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The novel that inspired Robert Redford’s Oscar-winning film starring Donald Sutherland and Mary Tyler Moore

In Ordinary People, Judith Guest’s remarkable first novel, the Jarrets are a typical American family. Calvin is a determined, successful provider and Beth an organized, efficient wife. They had two sons, Conrad and Buck, but now they have one. In this memorable, moving novel, Judith Guest takes the reader into their lives to share their misunderstandings, pain...and ultimate healing.

From the Trade Paperback edition.

• Sales Rank: #28078 in eBooks
• Published on: 1982-10-28
• Released on: 1982-10-28
• Format: Kindle eBook

Excerpt. © Reprinted by permission. All rights reserved.
1

To have a reason to get up in the morning, it is necessary to possess a guiding principle. A belief of some kind. A bumper sticker, if you will. People in cars on busy freeways call to each other Boycott Grapes, comfort each other Honk if You Love Jesus, joke with each other Be Kind to Animals—Kiss a Beaver. They identify, they summarize, they antagonize with statements of faith: I Have a Dream, Too—Law and Order; Jesus Saves at Chicago Fed; Rod McKuen for President.

Lying on his back in bed, he gazes around the walls of his room, musing about what has happened to his collection of statements. They had been discreetly mounted on cardboard, and fastened up with push pins so as not to deface the walls. Gone now. Probably tossed out with the rest of the junk—all those eight-by-ten colorprints of the Cubs, White Sox, and Bears, junior-high mementos. Too bad. It would be comforting to have something to look up to. Instead, the walls are bare. They have been freshly painted. Pale blue. An  anxious color. Anxiety is blue; failure, gray. He knows those shades. He told Crawford they would be back to sit on the end of his bed, paralyzing him, shaming him, but Crawford was not impressed. Lay off. Quit riding yourself. Less pressure more humor go with the stuff that makes you laugh.

Right, of course. Right again. Always right: the thing that is missing here is a Sense of Humor. Life Is a Goddamn Serious Big Deal—he should have that printed up to put on his bumper—if he had a bumper, which he doesn’t, not Conrad Jarrett the Anxious Failure dress this guy in blue and gray. A thousand-word book report due Wednesday in English Lit. The book has not been read. A test over the first six chapters in U.S. history. A surprise quiz in trig, long overdue.

He rolls onto his stomach, pulling the pillow tight around his head, blocking out the sharp arrows of sun that pierce through the window. Morning is not a good time for him. Too many details crowd his mind. Brush his teeth first? Wash his face? What pants should he wear? What shirt? The small seed of despair cracks open and sends experimental tendrils upward to the fragile skin of calm holding him together. Are You on the Right Road?

Crawford had tried to prepare him for this. “It’s all right, Con, to feel anxious. Allow yourself a couple of bad days, now and then, will you?”

Sure. How bad? Razor-blade bad? He wanted to ask but he hadn’t, because at that point his suitcase was packed and his father already on the way to pick him up and remarks like that only got you into trouble, pissed people off. Cancel the visa. Passport Revoked: they stamp it in red across your forehead. Uh uh. He’d had enough of that place. In the last months he had been able to spot the permanent residents every time.  That unmistakable shuffling shoulders-bent walk. Mostly old men but some younger ones, too, in the dull, dusty-maroon bathrobes, sides flapping loosely, like the drooped wings of dying birds. Never. It was too damn small a world. Except that you always knew where you were. Mornings you talked first, then had O.T.—macramé, painting, woodworking, clay. Afternoons you could take a nap, go for a walk, work out in the gym—a well-equipped, exclusive YMCA—basketball, handball, racquetball, you name it. Evenings there were card games, small get-togethers in the corners of the lounge, Scrabble, backgammon. Leo told him once, “Stop worrying. You’re okay. You can play Scrabble, that means you can concentrate. You’re ready.” He had laughed. “It means you can spell,” he said. “That doesn’t mean shit.” “Well,” Leo said, “it’s nice to be good at something.”

His father calls to him from the other end of the house. He thrashes to a sitting position, connected at once to sanity and order, calling back: “Yeah! I’m up!” and, miraculously, he is up and in the bathroom, taking a leak, washing his hands and face, brushing his teeth. Keep moving, keep busy, everything will fall into place, it always does.

He takes a quick look in the mirror. The news isn’t good. His face, chalk-white, is plagued with a weird, constantly erupting rash. This is not acne, they assured him. What it was, they were never able to discover. Typical. He tries to be patient as he waits for his hair to grow out. He had hacked it up badly, cutting it himself the week before he left. (“I didn’t think they would let you have scissors,” his grandmother said to him. “They shouldn’t have,” he answered her, oh so casual, thereby relieving the listeners of shock and embarrassment while exhibiting his poise, his Sense of Humor, see  folks? Everything’s okay, he’s here, wearing his Levi’s, boots, and jersey shirt, just like everybody else, all cured, nobody panic.

This house. Too big for three people. Straining, he can barely hear the early-morning sounds of his father and mother organizing things, synchronizing schedules at the other end of the hall. It doesn’t matter. He doesn’t need to hear, and they would certainly not be talking about anything. important. They would not be talking, for instance, about him. They are people of good taste. They do not discuss a problem in the presence of the problem. And, besides, there is no problem. There is just Phase Two. Recovery. A moving forward.

From what? Toward what? He dresses himself (Progress!), looking out of the window, studying the lacy line of Russian olives that separates their property from the next-door neighbors’—what’s their name? Nice couple, but no kids, they’ve lived there for years—dammit, dammit, that’s the kind of stuff that scares you, not being able to remember names. He stares in concentration at the tall hedge of cedars hiding the house from the road. Cahill. Their name is Cahill. Okay, now relax.

But he cannot relax, because today is a Target Date. Tuesday, September 30. One month, to the day, that he has been home. And what are you doing Jarrett? Asking weird questions like From what? Toward what?  Questions without answers. Undermining. A serious affliction. Worse than acne, worse, even, than an unidentifiable rash. So what the hell kind of cure was that? In the rec hall one night they.showed a movie on insects, The Something Chronicle. Hellstrom,that was it. The May fly has a life-span of eighteen hours. It spends that entire time laying eggs for the next generation. May flies, the narrator explained, know the answer.  Because they never even have to ask the question. Nice for the May Hies.

There is a prickly sensation at the back of his throat. He turns away from the window, picking up his books from the desk. Then he puts them down again. No. Follow routines. First, the bed; then line up the towels in the bathroom; then pick up books; then eat break-Cast; then go to school. Get the motions right. Motives will follow. That is Faith. Vainly, he has taken to reading bumper stickers again, but they belong to other people. They are not his statements. I Am a Hockey Nut. Christ Is the Answer—What Was the Question?

Vaguely he can recall.a sense of calm, of peace, that he had laid claim to on leaving the hospital. There were one or two guiding principles to get him through the day. Some ambitious plans, also, for putting his life in order. But the details have somehow been lost. If there ever were any.

2

Razor in hand, he stands before the rectangular, gold-trimmed mirror, offering up a brief prayer: Thanks. Appreciate all you’ve done so far. Keep up the good  work, while, beside him, his wife brushes her hair. Her face is soft in the morning, flushed, slightly rounded, younger than her thirty-nine years. Her stomach is flat, almost as if she never had the babies. She raises her hands to the back of her neck, pinning her hair into a neat coil at the back of her head. Beautiful hair, the color of maple sugar. Or honey. Natural, too. The blue silk robe outlines her slender hips, her breasts.

“Did you call him?”

“Yeah, he’s up.”

She sighs. “I hate to play golf when it’s cold. Why doesn’t anybody in this league know enough to quit when the season’s over? Leaves on all the fairways, your hands freeze—it’s ridiculous.”

He leans toward her; gives her a kiss on the neck. “I love you.”

“I love you.” She is looking at him in the mirror. “Will you talk to him this morning? About the clothes. He’s got a closetful of decent things and he goes off every day looking like a bum, Cal.”

“That’s the style. Decency is out, chaos is in—” As her brows lift, he nods. “Okay, I’ll talk to him.”

“And the other thing, too.”

“What other thing?”

“Stopping by Lazenbys’ on the way home. Carole called again last week. It’s such a little thing....”

“I don’t want to pressure him about that. He’ll do it when he wants to. Carole understands.”

She shrugs. “When people take an interest, it would seem courteous—”

“We all know he’s courteous.” He turns his attention to his beard. Every morning the same face, the same thoughts. A good time to take stock, though. Calvin Jarrett, forty-one, U.S. citizen, tax attorney, husband, father. Orphaned at the age of eleven. He has caught himself thinking about that lately, thinking of the Evangelical Home for Orphans and Old People, an H-shaped, red brick building on Detroit’s northwest side, where he grew up. Wondering if after all these years it is still in existence. Strange that he has never bothered to check. An odd kind of orphanage: most of the kids had at least one living parent; some even had two. He had moved there when he was four, leaving the tiny apartment where he was born. His mother sent him gifts on his birthday, and at Christmas. Occasionally she visited him. Periodically she explained why he was living there, and not with her: there was no room for him in the apartment, no money; it was no neighborhood in which to bring up kids. She had a friend who knew people that were connected with the Home; just luck. The director had told him once that the Home was  financed by “religious benefactors.”

He was named Calvin, for his dead uncle; Jarrett had been his mother’s maiden name. When she came to see him, she came alone. No one claiming to be his father had ever been in attendance; he had no memories of being any man’s son. So, if anyone should ask, he can always point out that he had no example to follow.

And what is fatherhood anyway? Talking to a kid about his clothes. Not applying pressure. Looking for signs. He knows what to look for now: loss of appetite, sleeplessness, poor school performance—all negative, so far. His son eats, he sleeps, he does his homework. He says he’s happy. Another duty: asking silly questions. Are you happy? He has to ask, though; pretends that he is kidding, just kidding; Conrad replies in kind. Pointless. Would the answer have been any different, even if he had thought to ask, before? Good manners have nothing to do with communication, he must remember that. And being a father is more than trusting to luck. That, too. Nobody’s role is simple, these days. Not even a kid’s. It used to mean minding your manners, respecting those who were bigger than you, treating each day as a surprise package, waiting to be opened. Not any more. So what’s changed? Not enough surprises? Too many, maybe.

He has had a vision all these months, of boys, with their heads next to stereo speakers feeding music into their ears, their long legs draped over chairs and sofas. Or their arms, stretched toward a basketball hoop in the side drive (he had sunk the posts in cement himself, when Conrad was eight, Jordan, nine; just after they bought the house). Where are all these kids? Joe Lazenby, Phil Truan, Don Genthe, Dick Van Buren—they are all seniors in high school this year. Is eighteen too old to play touch football on the lawn? Basketball in  the side drive? Is it girls? Studies? Since he has been home, Conrad has gone once to the movies. Alone. “Didn’t anybody else want to see it?” Cal had asked. “I don’t know,” he said. “I didn’t ask.”

Responsibility. That is fatherhood. You cannot afford to miss any signs, because that is how it happens: somebody holding too much inside, somebody else missing signs. That doctor in Evanston. Make sure he calls him. It is for his own good. Why? Because his own vision, that of the boys hanging around, isn’t coming true? It has only been a month. All the other signs seem right. Stay calm. Keep it light. Try not to lean. A balance must be struck between pressure and concern.

Back when Conrad was in the hospital, back when the visits were limited to twice a month, he could afford to take responsibility for everything: the sections of gray peeling paint in the stair wells; small gobs of dirt swept into the corners of the steps; even a scar at the side of one orderly’s mouth. Now that he is home again, things are different. The responsibilities seem enormous. Staggering. His job alone, nobody else’s. Motherhood is different, somehow. And what about fathering girls? He must ask Ray Hanley sometime, how it feels. Is there more, or less responsibility? He couldn’t take more. Your mother wants me to tell you, you have a closetful of decent clothes. He will smile. “Okay. You told me.” But, in a minute, he will ask, “What’s wrong with what I’ve got on?”

Nothing. Nothing I can see. Only I don’t pass up any chances to discharge these fatherly duties, this is the age of perfection, kid. Everybody try their emotional and mental and physical damndest.

Most helpful customer reviews

3 of 3 people found the following review helpful.
This one packs a gut-punch
By BB
I read this book every few years, and there are new layers to this relatively short book that are revealed every time. The father Cal is selfless, loving and is as clueless as he is blinded by the beauty and perfectionism projected by his cold wife. A son who is absolutely broken by a family tragedy,
and the burly psychiatrist who helps them navigate the life they're left with. The characters are full, and the writing is has depth without getting into the psychological weeds. Unless you want to. Great book!

3 of 3 people found the following review helpful.
Well written, deep, engaging novel dealing with the topic of Emotional Distress and family life
By Baron
The book was not my kind of genre and I was assigned to read it for a literature class, and although it is not the style of book that I normally enjoy reading, the book was very well written and the characters are deep. The book will keep you engaged and it really takes you inside the setting of a family dealing with emotional distress and showcases the emotions and feeling of the characters extremely well.

0 of 0 people found the following review helpful.
A book for a wide range of ages from young adults to middle age. I last read it as a 16yr old right after it came out in 1982.
By Kindle Customer
I read this book many years ago while in high school right after it came out in 1982. I remember thinking then with my 16yr old mind what an awesome, well written book it was. It was definitely different than other books I had read at the time. I've thought about this book often over the next 30+ yrs and wishing I could read it again but not being able to find it. The movie based on this book is also excellent with a very good cast, I've seen it several times over the yrs. It was quite excited to find this book on sale on kindle so of course I grabbed it up along with the audible book. Will be interesting how my now 50 yr old mind will appreciate it. The book read as a teen was the first edition, paperback version(oh how the world has progressed). I know as a teen I related to Conn the best, it will be interesting who my favorite character will be this time around, I imagine it will still be Conrad. I think this book will appeal to a wide range of readers age wise. I'm looking forward to reading this book again, and most likely I will end up reading it more than once.

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[P648.Ebook] Fee Download The Brain Sell: When Science Meets Shopping, by David Lewis

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Science has made the leap from the lab to come to a store near you—and the effects on us are phenomenal. Corporations in hyper-competition are now using the new mind sciences to analyze how and when we shop, and the hidden triggers that persuade us to consume.

From bargains in the Big Apple to the bustling bazaars of Istanbul, from in-store to interactive and online to mobile, neuromarketing pioneer Dr. David Lewis goes behind the scenes of the 'persuasion industry' to reveal the powerful tools and techniques, technologies and psychologies seeking to stimulate us all to buy more—often without us consciously realizing it.

A revelatory inside story, The Brain Sell is a tale of engineered behaviors and 'atmospherics'; of subliminal messaging; and of TVs that sometimes watch us while we're watching them.

During his journey, Lewis explores fascinating questions such as:

Why should a particular font used to describe soup make it taste better?
Why do some retailers actively encourage shoppers to haggle?
How do the tools and techniques of 'the brain sell' influence shopper behavior, and what can you—as a retailer or marketer—learn from them?

Informed, illuminating, stimulating: you cannot afford to miss The Brain Sell.

• Sales Rank: #1154653 in Books
• Brand: Brand: Nicholas Brealey Publishing
• Published on: 2013-09-26
• Released on: 2013-09-26
• Original language: English
• Number of items: 1
• Dimensions: 9.25" h x 1.00" w x 6.00" l, .0 pounds
• Binding: Paperback
• 228 pages

Features

• Used Book in Good Condition

Review
"Fascinating work...some of the information in this book is quite scary! Dr. David Lewis examines the latest neuroscience and analyzes the shopping experience like never before. I challenge anyone to read this and not see things a little differently."—Vicki St. Clair, Host, Conversations Live with Vicki St. Clair

“In his new book, The Brain Sell: When Science Meets Shopping, Dr. Lewis guides readers through the world of neuromarketing and explains the techniques and tools that advertisers use to influence consumers. This inside look at how businesses can utilize subconscious methods of persuasion offers new and exciting possibilities for marketers and entrepreneurs alike. Don’t miss it!”—Roger Dooley, author of Brainfluence


"Psychologist and neuromarketing expert David Lewis gives us the inside scoop on how advertisers manipulate our emotions, using smells, colors, catchy slogans, unconscious biases and even subliminal messaging, to get us to buy things."—Scientific American Mind

"In The Brain Sell, you can take a dive into how consumer psychology impacts ad viewing, consideration, and purchasing, which reflects the things marketers are doing right (and wrong). And better yet, he does it all from the perspective of the digital marketing trend, bringing tried and true principles into the modern day, still holding their own.”—60SecondMarketer.com

"David Lewis is pre-eminent among...marketing gurus. He is known as the father of neuromarketing. The Brain Sell, his latest book, works very well as an up-to-the minute primer on why people buy and how to manipulate them. Pretty much every trick is covered from the use of smells and colors to subliminal priming."—Financial Times

"It's a captivating read that's not just educational it will help you explain the 'art' of what you do in 'scientific' terms a very valuable skill. After a brief neuromarketing history lesson, the book covers how understanding the brain and emotional reactions has applications not just in shop layouts but in all aspects of brand-building, interactive marketing and gamification."—Mat Braddy, Chief Marketing Officer for Just Eat, for Marketing Magazine

"The book shows in fascinating detail, virtually every aspect of your shopping experience may well have been scientifically, psychologically, controlled with the aim of triggering complex emotional responses. An illuminating insight into exactly how they do it and the scientific research that helps them do it."—MENSA Magazine

"Full of the fruits of years of intensive testing, and anyone can benefit from it, including consumers themselves. Who does not want to know how the big companies brainwash us in to buying their products? Marketers have even more to learn, whether they work in digital marketing or whether they focus on the bricks and mortar experience. A rare 10/10 rating The Brain Sell changes the way you look at the world and stays ingrained in your brain forever."—Social Bookshelves

About the Author
Dr. David Lewis is a Chartered Psychologist and co-founder and Director of Research at the independent research consultancy Mindlab International. The author of over 30 books, including The Soul of the New Consumer (also published by Nicholas Brealey Publishing) and Impulse (Random House UK/Harvard University Press), David has been dubbed the 'father of neuromarketing' for his pioneering studies on analyzing brain activity for research and commercial purposes.

Most helpful customer reviews

0 of 0 people found the following review helpful.
Examples are backed up by scientific research
By Robert Agostinho
We all know that advertisers use psychology in creating their ads, this book helps people to better understand what methods these advertisers use and how we, as a consuming public can protect ourselves from these tricks, or turn the tables and get a better deal when shopping. Some of the methods are pretty well known and others are more "below the surface" so to speak. The examples are backed up by scientific studies, not just anecdotes, so one can feel sure of themselves when confronting a sales person who might be trying to use undue persuasion.

1 of 1 people found the following review helpful.
THE BRAIN SELL
By Robb Lamb
"The Brain Sell" is a most welcomed, copper-fastened sequel to Vance Packard's 1957 book "The Hidden Persuaders". The book is informative, a guide, a revelation, and alarming. "The Brain Sell" is a required reading for those searching for an insight to media manipulation and its collateral effects and controls.

"The Brain Sell" is a genuinely important book, superbly researched, and convincingly argued, earning and deserving the widest possible readership. Robb Lamb

1 of 2 people found the following review helpful.
Made a perfect gift for my nephew in college!
By Maria
I bought this as a gift for my nephew in university - not sure if he'd like it or not as he is so busy with College books he often doesn't have time to read a 'regular book' outside of school materials.
Well this turned out PERFECT. He not only started to read it but thanked me for it and said this is really good Maria, it applies to business so well.

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Based on material from fifth editions of the renowned "Rob & Smith's Operative Surgery" series, this revised edition presents details of virtually all the operations likely to be encountered in general surgery practice. Leading international contributors cover step-by-step operative procedures, patient evaluation, complications and post-operative management, and there are diagrams demonstrating operative technique. This reference for trainee and practising general surgeons covers basic surgery, the gastro-intestinal tract, vascular surgery, urology, abdominal wall, breast and endocrine surgery.

• Sales Rank: #3902957 in Books
• Published on: 1998-09-04
• Original language: English
• Number of items: 1
• Dimensions: 9.00" h x 2.20" w x 11.00" l,
• Binding: Hardcover
• 1208 pages

About the Author
David Carter, Regius Professor of Clinical Surgery, Royal Infirmary, Edinburg. R. C. G. Russell, Consultant Surgeon, Middlesex Hospital, London. Henry A. Pitt, Professor and Vice Chairman, Department of Surgery, Johns Hopkins University Medical School, Baltimore.

Most helpful customer reviews

10 of 10 people found the following review helpful.
A complete, but difficult reading exercise.
By A Customer
There is too much text in this book to be termed an atlas of surgery. Color illustrations would greatly facilitate the comprehension. Overall, was disappointed with the quality of the text. This book doesn't know what it wants to be, and sadly, does not meet either criteria adequately.

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La caída del hombre trajo como consecuencia que la humanidad se desviara de la intención original de Dios. ¿Y cuál era Su intención original? Que tuviéramos encuentros diarios con Él. De hecho, la
Biblia nos enseña que Adán y Eva hablaban directamente con su Crea- dor. Pero desde el momento mismo que pecaron, la comunicación se cortó, y ellos avergonzados corrieron a esconderse. Afirma la Escritura en Génesis 3:10, que cuando oyeron la voz de Dios, tuvieron miedo porque estaban desnudos y se escondieron.

A causa de la desnudez que produce el pecado, perdimos nuestros encuentros diarios con Dios. Por eso, el diablo nos oprime, enferma, empobrece y esclaviza de diversas maneras. Pero nosotros no fuimos llamados a permanecer así. Hoy Dios está llamando a todos Sus hijos alrededor del mundo, a que regresemos a Su intención original, y tengamos encuentros diarios con Él.

• Sales Rank: #64142 in eBooks
• Published on: 2016-10-04
• Released on: 2016-10-04
• Format: Kindle eBook

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[A860.Ebook] Download PDF Fluidization Engineering, by Daizo Kunii, Octave Levenspiel

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• Sales Rank: #6369240 in Books
• Published on: 1984-01-01
• Binding: Hardcover
• 534 pages

Most helpful customer reviews

0 of 0 people found the following review helpful.
Inside pages look perfect though cover is worn
By Amazon Customer
It's a library book. The paper pages inside the hard cover look perfect although the cover itself is somewhat worn.

0 of 0 people found the following review helpful.
Four Stars
By Amazon Customer
A classic reference

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The English-speaking student translating into German frequently finds it difficult to choose from an English-German dictionary the German word which is correct in a given context, since distinctions are not made there between the German synonyms, nor is their usage illustrated. This reference work, now in its third edition, has been and will continue to be an invaluable source of help to the student. Professor Farrell always takes common English terms - whether concrete or abstract - as his starting point and lists them alphabetically, often in groups of similar meanings and often with their standard dictionary definitions. German synonyms are then given for each different meaning, accompanied by their definitions and numerous pithy sentences illustrating their usage. Explanatory footnotes complement textual comments on individual difficulties. The two word lists of English and German words included in the Dictionary enable the reader to turn easily to the particular word or words he is interested in. For the third edition of the Dictionary, the text has been thoroughly revised and misprints and errors have been corrected: where space permitted, attempts have also been made to improve example sentences and explanations. Professor Farrell has added, as an appendix, his commentary on certain German words which frequently pose problems, either because their meaning is not readily understood or because they have no exact equivalent in English.

• Sales Rank: #1237617 in Books
• Brand: Brand: Cambridge University Press
• Published on: 1977-04-29
• Original language: English
• Number of items: 1
• Dimensions: 8.50" h x .94" w x 5.43" l, 1.08 pounds
• Binding: Paperback
• 428 pages

Features

• Used Book in Good Condition

Review
'In the opinion of this user, English-speaking Germanists are greatly in Professor Farell's debt for this amply documented and thoughtful work ...' German Life & Letters

'Farrell's Dictionary succeeds admirably ...' German Quarterly

'Since the first edition appeared this book has been regarded by English-speaking learners as an essential aid.' The Year's Work in Modern Language Studies

Language Notes
Text: English, German

Most helpful customer reviews

1 of 1 people found the following review helpful.
Essential book for native English speaking students of German.
By William D. Fusfield
This book, along with the indispensable "Stilwoerterbuch," was first recommended to me by my German teacher three decades ago. This one details how to us various German words, much like a dictionary of English synonyms does for English speakers, Thus one finds out, for example, by looking up "stop" when it is appropriate to use "halten," "aufhalten," "anhalten," "halt machen,"stehen bleiben," "aufhoeren," innerhalten" etc.. This is all information that it is difficult to obtain from the very short examples, if any, in most English-German dictionaries.

0 of 0 people found the following review helpful.
Five Stars
By Jarrod
a god send.

0 of 0 people found the following review helpful.
Five Stars
By Peter Wright
GREAT book -- indispensible for the German learner!

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The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated―and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.

Dr. H. Gilbert Welch is worried about too much medical care. It's not to deny that some people get too little medical care, rather that the conventional concern about "too little" needs to be balanced with a concern about "too much": too many people being made to worry about diseases they don't have―and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don't need―or can't benefit from. The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. So more medicine does not equal more health; in reality the opposite may be true. The general public harbors assumptions about medical care that encourage overuse, assumptions like it's always better to fix the problem, sooner (or newer) is always better, or it never hurts to get more information. Less Medicine, More Health pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his 25 years of medical practice and research, Dr. Welch notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments―a number of which are just plain wrong. By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices. His provocative prescriptions hold the potential to save money and, more important, improve health outcomes for us all.

• Sales Rank: #1471451 in Books
• Published on: 2016-05-24
• Released on: 2016-05-24
• Formats: Audiobook, MP3 Audio, Unabridged
• Original language: English
• Number of items: 1
• Dimensions: 6.75" h x .50" w x 5.25" l,
• Running time: 8 Hours
• Binding: MP3 CD

Review
“Avoiding medical jargon, Welch speaks directly to the layperson and focuses on certain assumptions that have increased consumption in a market-driven society; some of which have become so ingrained by popular media that refuting them seems downright scandalous… Welch’s words, though wise beyond money, border on sacrilege in a country of generally healthy people who have developed an expensive health-care habit and who are expected to support a lucrative health-care industry. Welch’s conversational style makes his prescription for better health an easy pill to swallow.” 
—Booklist, starred review

“A bright, lively discussion of the excesses of medical care to which patients often unwittingly go due to certain false assumptions… Welch demonstrates the flaws in these assumptions. His stories involve the risks, uncertainties and harms of cancer screenings, treatments for heart disease, drugs, medical devices and surgical procedures. He makes an especially strong case for the risks of mass screenings for cancer—the fear, the false alarms, the overdiagnoses and the resulting overtreatments. Vivid images make what could be discouragingly technical quite understandable… Welch's engaging style and touches of humor make this an easy read, and the facts he presents make a convincing case.”
—Kirkus Reviews

“Read this book. It is smart, witty, wonderfully written, and above all wise. We've overmedicalized life and yet we need medicine throughout our lives. No one explains better when we do, when we don't, and why.”
—Atul Gawande, author of Complications and Being Mortal

“Wise, witty, fascinating and alarmingly persuasive—this is a book everyone should read, especially my doctor.”
—Bill Bryson, author of A Short History of Nearly Everything

“With the style of a trustworthy country doctor, Welch, an academic heavyweight, urges us to reject the allure of reducing all health risks by using the latest technology to gather all the data and to fix the problems sooner rather than later. Showing the dangers of our ill-informed enthusiasm for medicine, he brilliantly builds the case for respecting its power and limitations: to seek it when ill and all but avoid it when healthy.”
—Victor M. Montori, MD, Professor of Medicine, Mayo Clinic

“Gil Welch's latest book shows us exactly how too much medical care can be harmful and even deadly.  This is a needed corrective to the American attitude that the more screening and testing, the healthier we will be.”
—Marcia Angell, author of The Truth About Drug Companies

“Its title, ‘Less Medicine, More Health,’ sums up his trenchant, point-by-point critique of test-based health care and quality control.”
—New York Times

About the Author
H. Gilbert Welch, M.D., M.P.H., is Professor in the Departments of Medicine and Community and Family Medicine at Dartmouth Medical School and Codirector of the VA Outcomes Group in the Department of Veterans Affairs, White River Junction, Vermont.

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65 of 67 people found the following review helpful.
Glad I didnt't read this book before my mother's back surgery
By TooManyHobbies
I wish I wouldn't have read this book. I say that not because the book was bad, but because it was too good. Some of the chapters just hit a little too close to home. One chapter in particular filled me with fear and another filled me with sorrow.

I started reading the book when my 80 year-old mother went in for major back surgery. I breezed through the first four chapters during her five hours of surgery and two hours in post-op care. The chapters were educational and enlightening. Dr. Welch makes a very compelling case about how we are being over-diagnosed and over-treated. The tone of the book was witty, so I was chucking and nodding my head as I read about data overload, U-shaped curves, the general uselessness of screening, the harm that false alarms can cause, the analogy of types of cancers to barn-yard animals: cancer that will never cause a problem are turtles, cancers that can be fought are rabbits, and cancers you can do nothing about are birds.

Then I got to Chapter 5 and the assumption: Action Is Always Better Than Inaction. First Dr. Welch gave some statistics on hospital infections after surgery: 1.7 Million "health care associated infections" associated with 98,987 deaths in 2002. Whoa doggie, my mom was in surgery. Next he talked about "postoperative cognitive dysfunction" after surgery particularly in the elderly. (Getting scare now - does 80 count as elderly?) Then he talked about needless surgery due to back pain, and how the majority of the time it doesn't work. I wanted to cry at this point, was mom doing this all for nothing? But I felt better when I read the statement: "Back surgery should only be done on patients who don't have back pain". My mom's surgery was to relieve nerve compression caused by severe scoliosis. But then the section on "invasive surgery" had me worried again: her cut was 15 inches long. And the section "Inaction = Allowing the Body to Heal" had me second guessing the decision to have the surgery. Talk about a roller coaster of emotions. I had to stop reading at this point.

I started reading again a few weeks later only to begin Chapter 7 and the assumption: It's all About Avoiding Death. The central theme of the chapter is that sometimes the quality of life is more important than prolonging life by a few months. Particularly with painful, debilitating cancer treatments. This chapter had me sobbing with tears pouring from my eyes. It brought back so many sad memories that are still raw and close to the surface. Three years ago my little brother was diagnosed with colon cancer that had moved to his liver. He fought the "cancer" battle for two years (MD Anderson). He went through all the pain and suffering because he wanted to see his son graduate from high school, he wanted to see his daughter go to her first dance, he wanted to go to the beach one last time. During one treatment (they inserted a tube through his groin and were pumping chemo drugs directly into his liver) he went into cardiac arrest. The doctors brought him back, but later he told me he wished they would have let him die. He said the treatments were too much for his wife, his kids, his family, and him; that sometime the quality of life is more important than quantity. He said it is better to quickly die with dignity than to wither away in excruciating pain. All my brothers' words were being echoed back to me by Dr. Welch.

I'm crying again. Excellent book but like I said I wish I had not read it.

5 of 5 people found the following review helpful.
Read it before it is too late
By Samil Korkmaz
This book was especially relevant to me because my mother (65 years old) underwent a colonoscopy in which the doctor removed a few polyps and one of them had cancer cells close to the colon wall. Three out of four doctors said that she must have an operation which would remove a quarter of her colon (without saying anything about the risks of the operation). Only one doctor pointed out that may be all the cancer cells were taken out during the polyp removal, the risks and probability of success of the operation (which were horrible numbers). In the end my mother reasoned that the operation was not worth it. This was 6 months ago. Today she is alive and well, tending her garden.

Almost everybody has some sort of abnormality that won't hurt him but becomes a problem due to early diagnosis, i.e. you would be better of if did not perform the checks in the first place. Lesson: Don't do full checkups, only deal with things that you have symptoms of.

It shows the importance of randomization and biases that can be overlooked when performing medical trials, for example a trial based on volunteers can be biased because health conscious individuals are healthier than the average.

0 of 0 people found the following review helpful.
A wise doctor's prescripton for a happy, healthy, unmedicalized life
By Nancy Robertson
If I were president, the very first thing I would do is appoint Dr. Welch as US Surgeon General so he could slay the test pushing, pill popping, money grubbing healthcare monster. Today we are ordered to take tests we don't need for diseases we don't have and subjected to treatments that won't benefit us while we watch our wallets bled dry.

Unfortunately, I can't appoint Dr. Welch as Surgeon General, but I can recommend Less Medicine, More Health, a book that will teach you how to take control of your own healthcare so you can achieve the best health with a minimum of medical intrusion. Reading this book is like sitting down with a well respected, caring and wise physician, which is exactly what Dr. Welch is -- a professor of medicine and public health at Dartmouth Medical School, a doctor who was actually trained by the previous Surgeon General, Dr. C. Everett Koop.

I read Dr. Welch's previous book Overdiagnosis, and I have to say that while I loved the first book (and gave it a glowing review on amazon), the second book is even better because it doesn't just tell which medical tests to avoid, it tells you how to approach each interaction with doctors and the healthcare system, regardless of whether you are perfectly healthy, acutely ill, chronically ill, or dying. Moreover, it does it in an easy to read and enjoyable, conversational style.

I'm in my mid 60s and have given a lot of thought to how I want to live out the rest of my days. I'm happy to say it's exactly how Dr. Welch wants to live out the rest of his days. Like Dr. Welch, I want to stay as healthy as possible for as long as possible, but without medicalizing my life. That means I eat right, exercise, get vaccinations and treat only those conditions I actually have. I don't subject myself to anxiety provoking screenings to find new problems unless I have actual symptoms. I value my present happiness and ability to lead a pleasant, unmedicalized life far more than I do the small probability of extending my life by extraordinary means just so I can live long enough to develop another horrible illness. I want to enjoy a healthy, happy life today, but I absolutely refuse to making avoiding death my primary goal.

Thank you, Dr. Welch, for writing this important book and for spreading the message that we can safeguard our health by living right and seeking medical care only when necessary. We can take control and avoid being victims of the wasteful, harmful, greedy healthcare monster.

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• Sales Rank: #1333303 in Books
• Published on: 2009-08-24
• Released on: 2009-08-24
• Original language: English
• Number of items: 30
• Dimensions: 9.00" h x 1.00" w x 6.00" l, .55 pounds
• Binding: Paperback
• 224 pages

Most helpful customer reviews

0 of 0 people found the following review helpful.
Five Stars
By Jill Jeffers
Excellent condition and an excellent source for my students writing research papers!

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Strategic Communication discusses the four essential elements of effective communication - setting goals, knowing the audience, mastering skills, and managing anxiety.  For the successful communicator this book provides the both framework and the necessary tools. 

 

This Seventh Edition helps the reader address the current challenges of communication within the realm of business. The updated examples provide an increased focus on the balance between technology and communication, the new forms of communication technology; in addition to the integration of new research in the area of business communication, management, interpersonal and group communication. Strategic Communication prepares readers for the business world of today.

• Sales Rank: #75867 in Books
• Brand: O'Hair, Dan/ Friedrich, Gustav W./ Dixon, Lynda Dee
• Published on: 2010-02-25
• Ingredients: Example Ingredients
• Original language: English
• Number of items: 1
• Dimensions: 9.90" h x 1.00" w x 7.90" l, 1.76 pounds
• Binding: Paperback
• 456 pages

From the Back Cover

About the Author
Dan O'Hair is Professor and Chair of the Department of Communication at the University of Oklahoma. He received his Ph.D. in 1982 from The University of Oklahoma in communication. He has published over forty articles in business and communication journals and has authored and edited six books focusing on communication. O'Hair has served as a consultant to numerous businesses, government agencies, and non-profit organizations. He is the former president of the El Paso chapter of the American Society for Training and Development and has served on the editorial board of five communication journals including the Journal of Business Communication and is the current editor of the Journal of Applied Communication Research. He is principal investigator and course administrator for the Department of Defense's Joint Course in Communication, an intensive eight-week course in advanced communication study.

Lynda Dee Dixon is Associate Professor in the Department of Interpersonal Communication at Bowling Green State University. She has served as Graduate Coordinator in the School of Communication Studies and as Faculty Associate in the Graduate College. Previously, she has been on the faculty at the University of Oklahoma, University of New Mexico, and Indiana University-South Bend. A Cherokee from Oklahoma, she began her research by studying the health communication of Oklahoma American Indian women. Her research has focused on diversity issues in health, education, and professional organizations. Dixon's publications include a co-edited book on women in prison, book chapters, and journal articles. Her three most recent journal articles have focused on the effects of architecture and posted signs in federal health care facilities for American Indians, and the phenomenon of rap music. She teaches graduate and undergraduate courses in health communication, intercultural communication, and organizational communication.

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3 of 3 people found the following review helpful.
An unedited book of common sense
By Julian
I had to read this for an undergrad communications course. It's basically a book of common sense. Most of the chapters are much longer than necessary, as if to fill a word quota. Some of the facts in the book, like the types of listening, are just plain made up. Every time they mention technology any computer literate person will get a laugh — they lazily added mentions of new technology like the iPhone without updating prices and products from at least ten years ago.
Words like "and" are constantly spelled wrong ("nad").
Here is an actual sentence, copied word for word from this book. This is not my error, and I actually have no idea what it's supposed to be saying:
"Internal summary builds consensus before moving to the next step. The leader may say 'we have decided that the problem is and that are related issues and probable causes.'"

This communications book fails at communicating even after seven editions.

2 of 2 people found the following review helpful.
excellent book
By R. Mandel
great reference, shows you how to do a varitey of things like write a cover letter, interview, resumes, you name it! i needed this book for a class and continue to use it to this day!

1 of 1 people found the following review helpful.
Strategic Communication in Business and the Professions
By Guy R.
There are many chapters within this book that can be utilized in everyday business. The chapter on interviewing is one that comes to my mind. This book provides a great look into how to become a better business oriented individual. The chapter on relationships, I believe, shows the reader how to correctly perform in the workplace. This was an all around good read, that was extremely informative and helpful.

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