In the current era, evidence-based medicine and various supporting technologies dominate everyday clinical practice, according to a disease-centred, as opposed to patient-centred, approach. They have obviously improved the clinical management of diseases and it is therefore unreasonable to think of a medicine in which they are not considered fundamental. In fact, the strength of the new medicine should be to adapt scientific knowledge to a specific clinical case.
This book therefore looks at the prospect of a new 'person' centred medicine, which stands alongside the 'disease' and 'patient' centred medicine, which pays special attention to the subjectivity of scientific knowledge and the relationship between doctor and patient. It is important to emphasise that this book is written by several hands, i.e. by experts from different fields, doctors, philosophers, architects, sociologists, art critics, physicists and engineers. This is with the intention of providing as broad a perspective as possible on the doctor-patient relationship.
Due to its translational and multicultural approach to the subject, the book will be of interest to a wide readership, from medical experts to students, psychologists, philosophers and institutional actors.
Author(s): Alessandro Pingitor, Alffonso Maurizio Iacono
Series: New Paradigms in Healthcare
Publisher: Springer
Year: 2023
Language: English
Pages: 249
City: Cham
Preface
Contents
Part I: Between the Doctor and the Patient
Chapter 1: Between the Doctor and the Patient: History of the Relationship
Introduction
Prehistoric Times and Early Medicine
Mesopotamia and Egypt
Greeks and Romans
From Medieval Europe to 1800
The Development of a Patient-Centred Medicine
Conclusions
References
Chapter 2: The Relationship Between the Doctor and the Patient: The Ancient Conceptions of Philosophy as Medicine
Philosophy as Medicine
The Quadripartite Model of Medicine and the Therapeutic Goals of the Philosopher-Doctor
Treatment Methods and the Relationship Between Doctor and Patient
References
Chapter 3: Between the Doctor and the Patient: Origins of an Intermediate World
Plato’s Prisoners
Damasio and the Self That Comes to Mind
Put Yourself in the Place of Another and Yourself
Play and Change
The Multiple Realities and the Intermediate Worlds
The Copy and the Substitute
Multiple Realities and In-Between Worlds
References
Chapter 4: A Systemic Approach to Health and Disease: The Interaction of Individuals, Medicines, Cultures and Environments
Introduction
The Systemic Approach
The Biomedical Model of Health
The Eclipse of the Universal Subject and the Emergence of the Situated Subject
Micromacro and Macromicro
A Sociology of Chemical Processes?
The Organization of Work and Circadian Rhythms
Which Health Model? A Few Proposals
Conclusion
References
Chapter 5: The Ward as a Scene
Naturalisation of Roles: That of Doctor and Patient in the Ward
Sympathy
Empathic Imagination
Bibliography
Chapter 6: Between the Doctor and the Patient: The Role of the Unconscious in the Relationship
Introduction
Interpersonal Communication Skills and Relationship Contexts
Models of Doctor-Patient Relationship
The Role of Unconscious in the Doctor-Patient Relationship
Social Cognition: Theory of Mind
Social Cognition: Empathy
Brain Areas Involved in the Response to the Needs of the Patient
Conclusions and Future Directions
References
Chapter 7: The Medical Doing on the Person
Bibliography
Siteography
Chapter 8: Consent and Trust in the Doctor Patient Relationship
References
Chapter 9: Big Data and Precision Medicine
References
Chapter 10: Rehabilitation After a Disease: What Is “Normality” After an Invalidating Disease?
Suggested Reading
Part II: The Patient as a Person and the Disease
Chapter 11: Toward Patient Care: Integrative and Complementary Approaches
Introduction
History and Definitions
Self-Management and Patient Empowerment
Complementary Health Approaches: An Intermingled Connection Between Mind, Body, and Spirituality
Discussion
References
Chapter 12: Human Complexity: A Symphony of Vital Rhythms
Introduction
The Subconscious Mind
Self-Organization of Rhythms
Crucial Events
Three Forms of Complexity and 1/f Noise
Complex Rhythms
Autonomic Neuropathy
Meditation
Top-Down or Bottom-Up Approach to Consciousness?
Caring Versus Curing
Therapies for Both Parkinson and Alzheimer
Conclusions
Group Mind
Einstein’s Legacy
A New Approach to Quantum Mechanics
Bounded Rationality
Autopoiesis
References
Chapter 13: Spirituality in Medicine: A New Dimension in the Light of a Millennial Tradition
Introduction
Spirituality, Contemplative Practices and Science
The Illness, the Treatment, the Death, the Compassion in the Buddhist Tradition
The New Dimension of Spirituality in the Relationship of Cure
The Institutional Context
The Individual Context
Conclusions
References
Chapter 14: The Body of Descartes and Humanism in Medicine
The Body and the Mechanistic Theory of Nature
The Body and Soul of Descartes
Reduction of Complexity
Cartesian Distinction Between Machines, Animals and Men
Language and Reason Outside the Body
The Language
The Mind and Language Excluded from Corporeality
Biomedical Model and Its Evolution
Humanistic Medicine in the Context of a Model of New Medicine
Conclusion
References
Chapter 15: The History of Narrative Medicine: A Way to Know the Patient Dimension Between Apollonian and Dionysian
The Here and Now
The Patient Dimension
The Mythos and Reinforcement of Human Qualities in Pandemic Ages
References
Chapter 16: To Care for a Patient as a Person: Emotional Architecture of the Environment
Hospital as a Social Architecture
Quality of Spaces and Soft Qualities
Finishing Materials and Furniture
Wayfinding and Orientation
Green Spaces and Healing Gardens
Users’ Comfort and Indoor Air Quality (IAQ)
Design for All
New Perspectives for Increasingly Healing Hospitals
References
Chapter 17: Beauty Saves. Culture Cures
Classical vs Conceptual Art: From Aesthetic Perceptive Experiences to Ecstatic Sharing
The Historical Avant-Gardes: Anti-Beauty That Generates Pleasure
Present-Day Museology: Include, Empower, Cure, and Spread a Sense of Well-Being
Curing the Soul: Museotherapy and the Search of Self
Chapter 18: An Integrated and Systemic Approach to the Patient: Beyond Evidence Based Medicine
Healthcare and Patient Centeredness
My Personal Experience of Relationships with Sick People
References
Chapter 19: Medicine: The Science In-Between
References
Chapter 20: A Dialogue Between a Philosopher and a Doctor
Pingitore
Iacono
Pingitore
Iacono
Pingitore
Iacono
Pingitore
Iacono
Pingitore
Iacono
Pingitore
Iacono
Conclusion
Bibliography
