Unnatural History

Unnatural History : Breast Cancer and American Society

3.33 (21 ratings by Goodreads)
By (author) 

Free delivery worldwide

Available. Dispatched from the UK in 3 business days
When will my order arrive?

Description

Unnatural History explores the change over the last two centuries from isolated, private fears to an immense individual and collective risk of breast cancer. The book begins with the experiences of a Quaker woman diagnosed with breast cancer in 1812 and ends with our problematic era in which almost every woman is waiting for 'the axe to fall'. In between, the book traces changes in the beliefs and values of women and their doctors, medical knowledge and technology, clinical and public health practices, and the biological impact of the disease. Unnatural History suggests that we have oversold both the fear of breast cancer and the effectiveness of screening and treatment, leading to miscalculation at the individual and societal levels.
show more

Product details

  • Paperback | 380 pages
  • 156 x 234 x 22mm | 580g
  • Cambridge, United Kingdom
  • English
  • 1107651468
  • 9781107651463
  • 1,753,006

Table of contents

1. Introduction; 2. Cancer in the breast, 1813; 3. Pessimism and promise; 4. Taking responsibility for cancer; 5. Living at risk; 6. 'Do not delay': the war against time; 7. 'Prophets of doom': skeptics of the cancer establishment at mid-century; 8. Balancing hope, trust, and truth: Rachel Carson; 9. The rise of surveillance; 10. Crisis in prevention; 11. Breast cancer risk: 'waiting for the axe to fall'.
show more

Review quote

"Providing extensive research and case histories, including that of author and environmentalist Rachel Carson, Aronowitz presents his findings here to a national audience."
- Library Journal "From the perspective of a physician who is also a trained historian and social scientist, and a gifted narrator, Robert Aronowitz has written an illuminating and moving account of what has, and has not changed in the knowledge and understanding of breast cancer, its diagnosis, treatment, prognosis, and prevention, and in its lived experience in American society over the course of the nineteenth and twentieth centuries. Drawing principally on rich case studies of women with breast cancer, and the clinical records and correspondence of physicians who have been pathmakers in this field of medicine, he vividly demonstrates the entwined influence of scientific, technological, social, and cultural factors on this history. He does it in a way that not only provides first-hand insights into the attitudes and values of patients afflicted with breast cancer, their suffering and decision-making, but of their doctors and families as well."
- Renee C. Fox, PhD, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania "A fascinating and thought-provoking study of the clinical experience of breast cancer patients and their physicians. Through an imaginative reconstruction of that experience, Aronowitz shows how culture -- in terms of values and medical ideas and practices -- has changed over the past two centuries, while shaping the perceived choices of both doctor and patient. The author wants us to think critically and circumstantially about how we evaluate risk and he succeeds admirably; this is an outstanding contribution to our understanding of medicine past and present."
- Charles Rosenberg "Fear, risk, and the biology of disease are all critical actors in Robert Aronowitz's path breaking new assessment of breast cancer in American society, Unnatural History. He brilliantly demonstrates how the experience of disease cannot be "resected" from time, place, and culture. Patients, clinicians, and historians will greatly benefit from his insight and compassion."
- Allan M. Brandt, Kass Professor of the History of Medicine, Harvard University "The evolution of medicine's understanding of the biology and natural history of breast cancer as well as societal attitudes toward its detection, prevention, and treatment is a fascinating story. Dr. Aronowitz's erudite and relatively unapologetic and honest account of how 'the more things change, the more they stay the same' offers a sobering testament of how this story has unfolded over the past 2 centuries. It reflects the frustration of trying to drive at night without headlights (i.e., managing breast cancer in the 1800s, without sufficient understanding of the biology of the disease), and the delicate dance between physician and patient with respect to managing this disease during a time of growing, but often conflicting data.
Both those involved in the care of breast cancer patients, and patients and their families should find the journey that Dr. Aronowitz's book takes them on to be most illuminating."
- Andrew D. Seidman, MD, Attending Physician, Breast Cancer Medicine Service Memorial Sloan-Kettering Cancer Center "Dr. Aronowitz has written a compelling and rich history, so much so that a review can barely skim the highlights. In addition, he wants us to think critically about risk evaluation. Aronowitz hopes that knowledge of this history will help clinicians and patients respond more thoughtfully to the challenges presented by the many options we have for confronting breast cancer."
- Shelf Awareness, Marilyn Dahl "In his new book, Unnatural History, Robert Aronowitz, a clinician and historian of medicine at the University of Pennsylvania looks at how breast cancer was understood and experienced in the USA from the early 19th century to the present." -Alison Bateman-House, Lancet Oncology "Unnatural History traces how breast cancer was transformed over the last two centuries from an object of fear, dealt with privately and in isolation, to a matter of enormous individual and collective concern. Robert A. Aronowitz, who is a clinician as well as a historian, draws on lively personal anecdotes as well as more standard archival sources to produce an account with both historical sweep and analytic depth." -Samantha J. King, Journal of American History "...a superb book..." -James S. Olson, The Journal of Interdisciplinary History "Breast cancer has a singular history, but the approach of this author would serve analyses well as we expand our historical view from the individual to culture and society." -Linda E. Sabin, Nursing History Review "[Its] ability to balance physicians' accounts with patients' stories and experiences is the main strength of this book. Aronowitz skillfully finds a middle ground between hagiography and demonization of leading cancer surgeons and researchers."
journal of social history, Heather Munro Prescott, Central Connecticut State University
show more

About Robert A. Aronowitz

Robert A. Aronowitz studied linguistics before receiving his M.D. from Yale University. After finishing residency in Internal Medicine, he studied the history of medicine as a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania. Dr Aronowitz is currently Associate Professor in the History and Sociology of Science Department at the University of Pennsylvania. He continues to practise medicine, holding a joint appointment with the medical school's department of Family Practice and Community Medicine. Dr Aronowitz was the founding director of Penn's Health and Societies program. He also co-directs the Robert Wood Johnson Health and Society Scholars Program, a post-doctoral program focused on population health. In 2005-6, he was a Fellow at the Wissenschaftskolleg zu Berlin. Dr Aronowitz's central research interests are in the history of twentieth-century disease, epidemiology, and population health. He is the author of Making Sense of Illness: Science, Society, and Disease (Cambridge, 1998). Dr Aronowitz is currently working on a historical project on the social framing of health risks, for which he received an Investigator Award in Health Policy from the Robert Wood Johnson Foundation.
show more

Rating details

21 ratings
3.33 out of 5 stars
5 10% (2)
4 48% (10)
3 19% (4)
2 14% (3)
1 10% (2)
Book ratings by Goodreads
Goodreads is the world's largest site for readers with over 50 million reviews. We're featuring millions of their reader ratings on our book pages to help you find your new favourite book. Close X