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66 pages 2 hours read

Robert M. Sapolsky

Why Zebras Don't Get Ulcers: A Guide to Stress, Stress Related Diseases, and Coping

Nonfiction | Reference/Text Book | Adult | Published in 1993

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Key Figures

Robert Sapolsky (The Author)

Robert Sapolsky is a researching scientist, professor, and author. He was educated at Harvard University, where he earned his Bachelor of Arts in Biological Anthropology, summa cum laude, and at The Rockefeller University, where he earned his PhD in Neuroendocrinology.

Sapolsky works as a research associate with the Institute of Primate Research, a division of the National Museums of Kenya, where he has studied the baboons, he references throughout Why Zebras Don’t Get Ulcers. He is a Professor of Neurology and Neuroscience and is the John A. and Cynthia Fry Gunn Professor of Biological Sciences at Stanford University. Sapolsky has also prioritized disseminating science information among the general population. He has written several books, including Stress, the Aging Brain and the Mechanisms of Neuron Death (1992), The Trouble with Testosterone (1997), Behave: The Biology of Humans at Our Best and Worst (2017), and Determined: A Science of Life Without Free Will (2023).

Sapolsky has helped bridge the gap between the general public and the science and academic communities. His popular science texts are written for the lay-reader, and his Stanford lecture series on Human Behavioral Biology is openly available online. His criticism of biases or gaps in science also foster trust by demonstrating that scientists or scientific studies are fallible but that they are separate from the process of science. Given his academic and professional background, Sapolsky is considered an authority figure on matters related to stress and human behavior.

Hans Selye

Hans Selye is described as “one of the godfathers of stress physiology” (7), and references to him and his contributions to the field appear throughout the text. Selye (1907-1982) was born in Hungary and pursued a career in medical sciences. He pursued his Doctor of Medicine and his PhD in Organic Chemistry in the Czech Republic. He later earned a Rockefeller Research Fellowship with Johns Hopkins University, which he accepted. He disliked the location and was transferred to McGill University, where he completed his fellowship and later taught as an assistant professor of Biochemistry. Selye established his career as a medical researcher, and he founded multiple institutions, including the International Institute of Stress, the Hans Selye Foundation, and the Canadian Institute of Stress.

Sapolsky discusses Selye’s process of discovering that stress can cause peptic ulcers. When Selye was working as an assistant professor, he had been conducting experiments on rats but was a poor handler of the animals. When the rats developed peptic ulcers, Selye investigated multiple potential causes of the ulcers until concluding that his poor handling skills caused the rats intense stress which, in turn, caused the ulcers. Selye’s initial conclusion was inaccurate, as he posited that prolonged stress depletes the stress-response that causes illness. Rather than the stress-response running out, the prolonged stress-response becomes damaging to the body.

Selye also contributed to the discovery of the impacts of glucocorticoids and the immunosuppressing effects of chronic stress. Sapolsky also mentions that Selye entered a professional argument with John Mason, who had proposed the idea that all stress is psychological. Selye disagreed with this hypothesis because physiological effects of stress are seen in unconscious subjects.

Bernie S. Siegel

Bernie S. Siegel is a retired medical professional, professor, and author. He studied medical science at Colgate University and Cornell University and trained as a surgeon in multiple hospitals. He later taught both general and pediatric surgery at Yale University.

Siegel founded a therapy group called Exceptional Cancer Patients, which promoted lifestyle and mindset changes as forms of cancer treatment. He later wrote multiple books on the subject: Love, Medicine & Miracles (1986), Peace, Love & Healing (1989), How to Live Between Office Visits (1993), Prescriptions for Living (1998), and Help Me to Heal (2003). Siegel, along with his wife, Bobbie Siegel, wrote multiple books and articles for children.

References to Siegel appear in Chapter 8. Sapolsky uses Siegel’s views to demonstrate the consequences of overestimating the impact stress has on health. Citing Love, Medicine & Miracles, Sapolsky describes the messages spread by Siegel, including the ideas that love stimulates the immune system, that cancer has psychosocial causes, and that failure to recover from cancer reflects the patients’ negativity. In the book, Siegel suggests that childhood cancer is the fault of parents and that illness is caused by deviating from “God’s will.”

Sapolsky criticizes Siegel’s theories and approach, mentioning the Exceptional Cancer Patients program and two studies that showed that the program had no effect on cancer survival. He also argues that Siegel’s work is unethical, citing a study that found breast cancer patients felt their cancer was likely caused by stress. Sapolsky counters that diseases cannot be caused by negativity nor cured by positivity, and that it is unethical to profit on such ideas as it blames patients for their illnesses.

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