We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Nature, Nurture, and Rapture

Samuel Vaisrub, MD
JAMA. 1980;244(18):2091. doi:10.1001/jama.1980.03310180057040.
Text Size: A A A
Published online


When we counterpose nature to nurture in human development, we equate nature with heredity, nurture with environment. Paradoxically, environment becomes nature when we contrast it with man, the polluter and despoiler. Man, a part of nature by virtue of his genetic endowment, is transformed into its enemy through his actions.

Curiously, whereas beehives, anthills, bird nests and beaver dams are viewed as parts of nature, man-made dwellings, streets, and cities are seen as unnatural, artificial products. Defoliation of forests by birds and despoliation of fields by rodents and insects are accepted as a part of nature's grand scheme, while human activities with similar results are resented as a disruption of the overall balance of natural forces.

The integrative concept of a balanced nature with an uppercase "N" owes much to Rousseau's romantic notion of the noble savage. In its extreme form this concept has led to worshipful attitudes of man


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.