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  3. Cancer has always been with us, but not always in the same way. Its care and

Cancer has always been with us, but not always in the same way. Its care and

游客2025-04-19  3
问题     Cancer has always been with us, but not always in the same way. Its care and management have differed over time, of course, but so, too, have its identity, visibility, and meanings. Pick up the thread of history at its most distant end and you have cancer the crab—so named either because of the ramifying venous processes spreading out from a tumor or because its pain is like the pinch of a crab’s claw. Premodern cancer is a lump, a swelling that sometimes breaks through the skin in ulcerations producing foul-smelling discharges. The ancient Egyptians knew about many tumors that had a bad outcome, and the Greeks made a distinction between benign tumors(oncos)and malignant ones(carcinos). In the second century A. D. , Galen reckoned that the cause was systemic, an excess of melancholy or black bile, one of the body’s four "humors," brought on by bad diet and environmental circumstances. Ancient medical practitioners sometimes cut tumors out, but the prognosis was known to be grim. Describing tumors of the breast, an Egyptian papyrus from about 1600 B. C. concluded: "There is no treatment. "
    The experience of cancer has always been terrible, but, until modern times, its mark on the culture has been light. In the past, fear coagulated around other ways of dying: infectious and epidemic diseases(plague, smallpox, cholera, typhus, typhoid fever); "apoplexies"(what we now call strokes and heart attacks); and, most notably in the nineteenth century, "consumption"(tuberculosis). The agonizing manner of cancer death was dreaded, but that fear was not centrally situated in the public mind—as it now is. This is one reason that the medical historian Roy Porter wrote that cancer is "the modern disease par excellence," and that Mukherjee calls it "the quintessential product of modernity. "
    At one time, it was thought that cancer was a "disease of civilization," belonging to much the same causal domain as "neurasthenia" and diabetes, the former a nervous weakness believed to be brought about by the stress of modern life and the latter a condition produced by bad diet and indolence. In the eighteenth and nineteenth centuries, some physicians attributed cancer—notably of the breast and the ovaries—to psychological and behavioral causes. William Buchan’s wildly popular eighteenth-century text "Domestic Medicine" judged that cancers might be caused by "excessive fear, grief, religious melancholy. " In the nineteenth century, reference was repeatedly made to a "cancer personality," and, in some versions, specifically to sexual repression. As Susan Sontag observed, cancer was considered shameful, not to be mentioned, even obscene. Among the Romantics and the Victorians, suffering and dying from tuberculosis might be considered a badge of refinement; cancer death was nothing of the sort. "It seems unimaginable," Sontag wrote, "to aestheticize" cancer. [br] "Neurasthenia" and diabetes are mentioned because______.
选项 A、they are as fatal as cancer
B、they were considered to be "disease of civilization"
C、people dread them very much
D、they are brought by the high pressure of modern life
答案 D
解析 本题考查推理能力。根据文章最后一段第一、二句话可知，人们曾经认为癌症是一种“文明病”，病因与神经衰弱症和糖尿病类似；前者是因现代生活的压力而产生的神经衰弱，后者是因饮食不良和懒惰而产生。在十八九世纪，一些医生将癌症——尤其是乳房癌和子宫癌——的产生归咎到心理或行为方面。这里提到神经衰弱症和糖尿病是为了说明癌症和它们类似，和心理和行为有关，选D。
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