In the final year of CauseHealth, we have been working on a new book written specifically for clinicians and other healthcare professionals. The book is meant as a resource for those interested in the relationship between their daily practice and the philosophical assumptions that motivate this practice. (more…)
by Stephen Mumford
Unless we are extremely lucky, we have all been patients within a health system. I now also theorize about it. It might be that the Cause Health project immediately resonated with me because of my own early experiences. (more…)
CauseHealth is pleased to announce “Towards a Person Centered Healthcare and Practice” – a conference on philosophy, persons and value. This event is in memory of our friend and CauseHealth collaborator, Stephen Tyreman.
by Stephen Tyreman
This is an extract from a recent article written by Stephen Tyreman for the International Journal of Osteopathic Medicine. The full text can be found here.
Understanding what person-centred means is much more complex and multi-factorial than I once assumed. It is not merely a question of considering a person’s individual needs and concerns and putting them first. It is recognising that human beings face up to the challenge of illness, pain and disability differently from how we might understand and seek to correct a fault in a car, say. (more…)
Rani Lill Anjum
The evidence-based medicine movement was intended as a methodological revolution. Its proponents suggested the best way to establish the effectiveness of treatment and new criteria to choose between available treatments without bias. Philosophically, however, these changes were not so innocent, at least not ontologically speaking. In bringing itself closer to science, medicine has become less suitable for dealing with complex illnesses, individual variations and, as I will argue, with causation in general. (more…)
Author Wenche Schrøder Bjorbækmo
(#4 in the Whole Person reflections series)
The test’s glasses and blind spots – seen through the confession and experience of a tester. (more…)
Written by Bente Prytz Mjølstad
(#3 of the Whole Person reflections series)
Have you ever thought about whether your regular GP knows more about you than your blood pressure or cholesterol levels? If so, might such knowledge be of any medical relevance?
Most of us visit our regular GP once or twice a year for more or less trivial complaints, and you are probably most interested in the GPs medical skills, and not so concerned about whether the doctor knows you as person or not. However, if you got seriously ill or had a chronic illness, would it still not matter? (more…)
Author Anna Luise Kirkengen
(#2 of the Whole Person reflections series)
What if one would weave a text by means of threads coloured by the recent topics of the on-going CauseHealth project. One thread would be causality, and how it is understood and applied in current biomedicine. Another would be ontology in the sense of how a human being and the human body is conceptualised in medicine and how this concept underpins the Western health care systems. A third thread would be methodology, and how the predominant methods for knowledge production, group based, randomised trials often including thousands of patients, might be radically challenged by the concept of N=1. A fourth thread would be stories in the sense of biographies before a person fell ill, and stories in the sense of testimonies of being ill – and how these have been systematically avoided as possible source of contamination in medical knowledge production. A fifth thread would then be knowledge condensates as these have grown both in number and normativity in the shape of clinical guidelines in all medical specialties during the latest years. Together, these threads can form quite different pictures, dependent on the frame applied. (more…)
by Elena Rocca
One idea promoted by CauseHealth is that, when evaluating evidence, pre-existing theoretical frameworks count as much as the data. For instance, data from a certain trial assume a particular significance depending on the general background theoretical understanding we have when we interpret them. In this new CauseHealth article, Elena Rocca and Fredrik Andersen show that, when evaluating health risks related to the use of genetically modified plants in agriculture, different ontological starting points play an essential role for the final risk evaluation. (more…)
Author Brian Broom
(#1 of the Whole Person reflections series)
How is it possible to be whole person-oriented and still feel that our work is manageable? Surely, we can’t be all things to all people? (more…)