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Person-centered medicine - at the intersection of science, ethics and humanism

Andrew Miles

Abstract


Modern medicine places great emphasis on the study of organ systems and the use in practice of objectively measurable biological indices of dysfunction and disease. While no one lucid would argue against the fundamental importance of such an approach, a point can be reached where such an emphasis becomes disproportionate in the sense that this so-called objectification of the somatic ignores (or rejects) the human dimension of illness and risks reaching a point where the patient is seen as part of the disease, rather than the disease being seen as part of the patient. Western medicine has ventured dangerously close to precisely such a point.


Keywords


Biomedicine, ethics, guidance, hermeneutic of continuity, hermeneutic of rupture, humanism, information systems, leadership, medical education, methods, person-centered care, person-centered medicine, research, science, scientism, technology, tools

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References


Miles, A. (2009). On a Medicine of the Whole Person: away from scientistic reductionism and towards the embrace of the complex in clinical practice. Journal of Evaluation in Clinical Practice 15, 941-949.

Miles, A. (2009). On the interface between science, medicine, faith and values in the individualisation of clinical practice: a review and analysis of Medicine of the Person. Journal of Evaluation in Clinical Practice 15, 1000-1024.

Miles, A. & Mezzich, J.E. (2011). The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. International Journal of Person Centered Medicine 1 (2) 207-222.

Miles, A. & Mezzich, J.E. (2011). The patient, the illness, the doctor, the decision: negotiating a ‘new way’ through person-centered medicine. International Journal of Person Centered Medicine 1 (4) 637-640.

Weatherall, D. (1996). Science and the Quiet Art : The Role of Medical Research in Health Care. New York: W.W. Norton.

Miles, A. & Loughlin, M. (2011). Models in the balance: evidence-based medicine versus evidence-informed individualised care. Journal of Evaluation in Clinical Practice 17, 531-536.

Montgomery, K. (2006). How Doctors Think. Clinical Judgement and the Practice of Medicine. Oxford: Oxford University Press.

Miles, A. (2007). Science: a limited source of knowledge and authority in the care of patients. Journal of Evaluation in Clinical Practice 13, 545-563.

Shapiro, J. (2012). The feeling physician: educating the emotions in medical training. International Journal of Person Centered Medicine. In Press.

Leder, D. (1990). Living interpretation: the hermeneutics of medicine. Theoretical Medicine and Bioethics 11, 9-24.

Weatherall, D. (2004). Scientific method and the art of healing. In: The Oxford Textbook of Medicine, 4th Edn. (Eds. D.A. Weatherall, T.M. Cox, J.D.Firth & E.J Benz, Jr). pp 10-13. Volume 1. Oxford: Oxford University Press.

Marcum, J.A. (2008). Humanizing modern medicine. Springer Science.

Miles, A. & Mezzich, J.E. (2012). Person-centered medicine: addressing chronic illness and promoting future health. International Journal of Person Centered Medicine 2 (2) 149-152.

International College of Person Centered Medicine. (2012). The Geneva Declaration on Person-centered Care for Chronic Diseases. International Journal of Person Centered Medicine 2 (2) 153-154.

Cohen, J.J. (2002). Our compact with tomorrow’s doctors. Academic Medicine 27, 475-480.

Hojat, M, Mangioni, S., Nasca, T.J. & Gonnella, J.S. (2005). Empathy scores in medical school and ratings of empathic behaviour 3 years later. Journal of Social Psychology 14, 663-672.

Hojat, M., Vergare, M.J., Maxwell, K., Brainard, G., Herrine, S.K., Isenberg, G.A., Veloski, J. & Gonnella, J.S. (2009). The Devil is in the Third Year: A Longitudinal Study of Erosion of Empathy in Medical School. Academic Medicine 84, 1182-1191.




DOI: http://dx.doi.org/10.5750/ijpcm.v2i3.281

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