Slashdot Mirror


Upbeat Attitude Doesn't Affect Cancer

Reality Master 101 writes "Defying years of conventional wisdom, researchers announced that your attitude doesn't influence your outcome, and 'patients shouldn't feel pressured to stay positive'. I particularly liked the phrase, 'the tyranny of positive thinking'."

17 of 82 comments (clear)

  1. So? by Apreche · · Score: 4, Insightful

    It may not save your life to think positive. But if you are skulking and depressed your final days wont be pleasant ones. Everyone, cancer or not, should do thinks that make them happy and think positively all the time. Your lifetime is limited, even if you are very healthy. Make the most of it and don't waste time by being depressed.

    --
    The GeekNights podcast is going strong. Listen!
    1. Re:So? by ClosedSource · · Score: 4, Insightful

      "Make the most of it and don't waste time by being depressed."

      I appreciate the sentiment, but we should be careful about suggesting that depression is a choice.

    2. Re:So? by Iamthefallen · · Score: 5, Insightful

      But being forced into positive thinking isn't that good either. While anyone can muster a smile, it doesn't mean they're amused. Having the extra weight of having to be happy happy happy might push a person deeper into a depression if they're inclined to go that way. Sometimes it is nice to simply sulk and be miserable, a longterm depression is an issue, to allow yourself the luxury of a bit of selfpity isn't necessarily a bad thing.

      --
      Wax-Museum Fire Results In Hundreds Of New Danny DeVito Statues
    3. Re:So? by Uma+Thurman · · Score: 2, Insightful

      But if you are skulking and depressed your final days wont be pleasant ones.

      And cancer also means that your final days won't be pleasant ones. Quit trying to put a happy face on dying. There's really nothing good about it. Getting old is also way overrated too. And don't even get me going on hair loss.

      There's something valuable about looking at the world with a sense of reality. Some things are good, and some things are bad.

      If it's not important to see the bad things as they really are, to smile and pretend that the situation isn't grim, then PLEASE just legalize drugs and just let me do that all the time thank you very much.

      Until then, a realistic view is the only one that has hope of being a constructive one.

      This wasn't a flame, it was just a presentation of the opposite viewpoint in a debate. Just making sure that's clear.

      --
      This is America, damnit. Speak Spanish!
    4. Re:So? by Bastian · · Score: 5, Insightful

      Not only that, but it's important for people to listen to the dying. If someone is nearing the end, catheterized, bedridden, having problems with shortness of breath, and dependent on pain medication and they feel crappy about it, they need to be listened to just as much as anybody else needs to talk about their recent crappy grade on a test.

      I think that's the most killer part of the 'tyrrany of happiness' - if you try to force someone to be happy, you deny them their emotions. Someone dying of cancer might have few forms of dignity left other than expressing his or her feelings, and trying to make them cheer up is only going to make them feel that much more alone and make death that much more of a miserable experience.

    5. Re:So? by macdaddy357 · · Score: 3, Insightful

      Amen. Telling yourself that dogshit is roses doesn't make it so. If you are dying, that sucks! Only actually being dead could be worse. If I had to spend my last days with happy sunshiney phonies, or self agrandizing charity people who think sending me to Disneyland will make it all better, I'd get a rifle, and find a bell tower.

      --
      How ya like dat?
    6. Re:So? by Iamthefallen · · Score: 3, Insightful

      Indeed, by telling them to cheer up, it's not so bad, you're belittling their pain and agony, which will probably make them feel a lot worse since it seems no one understands just what they're feeling. This is the case for mostly all forms of depression, support the person and help them see the positive things, but never try to bullshit them. There are always positive things around to point out, there's no need to invent them.

      --
      Wax-Museum Fire Results In Hundreds Of New Danny DeVito Statues
    7. Re:So? by R.Caley · · Score: 3, Insightful
      Make the most of it and don't waste time by being depressed.

      Some of us like being depressed.

      --
      _O_
      .|<
      The named which can be named is not the true named
    8. Re:So? by dunedan · · Score: 3, Insightful

      you can't be forced into positive thinking. You can be forced into positive acting

      I think it is good to encourage people to have a happy outlook

      I think it is bad to do the above without a good enough relationship w/ the patient to tell if they are "faking".

  2. Heh, what the hell? by PeekabooCaribou · · Score: 2, Insightful

    If you're going to die, you might as well die happy. If I'm diagnosed with something terminal, I'm not going to spend the last days of my life sulking around. What a waste that would be..

    --
    "I'll say it again for the logic-impaired." -- Larry Wall.
  3. Re:Misleading by tiedyejeremy · · Score: 3, Insightful
    Misleading is an understatement. The headline suggests that everyone has thought one thing is now making a complete turnaround in their beliefs.

    This paragraph is quite telling in the real story:
    " Researcher Mark Petticrew, PhD, and colleagues examined 26 studies assessing the role of psychological coping styles on cancer recurrence and survival, and concluded that none conclusively linked any one style to positive outcomes. "

    They [Petticrew & colleagues] are not even talking about the results of their own study, but a study of 26 studies whose net result is that the big picture is inconclusive.

    Sheesh - talk about making a mountain out of a mole hill here.

    --
    Anything you say will be held against you. ... "tits"
  4. Positive thinking has positive consequences by Kalle+Barfot · · Score: 2, Insightful

    I know this is anecdotal, but... when doctors found that my mother had a second cancer, they told her when they thought it had started. It happened to be six months earlier, exactly when she had learnt that her brother had a late-stage cancer discovered and v.soon died. The fact that my brother and I spent almost every day with our mother helped her immensely to overcome grief and find the strength to go through cancer treatment, battle depression, and survive. Positive thinking, close support, and adequate medication go a long way; I'm convinced any missing part would be an obstacle to recovery/survival.

    --
    "To strive, to seek, to find, and not to yield." -- Tennyson
  5. this only deals with cancer by Hythlodaeus · · Score: 3, Insightful

    A positive outlook does correlate with a higher number of immune system T-cells, increasing resistance to most infectious diseases. (Search Google if you want a reference.) It's not surprising this doesn't help with cancer, since cancer wouldn't be a problem in the first place if the immune system actually recognized it as a problem.

    --
    For great justice.
  6. What's the alternative? by GuyMannDude · · Score: 5, Insightful

    I'm really annoyed with the faith people put in "scientific studies".

    What do you suggest people put their faith in when it comes to health matters? Alternative medicine? Prayer/God? Their own gut feeling/experiences? I would argue that all these are obviously much more dubious than scientific studies when it comes to something important like your health. Granted, scientific studies are often wrong. But eventually the truth will come out. People put faith in scientific studies because (1) they are performed by intelligent, cautious people, (2) they're gonna get reviewed by other intelligent, cautious people, (3) people have seen how science has lead to incredible medical breakthroughs in the past.

    Also, IMO, Science definately has *NOT* figured out what affect the human mind can have on human health, and how, regardless of this single study.

    And what are you basing your opinion on? Your exhaustive search of the medical literature? Your own personal research? A chat with a medical friend over drinks? I'm guessing it's just your gut feeling. I happen to agree with you on this but I find it odd that you decry the faith people put in scientific studies and then follow that up with your own faith-based (not talking reglious here) statement.

    If you want to be annoyed with something, then target your frustration at science reporting in the mainstream media. Or direct your anger at our pathetic science education system that gives most people a poor understanding of the scientific process. Don't get pissed off about the fact that people look to science for the answers to life's most vexing questions. It's not flawless but it's the best system we got.

    GMD

  7. Re:Getting old is also way overrated too. by dpilot · · Score: 2, Insightful

    Two separate issues entirely.

    IMHO, getting old is better than dying young, all else equal.

    As for "not so bad because he was old and lived a good life," there is a kernel of truth to that. I certainly hope for my kids to bury me, and would be devastated at the converse. Eventually, we're all supposed to make room for our descendents. (metaphorically as well as physically)

    Getting cancer is no good, no matter how you slice it. But how you approach your end will have an effect on your loved ones after your gone. I don't think that's quite "not so bad because he was positive."

    --
    The living have better things to do than to continue hating the dead.
  8. Good points on both sides by RetiredMidn · · Score: 5, Insightful

    I was diagnosed with cancer a little over four years ago. Somehow, I managed to take a positive outlook on it. (If you'd asked me to predict my reaction beforehand, and if I'd answered honestly, I'd have predicted that I would have melted down.) I found that if I woke up in the morning committed to projecting a positive attitude, I actually started to feel it.

    Where I do think it helped is getting through the discomfort and especially the chemo. I think it also made me more approachable by my friends and colleagues, and their willingness to talk and listen was a significant source of strength through that time.

    Nonetheless, even as a new believer in the power of positive thinking, one of the most irritating phenomena I faced was the advice that my attitude was all-important, and the (perhaps unintended) implication that a bad outcome would be my own fault if I didn't smile.

    Positive thinking is it's own reward, whether it's medically efficacious (sp?) or not. But one must be very careful about pressuring people to adopt the attitude and becoming part of the problem instead.

  9. This is important for reasons other than outcome by SolemnDragon · · Score: 2, Insightful

    This is actually an important subject, as trite as it sounds, because what i think they are getting at is NOT that laughter doesn't help, but that, in the words of one survivor, "Cancer doesn't give a rat's ass whether you have a positive mental outlook."

    The point isn't that people with good attitudes don't have a better chance; the point is that the general public for a very long time has been encouraged to believe that cancer is affected more by the mental than by the physical, and this leads to a lot of misconceptions about cancer. There's no question that laughter, or even the anticipation of laughter, is good for you. It boosts endorphins, it helps the immune system, but while these things may make cancer easier to deal with symptomatically, they don't address the underlying causative issues, and the implied connections encourage people to believe that you just aren't playing or praying hard enough.

    The point here, of this article and the growing movement behind it, is that people feel guilty- horribly, horrendously, unnecessarily guilty- when they get sick or have to watch someone else get sick, and it's going to take a lot to make that social environment change. I volunteer time to help a group of people online who deal with chronic illnesses, and this study is of unimaginable relevance to them. It means that for once, someone in the medical community is shaking their head and saying- by the way, it's not your fault that you have cancer. You should do everything you can to stay upbeat, but the 'cure' doesn't exist yet, it's not your failure to utilise this particular 'cure' that is keeping you from being healthy.

    And that's important. That's important on a lot of levels, and treatment is one of them, because when a patient knows that they don't have to fake their way into a smile every day, they can get down to processing the very real grief and loss that go with a chronic illness- and this can substantially increase their quality of life, however long that life may extend. I've had to watch people day in and day out coping with this, and feeling worse because those around them feel that they must stay cheerful in order to survive. It becomes the last defense for a lot of family members who can't otherwise deal with having someone near them sick- to blame it on the patient, to try to make sense out of it by describing it as a failing- they were sick and they just lost hope, so they didn't get better... Just as it's beginning to be recognised in the medical community that depression is a symtpom of, and not the cause of, many other illnesses. Remember when ulcers were entirely attributed to stress?

    I'm all in favour of a positive mental outlook. But i'm not in favour of letting our prejudice for cheerful patients create a false image of what it takes to get through it- good cheer and optimism are only a part of the puzzle. Bad things really do happen to good people, and being a better person isn't always going to make it stop. I think this article is a good start- and i think it's true. Cancer doesn't care. We care, so we will cling to anything that we can. And miracles do happen, but not necessarily because of the reasons that we attribute them to. As we come to understand illnesses better, there may be more studies like this, just to remind people that while we hold a lOT of power to change things, we need to know where the buttons are before we can press them- and a smile apparently didn't do it for an illness like cancer.

    However, i'll keep reading the funny pages and slashdot comments, because passing the funny ones along seems to at least have cheered people up. (and there are occasional ward uprisings... do you hear a sound, as of somebody playing with the wiring? um- gotta go check and see what folks are feeling energetic enough to be destroying today!!!)