High levels of U.S. patient satisfaction are mainly associated with hospitality (greeters at the door, empathetic staff, comfortable rooms) – but also with more treatments, high costs, and substantially higher mortality even after adjusting for baseline health and comorbidities. Several plausible stories explain these big n and replicated observational findings. Whatever the case, post-treatment patient satisfaction/gratitude does not measure whether a treatment works or not. Patient outcomes decide.
We might be closer than we think to cures for depression, hypertension, and yes, even obesity.
The answer to scurvy was just one thing, plus a few wrinkles — mostly “not all citrus has the antiscorbutic property” and “most animals can’t get scurvy”. This was only difficult because people weren’t prepared to deal with basic wrinkles, but we can do better by learning from their mistakes.
This means don’t give up easily. It suggests that there is lots of low-hanging fruit, because even simple explanations are easily missed.
Lots of theories have been tried, and lots of them have been given up because of something that looks like contradictory evidence. But the evidence might not actually be a contradiction — the real explanation might just be slightly more complicated than people realized. Go back and revisit scientific near-misses, maybe there’s a wrinkle they didn’t know how to iron out.
The “Reversible Destiny Lofts Mitaka (In Memory of Helen Keller),” built by architects/artists Shusaku Arakawa and Madeline Gins, are the first residential units designed “not to die.”
“Without vitamin C,” Anthony writes, “we cannot produce collagen, an essential component of bones, cartilage, tendons and other connective tissues. Collagen binds our wounds, but that binding is replaced continually throughout our lives. Thus in advanced scurvy”—reached when the body has gone too long without vitamin C—“old wounds long thought healed will magically, painfully reappear.”
In a sense, there is no such thing as healing. From paper cuts to surgical scars, our bodies are catalogues of wounds: imperfectly locked doors quietly waiting, sooner or later, to spring back open.
Forest Therapy, also known as “Shinrin-yoku,” refers to the practice of spending time in forested areas for the purpose of enhancing health, wellness, and happiness. The practice follows the general principle that it is beneficial to spend time bathing in the atmosphere of the forest. The Japanese words translate into English as “Forest Bathing.”
To become completely lost is perhaps a rather rare experience for most people in the modern city. We are supported by the presence of others and by special way-finding devices: maps, street numbers, route signs, bus placards. But let the mishap of disorientation once occur, and the sense of anxiety and even terror that accompanies it reveals to us how closely it is linked to our sense of balance and well-being. The very word "lost" in our language means much more than simple geographical uncertainty; it carries overtones of utter disaster.
Half a century ago, Stern discussed this attribute of an artistic object and called it apparency. While art is not limited to this single end, he felt that one of its two basic functions was "to create images which by clarity and harmony of form fulfill the need for vividly comprehensible appearance." In his mind, this was an essential first step toward the expression of inner meaning.
The most common response to the question of symbolism was nothing in the city at all, but rather the sight of the New York City skyline across the river. Much of the characteristic feeling for Jersey City seemed to be that it was a place on the edge of something else.
When asked to describe or symbolize the city as a whole, the subjects used certain standard words: "spread out", "spacious", "formless", "without centers". Los Angeles seemed to be hard to envision or conceptualize as a whole. Said one subject:
It's as if you were going somewhere for a long time, and when you got there you discovered there was nothing there, after all.
The contents of the city's images which are referable to physical forms can conveniently be classified into five types of elements: paths, edges, districts, nodes, and landmarks.
Paths are the channels along which the observer customarily, occasionally, or potentially moved.
Edges are the linear elements not used or considered as paths by the observer. They are the boundaries.
Districts are the medium-to-large sections of the city, conceived of as having two-dimensional extent.
Nodes are points, the strategic spots in a city into which an observer can enter, and which are the intensive foci to and from which they are traveling.
Landmarks are another type of point-reference, but in this case the observer does not enter within them, they are external. They are usually a rather simply defined physical object: building, sign, store, or mountain.
Paths may not only be identifiable and continuous, but have directional quality as well: one direction along the line can easily be distinguished from the reverse. This can be done by a gradient, a regular change in some quality which is cumulative in one direction.
Some regions are introvert, turned in upon themselves with little reference to the city outside them, such as Boston's North End or Chinatown. Others may be extrovert, turned outward and connected to surrounding elements. The common visibly touches neighboring regions, despite its inner path confusions.
The junction, or place of a break in transportation, has compelling importance for the city observer. Because decisions must be made at junctions, people heighten their attention at such place and perceive elements with more than normal clarity. This tendency was confirmed so repeatedly that elements located at junctions may automatically be assumed to derive special prominence from their location.
Most objects which we are accustomed to call beautiful, such as a painting or a tree, are single-purpose things, in which, through long development or the impress of one will, there is an intimate, visible linkage from fine detail to total structure.
There are dangers in a highly specialized visible form; there is a need for a certain plasticity in the perceptual environment. If there is only one dominant path to a destination, a few sacred focal points, or an ironclad set of rigidly separated regions, then there is only one way to image the city without considerable strain. This one may suit neither the needs of all people, nor even the needs of one person as they vary from time to time. An unusual trip becomes awkward or dangerous; interpersonal relations may tend to compartmentalize themselves; the scene becomes monotonous or restrictive.
The personal experience of most of us will testify to this persistence of an illusory image long after its inadequacy is conceptually realized. We stare into the jungle and see only the sunlight on the green leaves, but a warning noise tells us that an animal is hidden there. The observer then learns to interpret the scene by singling out "give-away" clues and by reweighting previous signals. The camouflaged animal may now be picked up by the reflection of its eyes. Finally by repeated experience the entire pattern of perception is changed, and the observer need no longer consciously search for give-aways, or add new data to an old framework. They have achieved an image which will operate successfully in the new situation, seeming natural and right. Quite suddenly the hidden animal appears among the leaves, "as plain as day."