I had learned that every patient has the right to hope, despite long odds, and it was my role to help nurture that hope.
Jerome GroopmanStichwörter: hope nurturing-hope
... omniscience about life and death is not within a physician's purview. A doctor should never write off a person a priori.
Jerome GroopmanTo hope under the most extreme circumstances is an act of defiance that permits a person to live his life on his own terms. It is part of the human spirit to endure and give a miracle a chance to happen.
Jerome GroopmanStichwörter: hope
Hope can be imagined as a domino effect, a chain reaction, each increment making the next increase more feasible... There are moments of fear and doubt that can deflate it.
Jerome GroopmanStichwörter: hope
I feel that I have to do everything better just to be judged as okay. It is something I wish I could let go of. It's something that I wish just wasn't there.
Jerome GroopmanIt took more than science to make hope real.
Jerome GroopmanThis is the vicious cycle. When we feel pain from our physical debility, that pain amplifies our sense of hopelessness; the less hopeful we feel, the fewer endorphins and enkephalins and the more CCK we release. The more pain we experience due to these neurochemicals, the less able we are to feel hope.
Jerome GroopmanDespite education and knowledge and experience, when you are the patient--suffering, confused, and despairing--it is very, very hard to take matters into your own hands. I was not a George Griffin, able to stand alone and challenge the prevailing assumptions. I needed an external voice, strong and determined, to guide me.
Jerome GroopmanThe cerebral processing of that visceral input as a signal of death was accurate. Without the kinds of therapy that had been developed over the decades, this cancer would have been fatal. Hope, then, is constructed not just from rational deliberation, from the conscious weighing of information; it arises as an amalgam of thought and feeling, the feelings created in part by neural input from the organs and tissues.
Jerome GroopmanOne of the difficulties I experienced in trying to learn about the biology of emotions was the definition of terms...How would [Prof. Richard Davidson], as an experimental psychologist, deconstruct [hope]?
"I understand hope as an emotion made up of two parts: a cognitive part and an affective part. When we hope for something, we employ, to some degree, our cognition, marshalling information and data relevant to a desired future event. If...you are suffering with a serious illness and you hope for improvement, even for a cure, you have to generate a different vision of your condition in your mind. That picture is painted in part by assimilating information about the disease and its potential treatments.
"But hope also involves what I would call affective forecasting--that is, the comforting, energizing, elevating feeling that you experience when you project in your mind a positive future. This requires the brain to generate a different affective, or feeling, state than the one you are currently in.
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