"Fame," observes Elias Canetti, "wants to hang from the stars because they are so far removed . . ."1 What the seeker after fame finds attractive in the prospect of hanging from the stars are the conditions of distance and elevation, which promise security in the form of detachment and abstraction from the world below. We find in Canetti's image of the fame-seeking sensibility not two conflicting desires (for the renown conferred upon successful risk-takers and the safety secured through abstention (...) from risk) co-existing within the confines of an outsized temperament, but a single-minded need for safety from the threats of dissolution and oblivion. So imperative is this need that the fame seeker does not .. (shrink)

This paper uses chronic beryllium disease as a case study to explore some of the challenges for decision-making and some of the problems for obtaining meaningful informed consent when the interpretation of screening results is complicated by their probabilistic nature and is clouded by empirical uncertainty. Although avoidance of further beryllium exposure might seem prudent for any individual whose test results suggest heightened disease risk, we will argue that such a clinical precautionary approach is likely to be a mistake. Instead, (...) advice on the interpretation of screening results must focus not on risk per se, but on avoidable risk, and must be carefully tailored to the individual. These points are of importance for individual decision-making, for informed consent, and for occupational health. (shrink)