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Reckonitis: A Cognitive Deficit of Social Origin

The taxonomy of human diseases has become sufficiently broad to include those that emerge from the conditions of a particular society, but it is not yet sufficiently inclusive to comprise those pathologies that disorder the perception of physiologic and psychiatric disease states. The name for the superficial study of disease occurrence, epidemiology, is comprised of the Greek epi ("upon") and demos ("the people"), and so one might think of these perceptual disorders as epidiseases, cognitive states that exist upon a disease. They are, therefore, afflictions of those who study diseases. An example is reckonitis, which is the inability to carry out the computation of disease incidence or probability. It is a specific dysfunction in understanding the frequency of occurrence of disease, which forms an impenetrable barrier to all further comprehension of disease etiology, prevention, diagnosis, or treatment. This epidisease has not been well characterized, despite its evident historical prevalence up to the present era. As a first step toward establishing an appropriate classification, I will examine one particular manifestation, the inability to compute the lifetime risk of breast cancer, as expressed in two overt, acute clinical cases.