Moving Beyond Nostalgia and Motives: Towards a Complexity Science View of Medical Professionalism

Perspectives in Biology and Medicine 51 (4):599-615 (2008)
Modern-day discourse on medical professionalism has largely been dominated by a "nostalgic" view, emphasizing individual motives and behaviors. Shaped by a defining conflict between commercialism and professionalism, this discourse has unfolded through a series of waves, the first four of which are discovery, definition, assessment, and institutionalization. They have unfolded in a series of highly interactive and overlapping sequences that extend into the present. The fifth wave-linking structure and agency-which is nascent, proposes to shift our focus on professionalism from changing individuals to modifying the underlying structural and environmental forces that shape social actors and actions. The sixth wave-complexity science-is more incubatory in nature and seeks to recast social actors, social structures, and environmental factors as interactive, adaptive, and interdependent. Moving towards such a framing is necessary if medicine is to effectively reestablish professionalism as a core principle
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1353/pbm.0.0044
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
Download options
PhilPapers Archive

Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 16,658
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Add more citations

Similar books and articles
Lynette Reid (2011). Medical Professionalism and the Social Contract. Perspectives in Biology and Medicine 54 (4):455-469.
S. A. Howard (2012). Nostalgia. Analysis 72 (4):641-650.

Monthly downloads

Added to index


Total downloads

9 ( #254,415 of 1,725,999 )

Recent downloads (6 months)

2 ( #289,836 of 1,725,999 )

How can I increase my downloads?

My notes
Sign in to use this feature

Start a new thread
There  are no threads in this forum
Nothing in this forum yet.