Reflections on a new medical cosmology

Journal of Medical Ethics 28 (2):81-85 (2002)

Abstract
Since the nineteenth century the theory and practice of mainstream Western medicine has been grounded in the biomedical model. In the later years of the twentieth century, however, it has faced a range of serious problems, which when viewed collectively, remain unresolved despite a variety of responses. The question we now face is whether these problems can be dealt with by modifying and extending the principles underlying the biomedical model, or whether a more radical solution is required. Recent critiques of Western medicine have focused mainly on the biopsychosocial model in relation to the former approach, but it will be contended that this cannot deal adequately with the challenges that medicine currently faces, because although it addresses both the scientific and humanistic aspects of medicine it fails to harmonise them. I shall therefore argue for the necessity of a more radical approach, and suggest that what is required to accomplish this is the development of a new medical cosmology, rooted in an older and more global framework. Such a fundamental change would inevitably involve a long term process which it is not yet possible to fully comprehend let alone specify in detail. Some of the necessary features of such a new medical cosmology can, however, already be distinguished and the outline of these is described
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DOI 10.1136/jme.28.2.81
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References found in this work BETA

What Are Heart Attacks? Rethinking Some Aspects of Medical Knowledge.David Greaves - 1998 - Medicine, Healthcare and Philosophy 1 (2):133-141.

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Citations of this work BETA

Towards Precision Medicine; a New Biomedical Cosmology.M. W. Vegter - 2018 - Medicine, Health Care and Philosophy 21 (4):443-456.
Evidence-Based Medicine as Science.Joseph Vere & Barry Gibson - forthcoming - Journal of Evaluation in Clinical Practice.
Medicine and Literature: Writing and Reading.Gillie Bolton - 2005 - Journal of Evaluation in Clinical Practice 11 (2):171-179.

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