Martin Black

ObjectiveHead and neck cancer treatments are known to significantly affect functionality and appearance, leading to an increased risk for body image disturbances. Yet, few longitudinal studies exist to examine body image in these patients. Based on a conceptual model, the current study aimed to determine, in patients newly diagnosed with HNC: the prevalence, level, and course of body image concerns; correlates of upon cancer diagnosis body image concerns; predictors of immediate post-treatment body image concerns; and association between body image concerns and levels of anxiety, depression, suicidal ideation, support, and alcohol and drug misuse.MethodsTwo hundred and twenty-three, newly diagnosed with a primary HNC were assessed using structured clinical interviews and psychometric measures at three, and 6 months after diagnosis. Primary outcome was 3-month, as it was most salient to body image disturbance. Multiple linear regression analyses were conducted on the potential body image predictors, based on the model.ResultsSixty-eight percent of patients with HNC presented some level of body image concerns. Body image concerns at baseline and post-treatment were significantly related and significantly increased from pre- to post-treatment. Immediately post-treatment, 89% presented some level of body image concerns. Correlates of body image concerns in patients with HNC at baseline included: physical symptom burden, difficulties with communication and eating, coping with the cancer diagnosis using denial, suicidal ideation, and having had a past anxiety diagnosis. When controlling for sociodemographic and medical variables, body image concerns in patients with HNC in the immediate post-treatment were predicted by: baseline body image, physical symptom burden, and neuroticism.ConclusionThis longitudinal study helps identify patients more susceptible to experience body image disturbance following head and neck cancer. Clinicians ought to pay special attention to body image concerns upon cancer diagnosis, physical symptom burden, and neuroticism, and may want to target these factors in future preventive interventions.

One of a pair ofbooks selected from Stanley Rosen's career as a philosopher, scholar, and teacher over the last half of a century. They represent both the vast range of his learning in the most important philosophers of the tradition and the daring and penetration of his exploration of the fundamental philosophical questions. Yet the essays are written with an accessibility that is an expression of Rosen's thesis that our ordinary experience and speech provides the only stable ground for understanding and evaluating extraordinary thought and experiences. Rosen proposes that only a qualified Platonism in which the preservation of the link between the good and the rational on the everyday level was preserved on the philosophical level, can do justice to our experience of ourselves. The notions of form and intuition play a central role in his proposal to preserve the spontaneity of the soul and the heterogeneity of its objects. The essays were originally written for a variety of purposes: there are panoramic reviews of his philosophical intentions, intricate analyses of fundamental problems, challenging interpretations of classical texts, reviews of other authors, and informal commentaries on the state of philosophy in our time. Taken together these essays provide a key to the some of the most decisive questions in philosophy and a valuable explication of some the central themes of Rosen's work. The essays were selected from articles, chapters, and unpublished lectures that were composed over the last five decades. They are distributed into two volumes by their focus upon ancient and modern themes, a convenient division that is not meant to imply a doctrinal chasm. On the contrary, it is one of Rosen's arguments that those who wish to preserve ancient wisdom are best served by the demonstration of the both parties address the same essential human nature, however much the practical and theoretical demands differ from epoch to epoch.