Barrie Joyce Rabinowitz Cassileth (née Rabinowitz; April 22, 1938 – February 26, 2022) was an American medical sociologist and researcher of
complementary medicine
Alternative medicine refers to practices that aim to achieve the healing effects of conventional medicine, but that typically lack biological plausibility, testability, repeatability, or supporting evidence of effectiveness. Such practices ar ...
and a critic of
alternative medicine
Alternative medicine refers to practices that aim to achieve the healing effects of conventional medicine, but that typically lack biological plausibility, testability, repeatability, or supporting evidence of effectiveness. Such practices are ...
.
She published extensively on
alternative cancer treatments
Alternative cancer treatment describes any cancer treatment or practice that is not part of the conventional standard of cancer care. These include special diets and exercises, chemicals, herbs, devices, and manual procedures. Most alternative ...
.
Early life
Cassileth was born in
Philadelphia
Philadelphia ( ), colloquially referred to as Philly, is the List of municipalities in Pennsylvania, most populous city in the U.S. state of Pennsylvania and the List of United States cities by population, sixth-most populous city in the Unit ...
on April 22, 1938.
Her father, Albert, initially owned a company that made socks, before operating a company that designed and installed custom kitchens together with her mother, Rosalind (Kaizen). Cassileth studied
social science
Social science (often rendered in the plural as the social sciences) is one of the branches of science, devoted to the study of societies and the relationships among members within those societies. The term was formerly used to refer to the ...
s at
Bennington College
Bennington College is a private liberal arts college in Bennington, Vermont, United States. Founded as a women’s college in 1932, , graduating with a
Bachelor of Arts
A Bachelor of Arts (abbreviated B.A., BA, A.B. or AB; from the Latin ', ', or ') is the holder of a bachelor's degree awarded for an undergraduate program in the liberal arts, or, in some cases, other disciplines. A Bachelor of Arts deg ...
in 1959.
She subsequently obtained a
Master of Science
A Master of Science (; abbreviated MS, M.S., MSc, M.Sc., SM, S.M., ScM or Sc.M.) is a master's degree. In contrast to the Master of Arts degree, the Master of Science degree is typically granted for studies in sciences, engineering and medici ...
in
psychology
Psychology is the scientific study of mind and behavior. Its subject matter includes the behavior of humans and nonhumans, both consciousness, conscious and Unconscious mind, unconscious phenomena, and mental processes such as thoughts, feel ...
from the
Albert Einstein College of Medicine
The Albert Einstein College of Medicine is a Private university, private medical school in New York City. Founded in 1953, Einstein is an independent degree-granting institution within the Montefiore Einstein Health System.
Einstein hosts Doc ...
in New York City,
after taking a hiatus when her husband was called up for military service.
She ultimately resumed her studies and was later awarded a
Doctor of Philosophy
A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of Postgraduate education, graduate study and original resear ...
in
medical sociology
Medical sociology is the sociological analysis of health, Illness, differential access to medical resources, the social organization of medicine, Health Care Delivery, the production of medical knowledge, selection of methods, the study of action ...
from the
University of Pennsylvania
The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
in 1978.
Career
After completing her doctorate, Cassileth remained at the University of Pennsylvania as an
assistant professor
Assistant professor is an academic rank just below the rank of an associate professor used in universities or colleges, mainly in the United States, Canada, Japan, and South Korea.
Overview
This position is generally taken after earning a doct ...
and taught medical sociology.
[ In that capacity, she contributed to the establishment of one of the first ]palliative
Palliative care (from Latin root "to cloak") is an interdisciplinary medical care-giving approach aimed at optimizing quality of life and mitigating or reducing suffering among people with serious, complex, and often terminal illnesses. Man ...
cancer care programs in the US. She then taught at the University of North Carolina
The University of North Carolina is the Public university, public university system for the state of North Carolina. Overseeing the state's 16 public universities and the North Carolina School of Science and Mathematics, it is commonly referre ...
, Duke University
Duke University is a Private university, private research university in Durham, North Carolina, United States. Founded by Methodists and Quakers in the present-day city of Trinity, North Carolina, Trinity in 1838, the school moved to Durham in 1 ...
, and Harvard University
Harvard University is a Private university, private Ivy League research university in Cambridge, Massachusetts, United States. Founded in 1636 and named for its first benefactor, the History of the Puritans in North America, Puritan clergyma ...
. Cassileth edited '' The Cancer Patient: Social and Medical Aspects of Care'', which was published in 1979. She later wrote '' The Alternative Medicine Handbook'' (1998) and '' The Complete Guide to Complementary Therapies in Cancer Care'' (2011).
Starting in the 1970s, Cassileth championed integrative medicine
Alternative medicine refers to practices that aim to achieve the healing effects of conventional medicine, but that typically lack biological plausibility, testability, repeatability, or supporting evidence of effectiveness. Such practices ar ...
entailing a "whole-person" method towards medical care. She underscored how this was not intended to supplant traditional treatments, but add to it instead with practices that could reduce stress, alleviate discomfort, and ameliorate quality of life in general. She also conducted a study with colleagues that was published in ''The New England Journal of Medicine
''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. Founded in 1812, the journal is among the most prestigious peer-reviewed medical journals. Its 2023 impact factor w ...
'' in 1985, which found that a positive or negative attitude maintained by patients with advanced cancer had little impact on the result. She noted how "for every anecdote about a cancer patient with a good attitude who lived, I can give you 200 about those who had good attitudes and died", and attributed survival to an individual's biology. Cassileth also expressed misgivings about licensed medical practitioners counselling their patients to pursue alternative treatments to cancer, and maintained that "there are no viable alternatives to mainstream cancer care". She cited the example of Steve Jobs
Steven Paul Jobs (February 24, 1955 – October 5, 2011) was an American businessman, inventor, and investor best known for co-founding the technology company Apple Inc. Jobs was also the founder of NeXT and chairman and majority shareholder o ...
– who initially put off surgery in favor of alternative medicine – and was of the opinion that he "essentially committed suicide" by not seeking conventional treatment from the outset.[
Cassileth was recruited by Paul Marks of the ]Memorial Sloan Kettering Cancer Center
Memorial Sloan Kettering Cancer Center (MSK or MSKCC) is a cancer treatment and research institution in Manhattan in New York City. MSKCC is one of 72 National Cancer Institute– designated Comprehensive Cancer Centers. Its main campus is ...
(MSKCC) in 1999 to establish an integrative care program at the hospital. Under her leadership, the program eventually expanded to approximately 60 staff members with a separate building to work in.[ She later founded the Integrative Medicine Service at the MSKCC and held the Laurance S. Rockefeller Chair in Integrative Medicine.][Physician Biography]
Cassileth also formed the Society for Integrative Oncology in 2003 and served as its inaugural president. She worked at MSKCC until her retirement in 2016.
Personal life
Cassileth married her first husband, Peter Cassileth, in 1958. Together, they had three children: Jodi, Wendy, and Gregory. They eventually divorced. Her second marriage to H. Taylor Vaden also ended in divorce. She later married Richard Cooper in 2008. They remained married until his death in 2016.
Death
Cassileth died aged 83, on February 26, 2022, in an assisted-living facility in Beverly Hills, California
Beverly Hills is a city located in Los Angeles County, California, United States. A notable and historic suburb of Los Angeles, it is located just southwest of the Hollywood Hills, approximately northwest of downtown Los Angeles. Beverly Hills ...
. Her daughter, Jodi Cassileth Greenspan, said that she died due to complications of Alzheimer's disease
Alzheimer's disease (AD) is a neurodegenerative disease and the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As the disease advances, symptoms can include problems wit ...
.
Selected publications
Papers
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References
{{DEFAULTSORT:Cassileth, Barrie R.
1938 births
2022 deaths
Alternative medicine researchers
American cancer researchers
American critics of alternative medicine
American sociologists
American women sociologists
21st-century American women
Writers from Philadelphia
Deaths from Alzheimer's disease in California