Modern medicine and the one‐size‐fits‐all approach: A clinician's comment to Alexandra Pârvan's 'Mind Electric' article
Autor: | Heinz Katschnig |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Modern medicine
diagnosis Wish Metaphysics Special issue: 2018 Philosophy Thematic Issue 03 medical and health sciences specialization 0302 clinical medicine Rethinking Disease Health care Humanism Humans 030212 general & internal medicine Physical Examination patient‐centred care Psychiatry business.industry 030503 health policy & services Health Policy Perspective (graphical) Public Health Environmental and Occupational Health psychopathology health care Wonder Epistemology philosophy of medicine Philosophy Philosophy of medicine Specialization (logic) Criticism Original Article 0305 other medical science Psychology business Attitude to Health Delivery of Health Care Psychophysiology |
Zdroj: | Journal of Evaluation in Clinical Practice |
ISSN: | 1365-2753 1356-1294 |
Popis: | The paper proposes that frameworks typical to metaphysics and art could be used in clinical treatment in somatic and psychiatric contexts to ensure improved care. The concept of the "body electric" of somatic patients which I introduced in previous work is developed further and paired with the "mind electric" of psychiatric patients. Both are defined as a patient's personally generated metaphysical possibility of being healthy-within-illness which is experientially actualized. Both concepts are used here to explore the alternative and the serious challenges to treatment approaches focused on clinical categories, disease, provision, and promotion of standardized or "black-box" therapies. An argument against the idea implied by the hope for such mass treatments and corresponding overreliance on science, namely, that health comes from fixing and regularizing, is developed based on cultural history and the evidenced fact that personally assumed health, just like art and metaphysics, is transgressive of scientific data, and accommodates the untrue, the impossible or the irregular as actual and normal. Because normality is created only with the help of disorder and from within it for chronic patients, clinicians should offer them the metaphysical care they need to produce and actualize their possibility of irregular normality or their body/mind electric. Better treatments can only be provided when scientific advances will be matched with advances in the humanistic competence of clinicians. |
Databáze: | OpenAIRE |
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