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Kathryn Lance - Book Proposals

The following discussion of book proposals is based on my own experience. Follow the links to see how I handled each part in a successful proposal.

A nonfiction book proposal is basically a selling tool. Although there is no standard format, most proposals consist of the following parts:

      The Proposal itself, which must include:

      Overview or what the book is about (this should be on the first page—maybe even the first paragraph)

      A statement about why the book is needed (it is unique; it addresses a brand-new or neglected topic; it is more up to date than similar books; etc.) This is often presented in the overview. In the present proposal, it is combined with the marketing section.

      Who the book's audience is and why they will buy the book. In the present proposal, this section is included in the marketing section.

      Why the author is the best person to write this book

      Market Analysis: Why the book is better than the competition (this marketing section should be thoroughly researched)

      Approach: Although this needn't be a separate section, as it is here, you need to give editors an idea of such things as the length and general content of the book, the voice that will be used, and any extras That'set the book apart, such as the "Heartskills" at the end of each chapter in the present book.

      The author's credentials and (increasingly important) media experience

  Table of Contents (No more than 1 page. Not included here.)

      Detailed Chapter Outline That'should include interesting samples from the book as well as an indication of any sidebars, quizzes, important lists, etc. This may be in the form of an outline, mainly in prose, or a combination, as in the present example. In this sample I'm presenting the full outline, as submitted, for Chapters One and Four only.

  Sample Chapter or Chapters. Usually two or three sample chapters will help sell the book. Often an introduction plus one of the most interesting chapters will make a good package. (Example not included here.)

        More information on book proposals

 

HEART AND SOUL

A PSYCHOLOGICAL AND SPIRITUAL GUIDE TO

PREVENTING AND HEALING HEART DISEASE

by Bruno Cortis, M.D.

Book Proposal

Overview

     Heart disease is the number-one killer of Americans over the age of 40. The very words can sound like a death sentence. Our heart, the most intimate part of our body, is under siege. Until now, most experts have advised victims of the disease, as well as those who would avoid it, to change avoidable risk factors, like smoking, and begin a spartan regimen of diet and exercise. But new research shows that risk factors and lifestyle are only part of the answer. In fact, it is becoming clear that for many patients, emotional, psychological, and even spiritual factors are at least as important, both in preventing disease and in healing an already damaged heart.

     Like Love, Medicine, and Miracles by Bernie Siegel, which showed cancer patients how to take charge of their own disease and life, Heart and Soul will show potential and actual heart patients how to use inner resources to form a healthy relationship with their heart, actually healing circulatory disorders and preventing further damage.

     The author, Bruno Cortis, M.D., is a renowned cardiologist whose experience with hundreds of "exceptional heart patients" has taught him that there is much more to medicine than operations and pills.

     Dr. Cortis identifies three types of heart patients:

     --Passive Patients, who are unwilling or unable to take responsibility for their condition. Instead, these patients blame outside forces, withdraw from social contacts, and bewail their fate. They may become deeply depressed, and tend to die very soon.

     --Obedient Consumers, who are the "A" students of modern medicine. Following doctors' orders to the letter, these patients behave exactly as they are "supposed to, placing their fates in the hands of the experts. These patients tend to die exactly when medicine predicts they will.

     --Exceptional Heart Patients, who regard a diagnosis of heart disease as a challenge. Although they may have realistic fears for the future, these patients take full responsibility for their situation and actively contribute to their own recovery. While they may or may not follow doctors' orders, these patients tend to choose the therapy or combination of therapies that is best for them. They often live far beyond medical predictions.

     It is Dr. Cortis' aim in this book to show readers how to become exceptional heart patients, empowering them to take responsibility for their own health and well-being.

     Although Dr. Cortis acknowledges the importance of exercise, stress management, and proper nutrition--the standard staples of cardiac treatment--he stresses that there is an even deeper level of human experience that is necessary in order to produce wellness. Unlike other books on heart disease, Heart and Soul does not prescribe the same strict diet and exercise program for everyone. Instead it takes a flexible approach, urging readers to create their own unique health plan by employing psychological and spiritual practices in combination with a variety of more traditional diet and exercise regimens.

     While seemingly revolutionary, Dr. Cortis' message is simple: you can do much more for the health of your heart than you think you can. This is true whether you have no symptoms or risk factors whatsoever, if you have some symptoms or risk factors, or if you actually already have heart disease.

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Market Analysis

     Heart and Soul could not be more timely. Of the 1 1/2 million heart attacks suffered by Americans each year, nearly half occur between the ages of 40 and 65. Three fifths of these heart attacks are fatal. While these precise statistics may not be familiar to the millions of baby boomers now entering middle age, the national obsession with oat bran, low-fat foods, and exercising for health, shows that the members of the boomer generation are becoming increasingly aware of their own mortality.

     This awareness of growing older, coupled with a widespread loss of faith in doctors and fear of overtechnologized medicine, combine to produce a market that is ready for a book emphasizing the spiritual component in healing, especially in reference to heart disease.

     Most existing books on the market approach the subject from the physician's point of view, urging readers to follow doctor's orders to attain a healthy heart. There is very little emphasis in these books on the patient's own responsibility for wellness or the inner changes that must be made for the prescribed regimens to work. Among the best known recent books are:

     Healing Your Heart, by Herman Hellerstein, M.D., and Paul Perry (Simon and Schuster, 1990). Although this book, like most of the others, advocates proper nutrition, exercise, cessation of smoking and stress reduction as the road to a healthy heart, it fails to provide the motivation necessary to attain such changes in the reader's lifestyle. Without changes in thinking and behavior, readers of this and similar books will find it difficult, if not impossible, to follow the strict diet and exercise program recommended.

     In Heart Talk: Preventing and Coping with Silent and Painful Heart Disease (Harcourt Brace Jovanovich, 1987), Dr. Peter F. Cohn and Dr. Joan K. Cohn address the dangers of "silent" (symptomless) heart disease. While informative, the book emphasizes only one manifestation of heart disease, and does not empower readers with the motivational tools needed to combat that disease.

     The Trusting Heart, by Redford Williams, M.D. (Times Books, 1989), demonstrates how hostility and anger can lead to heart disease while trust and forgiveness can contribute to wellness. While these are important points, the holistic treatment of heart disease must encompass other approaches as well. The author also fails to provide sufficient motivation for behavioral changes in the readers.

     The best book on preventing and curing heart disease is Dr. Dean Ornish's Program for Reversing Heart Disease (Random House, 1990). This highly successful book prescribes a very strict diet and exercise program for actually reversing certain types of coronary artery disease. This still-controversial approach is by far the best on the market; unfortunately, the material is presented in a dense, academic style not easily accessible to the lay reader. It also focuses on Dr. Ornish's program as the "only way to manage heart disease, excluding other, more synergistic methods.

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Approach

     Heart and Soul will be a 60--70,000-word book targeted to health-conscious members of the baby boom generation. Unlike other books on heart disease, it will focus on the "facts of the connection between the mind and the body as it relates to heart disease, showing readers how to use that connection to heal the heart. The book will be written in an informal but authoritative style, in Dr. Cortis' voice. It will begin with a discussion of heart disease and show how traditional medicine fails to prevent or cure it. Subsequent chapters will deal with the mind-body connection, and the role in healing of social support systems, self-esteem, and faith. In order to help readers reduce stress in their lives, Dr. Cortis shows how they can create their own "daily practice" that combines exercise, relaxation, meditation, and use of positive imagery. Throughout the book, he will present anecdotes that demonstrate how other Exceptional Heart Patients have overcome their disease and gone on to lead healthy and productive lives.

     In addition to a thorough discussion of the causes and outcomes of coronary artery disease, the book will include tests and checklists that readers may use to gauge their progress, and exercises, ranging from the cerebral to the physical, That'strengthen and help heal the heart. At the end of each chapter readers will be introduced to an essential "Heartskill" that will enable them to put the advice of the chapter into immediate practice.

     Through example and encouragement Heart and Soul will offer readers a variety of strategies for coping with heart disease, to be taken at once or used in combination. Above all an accessible, practical book, Heart and Soul will present readers with a workable program for controlling their own heart disease and forming a healthy relationship with their hearts.

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The Author(s)

     Bruno Cortis, M.D., is an internationally trained cardiologist with more than 30 years' experience in research and practice. A pioneer of cardiovascular applications of lasers and angioscopy, a Diplomate of the American Board of Cardiology, contributor of more than 70 published professional papers, Dr. Cortis has long advocated the need for new dimensions of awareness in health and the healing arts. As a practicing physician and researcher, his open acknowledgment of individual'spirituality as the core of health puts him on the cutting edge of those in traditional medicine who are beginning to create the medical arts practices of the future.

     Dr. Cortis has been a speaker at conferences in South America, Japan, and Australia, as well as in Europe and the United States. His firm, Mind Your Health, is dedicated to the prevention of heart attack through the development of human potential. Dr. Cortis is the cofounder of the Exceptional Heart Patients program. The successful changes he has made in his own medical practice prove he is a man not only of vision and deeds, but an author whose beliefs spring from the truths of daily living.

     Kathryn Lance is the author of more than 30 books of nonfiction and fiction (see attached publications list for details). Her first book, Running for Health and Beauty (1976), the first massmarket book on running for women, sold half a million copies. The Setpoint Diet (1985), ghosted for Dr. Gilbert A. Leveille, reached the New York Times bestseller list for several weeks. Ms. Lance has written widely on fitness, health, diet, and medicine.

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HEART AND SOUL

by Bruno Cortis, M.D.

Chapter Outline

Introduction: Beating the Odds: Exceptional Heart Patients.

     SEE SAMPLE CHAPTER.

Chapter One. You and Your Heart.

     Traditional medicine doesn't and can't "cure" heart disease. The recurrence rate of arterial blockage after angioplasty is 25--35%, while a bypass operation only bypasses the problem, but does not cure it. The author proposes a new way of looking at heart disease, one in which patients becomes responsible for the care and well-being of their hearts, in partnership with their physicians. Following a brief, understandable discussion of the physiology of heart disease and heart attack, further topics covered in this chapter include:

Heart disease as a message from your body. Many of us go through life neglecting our bodies' signals, ignoring symptoms until a crisis occurs. But the body talks to us and it is up to us to listen and try to understand the message. The heart bears the load of all our physical activity as well as our mental activity. Stress can affect the heart as well as any other body'system. This section explores the warning signs of heart disease as "messages" we may receive from our hearts, what these messages may mean, and what we can do in response to these messages.

Why medical tests and treatments are not enough. You, the patient, are ultimately responsible for your own health. Placing all faith in a doctor is a way of abdicating that responsibility. The physician is not a healer; rather, he or she sets the stage for the patient's body to heal itself. Disease is actually a manifestation of an imbalance within the body. Medical procedures can help temporarily, but the real solution lies in the patient's becoming aware of his own responsibility for health. This may involve changing diet, stopping smoking, learning to control the inner life.

Getting the best (while avoiding the worst) of modern medicine. In the author's view, the most important aspect of medicine is not the medication but the patient/physician relationship. Unfortunately, this relationship is often cold, superficial, professional. The patient goes into the medical pipeline, endures a number of tests, then comes out the other end with a diagnosis which is like a flag he has to carry for life. This view of disease ignores the patient as the main component of the healing process. Readers are advised to work with their doctors to learn their own blood pressure, blood sugar, cholesterol level, and what these numbers mean. They are further advised how to enlist a team of support people to increase their own knowledge of the disease and learn to discover the self-healing mechanisms within.

How to Assess Your Doctor. Ten questions a patient needs to ask in order to assure the best patient-doctor relationship.

Taking charge of your own medical care. Rather than being passive patients, readers are urged to directly confront their illness and the reasons for it, asking themselves: how can I find a cause at the deepest level? What have I learned from this disease? What is good about it? What have I learned about myself? Exceptional heart patients don't allow themselves to be overwhelmed by the disease; rather, they realize that it is most likely a temporary problem, most of the time self-limited, and that they have a power within to overcome it.

Seven keys to a healthy heart. Whether presently healthy or already ill of heart disease there is a great deal readers can do to improve and maintain the health of their hearts. The most important component of such a plan is to have a commitment to a healthy heart. The author offers the following seven keys to a healthy heart: respect your body; take time to relax every day; accept, respect, and appreciate yourself; share your deepest feelings; establish life goals; nourish your spiritual self; love yourself and others unconditionally. Each of these aspects of heart care will be examined in detail in later chapters.

Heartskill #1: Learning to take your own pulse. The pulse is a wave of blood sent through the arteries each time the heart contracts; pulse rate therefore provides important information about cardiac function. The easiest place to measure the pulse is the wrist: place your index and middle finger over the underside of the opposite wrist. Press gently and firmly until you locate your pulse. Don't use your thumb to feel the pulse, because the thumb has a pulse of its own. Count the number of pulse beats in fifteen seconds, then multiply that by four for your heart rate.

     This exercise will include charts so that readers can track and learn their own normal pulse range for resting and exercising, and be alerted to irregularities and changes that may require medical attention.

Chapter Two. Your Mind and Your Heart.

Chapter Three. The Friendship Factor: Plugging into Your Social Support System.

Chapter Four. Opening Your Heart: Learning to Make Friends With Yourself.

     In addition to enlisting the support of others, for complete healing it is necessary for the patient to literally become a friend to himself or herself. This may entail changing old ways of thinking and responding, as well as developing new, healthier ways of relating to time and other external stresses. In this chapter the author explores ways of changing Type A behavior, as well as proven techniques for dealing with life's daily hassles and upsets. An important section of the chapter shows readers how` _ to love and cherish the "inner child," that part of the personality that needs to be loved, to be acknowledged, and to have fun. Equally important is the guilt that each of us carries within, and that can lead not only to unhealthy behaviors but also to actual stress. The author gives exercises for learning to discover and absolve the hidden guilts that keep each of us from realizing our true healthy potential. Topics covered in this chapter include:

      A positive approach to negative emotions

      Checking yourself out on Type A behavior: a self-test

      Being assertive without being angry

      Keeping your balance in the face of daily hassles and major setbacks

      Making a friend of time

      Identifying and healing your old childhood hurts

      Letting go of hurts, regrets, resentments, and guilt

      Forgiving yourself and making a new start

      The trusting heart

Heartskill #4: Forgiveness exercise

Chapter Five. Identifying and Eliminating Stress in Your Life.

Chapter Six. Your Faith and Your Heart.

Chapter Seven. Putting It All Together: How to Develop Your Own Daily Practice for a Healthy Heart.

Chapter Eight. Learning to Smell the Flowers.

Recommended reading

Appendix I. For Friends and Family: How to Support an Exceptional Heart Patient

Appendix II. On Finding or Starting a Self-Help Group

Appendix III. About the Exceptional Heart Patient Project Author's notes

Acknowledgments

Index

For more information on book proposals, I recommend Write the Perfect Book Proposal, by Jeff Herman and Deborah M. Adams (Wiley, 1993), which analyzes 10 proposals That'sold (including Heart and Soul). Click here to visit Jeff's Website.

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