Folklore and Prior Beliefs

Patients' decisions are often guided by folklore and prior beliefs. A patient who believes that cancer can spread through the air may be reluctant to have a surgical resection of his cancer for fear that the surgery will spread the cancer.36 Culturally based models of disease and illness can clash with biomedical models, hindering participatory decision making.37 These clashes are often evident in patient skepticism about the efficacy of certain biomedical treatments and interest in alternative and complementary approaches.38,39 In addition, patients often have false beliefs about their risks of specific cancers. For example, the average woman's lifetime risk of breast cancer is about 13% and yet the average woman thinks her risk is closer to 40%.40 Physicians need to negotiate a common understanding among these divergent beliefs, bring ing together respect for the individual cultural background of a patient with the need to help patients understand their true clinical situations.

A Disquistion On The Evils Of Using Tobacco

A Disquistion On The Evils Of Using Tobacco

Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.

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