫败并耗费美国医疗卫生体系约92亿美元。与此同时，人们对癌症的恐惧也使许多人避免接受推荐的筛查。 现代筛查技术往往能够发现不会扩散或生长得极其缓慢以至于几乎肯定会终生无法对一个人造成伤害的癌症。然而，很多在诊断时听到“癌症”这个词后感到恐惧的人选择了比其临床状况所需更为激进且风险更高的治疗。这些不必要的治疗方法导致数百人死亡、数千人承受严重副作用，并耗费美国医疗卫生体系至少52亿美元。 此外，消费者花费数十亿购买维生素和补充剂、有机食品等声称能够降低我们患癌风险但并未真正实现的产品。过度的癌症恐惧也引发了对核能和其他潜在有益技术如自来水加氟的抵制。罗佩克在详细记录这些损害后提出了帮助减轻癌症恐惧负面影响的方法与建议，基于对专家和癌症患者访谈所进行的广泛研究，《治愈癌症恐惧》一书直面我们与其恐惧最严重的疾病的关系。

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