购物车
个人中心
Infested
￥147.15
Bed bugs. Few words strike such fear in the minds of travelers. In cities around the world, lurking beneath the plush blankets of otherwise pristine-looking hotel beds are tiny bloodthirsty beasts just waiting for weary wanderers to surrender to a vulnerable slumber. Though bed bugs today have infested the globe, the common bed bug is not a new pest at all. Indeed, as Brooke Borel reveals in this unusual history, this most-reviled species may date back over 250,000 years, wreaking havoc on our collective psyche while even inspiring art, literature, and music-in addition to vexatious red welts.?In Infested, Borel introduces readers to the biological and cultural histories of these amazingly adaptive insects, and the myriad ways in which humans have responded to them. She travels to meet with scientists who are rearing bed bug colonies-even by feeding them with their own blood (ouch!)-and to the stages of musicals performed in honor of the pests. She explores the history of bed bugs and their apparent disappearance in the 1950s after the introduction of DDT, charting how current infestations have flourished in direct response to human chemical use as well as the ease of global travel. She also introduces us to the economics of bed bug infestations, from hotels to homes to office buildings, and the expansive industry that has arisen to combat them.Hiding during the day in the nooks and seams of mattresses, box springs, bed frames, headboards, dresser tables, wallpaper, or any clutter around a bed, bed bugs are thriving and eager for their next victim. By providing fascinating details on bed bug science and behavior as well as a captivating look into the lives of those devoted to researching or eradicating them, Infested is sure to inspire at least a nibble of respect for these tenacious creatures-while also ensuring that you will peek beneath the sheets with prickly apprehension.
Players and Pawns
￥147.15
A chess match seems as solitary an endeavor as there is in sports: two minds, on their own, in fierce opposition. In contrast, Gary Alan Fine argues that chess is a social duet: two players in silent dialogue who always take each other into account in their play. Surrounding that one-on-one contest is a community life that can be nearly as dramatic and intense as the across-the-board confrontation.?Fine has spent years immersed in the communities of amateur and professional chess players, and with Players and Pawns he takes readers deep inside them, revealing a complex, brilliant, feisty world of commitment and conflict. Opening with a close look at a typical tournament in Atlantic City, Fine carries us from planning and setup through the climactic final day's match-ups between the weekend's top players, introducing us along the way to countless players and their relationships to the game. At tournaments like that one, as well as in locales as diverse as collegiate matches and community chess clubs, players find themselves part of what Fine terms a "e;soft community,"e; an open, welcoming space built on their shared commitment to the game. Within that community, chess players find both support and challenges, all amid a shared interest in and love of the long-standing traditions of the game, traditions that help chess players build a communal identity.?Full of idiosyncratic characters and dramatic gameplay, Players and Pawns is a celebration of the ever-fascinating world of serious chess.
Slaughterhouse
￥147.15
From the minute it opened-on Christmas Day in 1865-it was Chicago's must-see tourist attraction, drawing more than half a million visitors each year. Families, visiting dignitaries, even school groups all made trips to the South Side to tour the Union Stock Yard. There they got a firsthand look at the city's industrial prowess as they witnessed cattle, hogs, and sheep disassembled with breathtaking efficiency. At their height, the kill floors employed 50,000 workers and processed six hundred animals an hour, an astonishing spectacle of industrialized death.Slaughterhouse tells the story of the Union Stock Yard, chronicling the rise and fall of an industrial district that, for better or worse, served as the public face of Chicago for decades. Dominic A. Pacyga is a guide like no other-he grew up in the shadow of the stockyards, spent summers in their hog house and cattle yards, and maintains a long-standing connection with the working-class neighborhoods around them. Pacyga takes readers through the packinghouses as only an insider can, covering the rough and toxic life inside the plants and their lasting effects on the world outside. He shows how the yards shaped the surrounding neighborhoods and controlled the livelihoods of thousands of families. He looks at the Union Stock Yard's political and economic power and its sometimes volatile role in the city's race and labor relations. And he traces its decades of mechanized innovations, which introduced millions of consumers across the country to an industrialized food system.Although the Union Stock Yard closed in 1971, the story doesn't end there. Pacyga takes readers to present day, showing how the manufacturing spirit lives on. Ironically, today the site of the legendary "e;stockyard stench"e; is now home to some of Chicago's most successful green agriculture companies.Marking the 150th anniversary of the opening of the stockyards, Slaughterhouse is an engrossing story of one of the most important-and deadliest-square miles in American history.
Better Bankers, Better Banks
￥147.15
Taking financial risks is an essential part of what banks do, but there's no clear sense of what constitutes responsible risk. Taking legal risks seems to have become part of what banks do as well. Since the financial crisis, Congress has passed copious amounts of legislation aimed at curbing banks' risky behavior. Lawsuits against large banks have cost them billions. Yet bad behavior continues to plague the industry. Why isn't there more changeIn Better Bankers, Better Banks, Claire A. Hill and Richard W. Painter look back at the history of banking and show how the current culture of bad behavior-dramatized by the corrupt, cocaine-snorting bankers of The Wolf of Wall Street-came to be. In the early 1980s, banks went from partnerships whose partners had personal liability to corporations whose managers had no such liability and could take risks with other people's money. A major reason bankers remain resistant to change, Hill and Painter argue, is that while banks have been faced with large fines, penalties, and legal fees-which have exceeded one hundred billion dollars since the onset of the crisis-the banks (which really means the banks'shareholders) have paid them, not the bankers themselves. The problem also extends well beyond the pursuit of profit to the issue of how success is defined within the banking industry, where highly paid bankers clamor for status and clients may regard as inevitable bankers who prioritize their own self-interest. While many solutions have been proposed, Hill and Painter show that a successful transformation of banker behavior must begin with the bankers themselves. Bankers must be personally liable from their own assets for some portion of the bank's losses from excessive risk-taking and illegal behavior. This would instill a culture that discourages such behavior and in turn influence the sorts of behavior society celebrates or condemns.Despite many sensible proposals seeking to reign in excessive risk-taking, the continuing trajectory of scandals suggests that we're far from ready to avert the next crisis. Better Bankers, Better Banks is a refreshing call for bankers to return to the idea that theirs is a noble profession.
Body by Darwin
￥147.15
We think of medical science and doctors as focused on treating conditions-whether it's a cough or an aching back. But the sicknesses and complaints that cause us to seek medical attention actually have deeper origins than the superficial germs and behaviors we regularly fault. In fact, as Jeremy Taylor shows in Body by Darwin, we can trace the roots of many medical conditions through our evolutionary history, revealing what has made us susceptible to certain illnesses and ailments over time and how we can use that knowledge to help us treat or prevent problems in the future.?In Body by Darwin, Taylor examines the evolutionary origins of some of our most common and serious health issues. To begin, he looks at the hygiene hypothesis, which argues that our obsession with anti-bacterial cleanliness, particularly at a young age, may be making us more vulnerable to autoimmune and allergic diseases. He also discusses diseases of the eye, the medical consequences of bipedalism as they relate to all those aches and pains in our backs and knees, the rise of Alzheimer's disease, and how cancers become so malignant that they kill us despite the toxic chemotherapy we throw at them. Taylor explains why it helps to think about heart disease in relation to the demands of an ever-growing, dense, muscular pump that requires increasing amounts of nutrients, and he discusses how walking upright and giving birth to ever larger babies led to a problematic compromise in the design of the female spine and pelvis. ?Throughout, he not only explores the impact of evolution on human form and function, but he integrates science with stories from actual patients and doctors, closely examining the implications for our health.?As Taylor shows, evolutionary medicine allows us think about the human body and its adaptations in a completely new and productive way. By exploring how our body's performance is shaped by its past, Body by Darwin draws powerful connections between our ancient human history and the future of potential medical advances that can harness this knowledge.
Scientific Babel
￥147.15
English is the language of science today. No matter which languages you know, if you want your work seen, studied, and cited, you need to publish in English. But that hasn't always been the case. Though there was a time when Latin dominated the field, for centuries science has been a polyglot enterprise, conducted in a number of languages whose importance waxed and waned over time-until the rise of English in the twentieth century.?So how did we get from there to hereHow did French, German, Latin, Russian, and even Esperanto give way to EnglishAnd what can we reconstruct of the experience of doing science in the polyglot pastWith Scientific Babel, Michael D. Gordin resurrects that lost world, in part through an ingenious mechanism: the pages of his highly readable narrative account teem with footnotes-not offering background information, but presenting quoted material in its original language. The result is stunning: as we read about the rise and fall of languages, driven by politics, war, economics, and institutions, we actually see it happen in the ever-changing web of multilingual examples. The history of science, and of English as its dominant language, comes to life, and brings with it a new understanding not only of the frictions generated by a scientific community that spoke in many often mutually unintelligible voices, but also of the possibilities of the polyglot, and the losses that the dominance of English entails.?Few historians of science write as well as Gordin, and Scientific Babel reveals his incredible command of the literature, language, and intellectual essence of science past and present. No reader who takes this linguistic journey with him will be disappointed.
Stone Soup Experiment
￥147.15
The Stone Soup Experiment is a remarkable story of cultural difference, of in-groups, out-groups, and how quickly and strongly the lines between them are drawn. It is also a story about simulation and reality, and how quickly the lines between them can be dismantled.?In a compulsively readable account, Deborah Downing Wilson details a ten-week project in which forty university students were split into two different simulated cultures: the carefree Stoners, and the market-driven Traders. Through their eyes we are granted intimate access to the very foundations of human society: how group identities are formed and what happens when opposing ones come into contact.?The experience of the Stoners and Traders is a profound testament to human sociality. Even in the form of simulation, even as a game, the participants found themselves quickly-and with real conviction-bound to the ideologies and practices of their in-group. The Stoners enjoyed their days lounging, chatting, and making crafts, while the Traders-through a complex market of playing cards-competed for the highest bankrolls. When they came into contact, misunderstanding, competition, and even manipulation prevailed, to the point that each group became so convinced of its own superiority that even after the simulation's end the students could not reconcile. Throughout her riveting narrative, Downing Wilson interweaves fascinating discussions on the importance of play, emotions, and intergroup interaction in the formation and maintenance of group identities, as well as on the dynamic social processes at work when different cultural groups interact. A fascinating account of social experimentation, the book paints a vivid portrait of our deepest social tendencies and the powers they have over how we make friends and enemies alike.?
Castles, Battles, and Bombs
￥147.15
Castles, Battles, and Bombs reconsiders key episodes of military history from the point of view of economics-with dramatically insightful results. For example, when looked at as a question of sheer cost, the building of castles in the High Middle Ages seems almost inevitable: though stunningly expensive, a strong castle was far cheaper to maintain than a standing army. The authors also reexamine the strategic bombing of Germany in World War II and provide new insights into France's decision to develop nuclear weapons. Drawing on these examples and more, Brauer and Van Tuyll suggest lessons for today's military, from counterterrorist strategy and military manpower planning to the use of private military companies in Afghanistan and Iraq.?"e;In bringing economics into assessments of military history, [the authors] also bring illumination. . . . [The authors] turn their interdisciplinary lens on the mercenary arrangements of Renaissance Italy; the wars of Marlborough, Frederick the Great, and Napoleon; Grant's campaigns in the Civil War; and the strategic bombings of World War II. The results are invariably stimulating."e;-Martin Walker, Wilson Quarterly?"e;This study is serious, creative, important. As an economist I am happy to see economics so professionally applied to illuminate major decisions in the history of warfare."e;-Thomas C. Schelling, Winner of the 2005 Nobel Prize in Economics
Everyday Technology
￥147.15
In 1909 Mohandas Karamchand Gandhi, on his way back to South Africa from London, wrote his now celebrated tract Hind Swaraj, laying out his vision for the future of India and famously rejecting the technological innovations of Western civilization. Despite his protestations, Western technology endured and helped to make India one of the leading economies in our globalized world. Few would question the dominant role that technology plays in modern life, but to fully understand how India first advanced into technological modernity, argues David Arnold, we must consider the technology of the everyday.?Everyday Technology is a pioneering account of how small machines and consumer goods that originated in Europe and North America became objects of everyday use in India in the late nineteenth and early twentieth centuries. Rather than investigate "e;big"e; technologies such as railways and irrigation projects, Arnold examines the assimilation and appropriation of bicycles, rice mills, sewing machines, and typewriters in India, and follows their impact on the ways in which people worked and traveled, the clothes they wore, and the kind of food they ate. But the effects of these machines were not limited to the daily rituals of Indian society, and Arnold demonstrates how such small-scale technologies became integral to new ways of thinking about class, race, and gender, as well as about the politics of colonial rule and Indian nationhood.?Arnold's fascinating book offers new perspectives on the globalization of modern technologies and shows us that to truly understand what modernity became, we need to look at the everyday experiences of people in all walks of life, taking stock of how they repurposed small technologies to reinvent their world and themselves.
After the Ice Age
￥147.15
The fascinating story of how a harsh terrain that resembled modern Antarctica has been transformed gradually into the forests, grasslands, and wetlands we know today."e;One of the best scientific books published in the last ten years."e;-Ottowa Journal"e;A valuable new synthesis of facts and ideas about climate, geography, and life during the past 20,000 years. More important, the book conveys an intimate appreciation of the rich variety of nature through time."e;-S. David Webb,Science
Particle and Wave
￥147.15
Are we aloneIf so, Particle and Wave insists that we need not be lonely. Here the periodic table of elements-a system familiar to many of us from high school chemistry-unfolds in a series of unexpected meanings with connotations public, personal, and existential. Based on a logic that considers the atomic symbol an improvised phoneme, Particle and Wave is keenly attuned to the qualities of voice and concerned with how these improvisations fall on the listening ear. From the most recent housing bust, to the artistic visions of Christo and Jeanne Claude, to the labors of the Curies, to Pliny the Younger's account of the eruption of Vesuvius, culture and world histories are recontextualized through the lens of personal experience. Muscular, precise, structurally varied, and imagistic, these poems engage in lyricism yet resist mere confession. In doing so they project the self as a composite, speaking in a variety of registers, from the nursery rhyme songster, to the ascetic devotee, to the unapologetic sensualist. They welcome all comers and elbow the bounded physical world to make way for a dynamic, new subjectivity.
Love and Saint Augustine
￥147.15
Hannah Arendt began her scholarly career with an exploration of Saint Augustine's concept of caritas, or neighborly love, written under the direction of Karl Jaspers and the influence of Martin Heidegger. After her German academic life came to a halt in 1933, Arendt carried her dissertation into exile in France, and years later took the same battered and stained copy to New York. During the late 1950s and early 1960s, as she was completing or reworking her most influential studies of political life, Arendt was simultaneously annotating and revising her dissertation on Augustine, amplifying its argument with terms and concepts she was using in her political works of the same period. The disseration became a bridge over which Arendt traveled back and forth between 1929 Heidelberg and 1960s New York, carrying with her Augustine's question about the possibility of social life in an age of rapid political and moral change.In Love and Saint Augustine, Joanna Vecchiarelli Scott and Judith Chelius Stark make this important early work accessible for the first time. Here is a completely corrected and revised English translation that incorporates Arendt's own substantial revisions and provides additional notes based on letters, contracts, and other documents as well as the recollections of Arendt's friends and colleagues during her later years.
Calle Florista
￥147.15
This World and That OneSometimes you defy it,I am not that, watching a strangercry like a dog when she thinks she's aloneat the kitchen window, hands forgottenunder the running tap.The curtains blow out, flap the other side of the sill.In you one hole fills another,stacked like cups.You remember your hands.Connie Voisine's third book of poems centers on the border between the United States and Mexico, celebrating the stunning, severe desert landscape found there. This setting marks the occasion as well for Voisine to explore themes of splitting and friction in both human and political contexts. Whose space is this border, she asks, and what voice can possibly tell the story of this place?In a wry, elegiac mode, the poems of Calle Florista take us both to the edge of our country and the edge of our faith in art and the world. This is mature work, offering us poems that oscillate between the articulation of complex, private sensibilities and the directness of a poet cracking the private self open-and making it vulnerable to the wider world.
Portrait of a Man Known as Il Condottiere
￥147.15
Puckish and playful, Georges Perec infused avant-garde and experimental fiction with a wit and wonder that belied the serious concerns and concepts that underpinned it. A prominent member of the OuLiPo, and an abiding influence on fiction writers today, Perec used formal constraints to dazzling effect in such works as A Void-a murder mystery that contains nary an "e;e"e;-and Life A User's Manual, in which an apartment building, systematically canvassed, unfolds secrets and, ultimately offers a reflection on creation, destruction, and the devotion to art.?Before embarking on these experiments, however, Perec tried his hand at a relatively straightforward novel, Portrait of a Man. His first book, it was rejected by publishers when he submitted it in 1960, after which he filed it away. Decades after Perec's death, David Bellos discovered the manu*, and through his translation we have a chance to enjoy it in English for the first time. What fans will find here is a thriller that combines themes that would remain prominent in Perec's later work, such as art forgery, authenticity, and murder, as well as craftsman Gaspard Winckler, who whose namesakes play major roles in Life A User's Manual and W or The Memory of Childhood.?Engaging and entertaining on its own merits, and gaining additional interest when set in the context of Perec's career, Portrait of a Man is sure to charm the many fans of this postmodern master.
Wandering Mind
￥147.15
If we've done our job well-and, let's be honest, if we're lucky-you'll read to the end of this de*ion. Most likely, however, you won't. Somewhere in the middle of the next paragraph, your mind will wander off. Minds wander. That's just how it is.?That may be bad news for me, but is it bad news for people in generalDoes the fact that as much as fifty percent of our waking hours find us failing to focus on the task at hand represent a problemMichael Corballis doesn't think so, and with The Wandering Mind, he shows us why, rehabilitating woolgathering and revealing its incredibly useful effects. Drawing on the latest research from cognitive science and evolutionary biology, Corballis shows us how mind-wandering not only frees us from moment-to-moment drudgery, but also from the limitations of our immediate selves. Mind-wandering strengthens our imagination, fueling the flights of invention, storytelling, and empathy that underlie our shared humanity; furthermore, he explains, our tendency to wander back and forth through the timeline of our lives is fundamental to our very sense of ourselves as coherent, continuing personalities.?Full of unusual examples and surprising discoveries, The Wandering Mind mounts a vigorous defense of inattentioneven as it never fails to hold the reader's.
Hidden Game of Baseball
￥147.15
Long before Moneyball became a sensation or Nate Silver turned the knowledge he'd honed on baseball into electoral gold, John Thorn and Pete Palmer were using statistics to shake the foundations of the game. First published in 1984, The Hidden Game of Baseball ushered in the sabermetric revolution by demonstrating that we were thinking about baseball stats-and thus the game itself-all wrong. Instead of praising sluggers for gaudy RBI totals or pitchers for wins, Thorn and Palmer argued in favor of more subtle measurements that correlated much more closely to the ultimate goal: winning baseball games.The new gospel promulgated by Thorn and Palmer opened the door for a flood of new questions, such as how a ballpark's layout helps or hinders offense or whether a strikeout really is worse than another kind of out. Taking questions like these seriously-and backing up the answers with data-launched a new era, showing fans, journalists, scouts, executives, and even players themselves a new, better way to look at the game.This brand-new edition retains the body of the original, with its rich, accessible analysis rooted in a deep love of baseball, while adding a new introduction by the authors tracing the book's influence over the years. A foreword by ESPN's lead baseball analyst, Keith Law, details The Hidden Game's central role in the transformation of baseball coverage and team management and shows how teams continue to reap the benefits of Thorn and Palmer's insights today. Thirty years after its original publication, The Hidden Game is still bringing the high heat-a true classic of baseball literature.
Blood Runs Green
￥147.15
It was the biggest funeral Chicago had seen since Lincoln's. On May 26, 1889, four thousand mourners proceeded down Michigan Avenue, followed by a crowd forty thousand strong, in a howl of protest at what commentators called one of the ghastliest and most curious crimes in civilized history. The dead man, Dr. P. H. Cronin, was a respected Irish physician, but his brutal murder uncovered a web of intrigue, secrecy, and corruption that stretched across the United States and far beyond.Blood Runs Green tells the story of Cronin's murder from the police investigation to the trial. It is a story of hotheaded journalists in pursuit of sensational crimes, of a bungling police force riddled with informers and spies, and of a secret revolutionary society determined to free Ireland but succeeding only in tearing itself apart. It is also the story of a booming immigrant population clamoring for power at a time of unprecedented change.From backrooms to courtrooms, historian Gillian O'Brien deftly navigates the complexities of Irish Chicago, bringing to life a rich cast of characters and tracing the spectacular rise and fall of the secret Irish American society Clan na Gael. She draws on real-life accounts and sources from the United States, Ireland, and Britain to cast new light on Clan na Gael and reveal how Irish republicanism swept across the United States. Destined to be a true crime classic, Blood Runs Green is an enthralling tale of a murder that captivated the world and reverberated through society long after the coffin closed.
Houston, We Have a Narrative
￥147.15
Ask a scientist about Hollywood, and you'll probably get eye rolls. But ask someone in Hollywood about science, and they'll see dollar signs: moviemakers know that science can be the source of great stories, with all the drama and action that blockbusters require.?That's a huge mistake, says Randy Olson: Hollywood has a lot to teach scientists about how to tell a story-and, ultimately, how to do science better. With Houston, We Have a Narrative, he lays out a stunningly simple method for turning the dull into the dramatic. Drawing on his unique background, which saw him leave his job as a working scientist to launch a career as a filmmaker, Olson first diagnoses the problem: When scientists tell us about their work, they pile one moment and one detail atop another moment and another detail-a stultifying procession of "e;and, and, and."e; What we need instead is an understanding of the basic elements of story, the narrative structures that our brains are all but hardwired to look for-which Olson boils down, brilliantly, to "e;And, But, Therefore,"e; or ABT. At a stroke, the ABT approach introduces momentum ("e;And"e;), conflict ("e;But"e;), and resolution ("e;Therefore"e;)-the fundamental building blocks of story. As Olson has shown by leading countless workshops worldwide, when scientists' eyes are opened to ABT, the effect is staggering: suddenly, they're not just talking about their work-they're telling stories about it. And audiences are captivated.?Written with an uncommon verve and enthusiasm, and built on principles that are applicable to fields far beyond science, Houston, We Have a Narrative has the power to transform the way science is understood and appreciated, and ultimately how it's done.
Off to College
￥147.15
For many parents, sending their child off to college can be a disconcerting leap. After years spent helping with homework, attending parent-teacher conferences, and catching up after school, college life represents a world of unknowns. What really happens during that transitional first ?year of collegeAnd what can parents do to strike the right balance between providing support and fostering independence?With Off to College, Roger H. Martin helps parents understand this important period of transition by providing the perfect tour of the first year on today's campus. Martin, a twenty-year college president and former Harvard dean, spent a year visiting five very different colleges and universities across the United States-public and private, large and small, elite and non-elite-to get an insider's view of modern college life. He observes an advising session as a student sorts out her schedule, unravels the mysteries of roommate assignments with a residence life director, and patrols campus with a safety officer on a rowdy Saturday night. He gets pointers in freshman English and tips on athletics and physical fitness from coaches. He talks with financial aid officers and health service providers. And he listens to the voices of the first-year students themselves. Martin packs Off to College with the insights and advice he gained and bolsters them with data from a wide variety of sources to deliver a unique and personal view of the current student experience.The first year is not just the beginning of a student's college education but also the first big step in becoming an adult. Off to College will help parents understand what to expect whether they're new to the college experience or reconciling modern campus life with memories of their own college days.
Legendary Detective
￥147.15
"e;I'm in a business where people come to me with troubles. Big troubles, little troubles, but always troubles they don't want to take to the cops."e; That's Raymond Chandler's Philip Marlowe, succinctly setting out our image of the private eye. A no-nonsense loner, working on the margins of society, working in the darkness to shine a little light.?The reality is a little different-but no less fascinating. In The Legendary Detective, John Walton offers a sweeping history of the American private detective in reality and myth, from the earliest agencies to the hard-boiled heights of the 1930s and '40s. Drawing on previously untapped archival accounts of actual detective work, Walton traces both the growth of major private detective agencies like Pinkerton, which became powerful bulwarks against social and labor unrest, and the motley, unglamorous work of small-time operatives. He then goes on to show us how writers like Dashiell Hammett and editors of sensational pulp magazines like Black Mask embellished on actual experiences and fashioned an image of the PI as a compelling, even admirable, necessary evil, doing society's dirty work while adhering to a self-imposed moral code. Scandals, public investigations, and regulations brought the boom years of private agencies to an end in the late 1930s, Walton explains, in the process fully cementing the shift from reality to fantasy.?Today, as the private detective has long since given way to security services and armed guards, the myth of the lone PI remains as potent as ever. No fan of crime fiction or American history will want to miss The Legendary Detective.
Risky Medicine
￥147.15
Will ever-more sensitive screening tests for cancer lead to longer, better lives Will anticipating and trying to prevent the future complications of chronic disease lead to better health Not always, says Robert Aronowitz in Risky Medicine. In fact, it often is hurting us.Exploring the transformation of health care over the last several decades that has led doctors to become more attentive to treating risk than treating symptoms or curing disease, Aronowitz shows how many aspects of the health system and clinical practice are now aimed at risk reduction and risk control. He argues that this transformation has been driven in part by the pharmaceutical industry, which benefits by promoting its products to the larger percentage of the population at risk for a particular illness, rather than the smaller percentage who are actually affected by it. Meanwhile, for those suffering from chronic illness, the experience of risk and disease has been conflated by medical practitioners who focus on anticipatory treatment as much if not more than on relieving suffering caused by disease. Drawing on such controversial examples as HPV vaccines, cancer screening programs, and the cancer survivorship movement, Aronowitz argues that patients and their doctors have come to believe, perilously, that far too many medical interventions are worthwhile because they promise to control our fears and reduce uncertainty.Risky Medicine is a timely call for a skeptical response to medicine's obsession with risk, as well as for higher standards of evidence for risk-reducing interventions and a rebalancing of health care to restore an emphasis on the actual curing of and caring for people suffering from disease.?
