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

Volumn 15, Issue 6, 2009, Pages 941-949

  Miles, Andrew ^a  

^a UNIVERSITY OF BUCKINGHAM   (United Kingdom)

Author keywords

Art and science of medicine; Biomedical paradigm; Biomedicalism; Clinical judgement; Complexity; Evidence based medicine; Faith; Intuition; Medicine; Medicine of the whole person; Misrepresentation; Personalized medicine; Phronesis; Positivism; Rationality

Indexed keywords

CLINICAL PRACTICE; CONFERENCE PAPER; EVIDENCE BASED MEDICINE; GENERAL PRACTITIONER; HOLISTIC CARE; KNOWLEDGE; MEDICINE; PATIENT CARE; PRIORITY JOURNAL;

CLINICAL COMPETENCE; DECISION MAKING; ETHICS, MEDICAL; EVIDENCE-BASED MEDICINE; HOLISTIC HEALTH; HUMANS; PHILOSOPHY, MEDICAL; SCIENCE;

EID: 73549125249     PISSN: 13561294     EISSN: 13652753     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2009.01354.x     Document Type: Conference Paper

References (80)

1. Denzinger, H. J. D. (2009) Enchiridion Symbolorum, Definitionum et Declarationum de Rebus Fidei et Morum. The Source of Catholic Dogma (Trans. R. Defferrari). Abingdon : Southwell Books.
2. Montgomery, K. (2006) How Doctors Think. Clinical Judgement and the Practice of Medicine. Oxford : Oxford University Press.
3. 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.
4. Oxford English Dictionary (2006) Oxford English Dictionary. Oxford : Oxford University Press.
5. Porter, R. (1999) The Greatest Benefit to Mankind. SA Medical History of Humanity from Antiquity to the Present. London : Fontana Press.
6. Porter, R. (2006) The Cambridge History of Medicine. Cambridge : Cambridge University Press.
7. Le Fanu, J. (2000) The Rise and Fall of Modern Medicine. New York : Carroll & Graf.
8. Miles, A. (2009) Complexity in medicine and healthcare: people and systems, theory and practice. Journal of Evaluation in Clinical Practice, 15, 409 410.
9. Polychronis, A., Bentley, D. P. Miles, A. (1996) Evidence-based medicine: Reference? Dogma? Neologism? New Orthodoxy? Journal of Evaluation in Clinical Practice, 2, 1 3.
10. Miles, A., Bentley, D. P., Polychronis, A. Grey, J. E. (1997) The limits of evidence-based medicine. Journal of Evaluation in Clinical Practice, 3, 83 86.
11. Miles, A., Bentley, D. P., Polychronis, A. Grey, J. E. (1997) Evidence-based medicine: why all the fuss? This is why. Journal of Evaluation in Clinical Practice, 3, 83 86.
12. Miles, A., Bentley, D. P., Polychronis, A., Grey, J. E. Price, N. (1998) Recent progress in health services research: on the need for evidence-based debate. Journal of Evaluation in Clinical Practice, 4, 257 265.
13. Miles, A., Bentley, D. P., Polychronis, A., Grey, J. E. Price, N. (1999) Advancing the evidence-based healthcare debate. Journal of Evaluation in Clinical Practice, 5, 97 101.
14. Miles, A., Charlton, B. G., Bentley, D. P., Polychronis, A. Grey, J. E. (2000) New perspectives in the evidence-based healthcare debate. Journal of Evaluation in Clinical Practice, 6, 77 84.
15. Miles, A., Charlton, B. G., Bentley, D. P., Polychronis, A., Grey, J. E. Melchiorri, C. (2001) Recent developments in the evidence-based healthcare debate. Journal of Evaluation in Clinical Practice, 7, 85 89.
16. Miles, A., Grey, J. E., Polychronis, A. Melchiorri, C. (2002) Critical advances in the evaluation and development of clinical care. Journal of Evaluation in Clinical Practice, 8, 87 102.
17. Miles, A., Grey, J. E., Polychronis, A., Price, N. Melchiorri, C. (2003) Current thinking in the evidence-based healthcare debate. Journal of Evaluation in Clinical Practice, 9, 95 109.
18. Miles, A., Grey, J. E., Polychronis, A., Price, N. Melchiorri, C. (2004) Developments in the evidence-based healthcare debate - 2004. Journal of Evaluation in Clinical Practice, 10, 129 142.
19. Miles, A., Polychronis, A., Grey, J. E. Melchiorri, C. (2006) The evidence-based health care debate - 2006. Where are we now? Journal of Evaluation in Clinical Practice, 12, 239 247.
20. Miles, A. Loughlin, M. (2006) The progress and price of EBM. Journal of Evaluation in Clinical Practice, 12, 385 398.
21. Miles, A., Loughlin, M. Polychronis, A. (2007) Medicine and evidence: knowledge and action in clinical practice. Journal of Evaluation in Clinical Practice, 13, 481 503.
22. Miles, A., Loughlin, M. Polychronis, A. (2008) Evidence-based healthcare, clinical knowledge and the rise of personalised medicine. Journal of Evaluation in Clinical Practice, 14, 621 649.
23. Baer, H. A. Coulter, I. (2008) Taking stock of integrative medicine: broadening biomedicine or co-option of complementary and alternative medicine? Health Psychology Review, 17, 31 341.
24. Gordon, J. (2005) Medical humanities: to cure sometimes, to relieve often, to comfort always. Medical Journal of Australia, 182, 5 8.
25. Silva, S. Wyer, P. (2009) Where is the wisdom? II - Evidence-based medicine and the epistemological crisis in clinical medicine. Exposition and commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158-168. Journal of Evaluation in Clinical Practice, 15, 899 906.
26. 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.
27. Leggett, J. M. (1997) Medical scientism: good practice or fatal error? Journal of the Royal Society of Medicine, 90, 97 101.
28. Sorell, T. (1991) Scientism: Philosophy and the Infatuation with Science. London : Routledge.
29. Haack, S. (2003) Defending Science - Within Reason. Between Scientism and Cynicism. New York : Prometheus Books.
30. Hayek, F. A. (1952) The Counter-Revolution of Science: Studies on the Abuse of Reason. Glencoe, IL : The Free Press.
31. Ryder, M. (2005) Scientism. In Encyclopaedia of Science, Technology and Ethics, 3rd edn Detroit, MI : Macmillan Reference Books.
32. Comte, A. (1851) A General View on Positivism English Translation). Paris : Robert Speller and Sons.
33. Comte, A. (1868) The Positive Polity (Trans. H. Martineau). New York : William Gowans.
34. Zilsel, E. (1945) The genesis of the concept of scientific progress. Journal of History of Ideas, 6, 325 337.
35. Elzinga, A. (1984) Scientism, romanticism and social realist images of science. In Essays on Scientism, Romanticism and Social Realist Images of Science. Goteborg : Goteborg University, Institutionen for Vetenskapsteori. June 1984, Report No 143. Chapter 1, pp. 1 49.
36. Marcuse, H. (1968) In Reason and Revolution: Hegel and the Rise of Social Theory, 2nd edn London : Routledge & Kegan Paul.
37. Peterson, G. R. (2003) Demarcation and the scientistic fallacy. Zygon: Journal of Religion and Science, 38, 751 761.
38. Rustum, R. (2005) Scientism and technology as religions. Zygon: Journal of Religion and Science, 40, 835 844.
39. Monastra, G. Zarandi, M. M. (2003) Science and the myth of progress. In Encyclopaedia of Science and Religion, 2nd edn (eds J. Wentzel V. van Huyssteen pp. 783 793. Detroit, MI : Thomson Gale.
40. Whewell, W. (1847) The Philosophy of the Inductive Sciences. Volumes I & II. London : John W. Parker.
41. Dawkins, R. (1976) The Selfish Gene. New York : Oxford University Press.
42. McGrath, A. McGrath, J. C. (2007) The Dawkins Delusion? Atheist Fundamentalism and the Denial of the Divine. London : SPCK.
43. Holmes, D., Murray, S. J., Perron, A. Rail, G. (2006) Deconstructing the evidence-based discourse in health sciences: truth, power and fascism. International Journal of Evidence-Based Healthcare, 4, 180 186.
44. Murray, S. J., Holmes, D., Perron, A. Rail, G. (2007) No exit? Intellectual integrity under the regime of 'evidence' and 'best practices'. Journal of Evaluation in Clinical Practice, 13, 512 516.
45. Malterud, K. (1995) The legitimacy of clinical knowledge: towards a medical epistemology embracing the art of medicine. Theoretical Medicine, 16, 183 198.
46. Malterud, K. (2001) The art and science of clinical knowledge: beyond measures and numbers. Lancet, 358, 397 399.
47. Malterud, K. (2002) Reflexivity and metapositions: strategies for the appraisal of clinical evidence. Journal of Evaluation in Clinical Practice, 8, 121 126.
48. Malterud, K. (2006) The social construction of clinical knowledge - the context of culture and discourse. Journal of Evaluation in Clinical Practice, 12, 292 295.
49. Horton, R. (1995) The interpretative turn. Lancet, 346, 3.
50. Miles, A. (2008) Evidence for practice and the authority of experts: there can be no former without the latter: a commentary on Nunn (2008). Journal of Evaluation in Clinical Practice, 14, 679 681.
51. Tobin, M. J. (2008) Counterpoint: evidence-based medicine lacks a sound scientific base. Chest, 133, 1071 1074.
52. Tobin, M. J. (2008) Rebuttal from Dr. Tobin. Chest, 133, 1076 1077.
53. Loughlin, M. (2008) Framing the EBM debate: a commentary on Saad. Journal of Evaluation in Clinical Practice, 14, 653 655.
54. Fitzpatrick, M. (2000) The Tyranny of Health: Doctors and the Regulation of Lifestyle. London : Routledge.
55. Djulbegovic, B., Guyatt, G. H. Ashcroft, R. E. (2009) Epistemological inquiries in evidence-based medicine. Cancer Control, 16, 158 168.
56. Miles, A. (2009) Evidence-based medicine. Requiescat in pace? Journal of Evaluation in Clinical Practice, 15, 924 929.
57. Tonelli, M. (2009) A late and shifting foundation: a commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158-168. Journal of Evaluation in Clinical Practice, 15, 907 909.
58. Loughlin, M. (2009) The search for substance: a quest for the identity-conditions of evidence-based medicine and some comments on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158-168. Journal of Evaluation in Clinical Practice, 15, 910 914.
59. Tanenbaum, S. (2009) More of the same: a commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158-168. Journal of Evaluation in Clinical Practice, 15, 915 916.
60. Sturmberg, J. (2009) EBM: a narrow and obsessive methodology that fails to meet the knowledge needs of a complex adaptive clinical world: a commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158-168. Journal of Evaluation in Clinical Practice, 15, 917 923.
61. Charlton, B. G. (2009) The Zombie science of evidence-based medicine (EBM): a personal retrospective. Journal of Evaluation in Clinical Practice, 15, 930 934.
62. Weatherall, D. J. (2004) Scientific method and the art of healing. In The Oxford Textbook of Medicine, 4th edn (Eds. D. A. Warrell, T. M. Cox, J. D. Firth E. J. Benz, Jr. pp. 10 13. Volume I. Oxford : Oxford University Press.
63. Lesko, L. (2007) Personalised medicine: elusive dream or imminent reality? Clinical Pharmacology and Therapeutics, 81, 807 816.
64. Scheurich, N. (2003) Reconsidering spirituality and medicine. Academic Medicine, 78, 356 360.
65. Tournier, P. (1957) The Meaning of Persons - Reflections on A Psychiatrists Casebook. London : SCM Press.
66. Tournier, P. (1954) A Doctor's Casebook in the Light of the Bible. London : SCM Press.
67. Zimowski, Z. (2009) Health care ministry more than bringing communion. Available at: http://www.zenit.org/article-27346?1=english (last accessed 27 October 2009).
68. Puchalski, C. M. (2009) Ethical concerns and boundaries in spirituality and health. Virtual Mentor, 11, 804 806.
69. Karff, S. E. (2009) Recognising the mind/body/spirit connection in medical care. Virtual Mentor, 11, 788 792.
70. Engel, G. (1977) The need for a new medical model: a challenge for biomedicine. Science, 196 (4286 129 136.
71. Suchman, A. L. Matthews, D. A. (1988) What makes the patient-doctor relationship therapeutic? Exploring the connectional dimension of medical care. Annals of Internal Medicine, 108, 125 130.
72. Ross, L. (1997) Nurses' Perceptions of Spiritual Care. Aldershot : Avebury.
73. Downie, R. S. Mcnaughton, J. (2000) Clinical Judgement: Evidence in Practice. Oxford : Oxford University Press.
74. Groopman, J. (2007) How Doctors Think. New York : Houghton Mifflin Company.
75. Charon, R. (2006) Narrative Medicine: Honoring the Stories of Illness. New York : Oxford University Press.
76. Goyal, R. K., Charon, R., Lekas, H.-M., Fullilove, M. T., Devlin, M.-J., Falzon, L. Wyer, P. C. (2008) A local habitation and a name: how narrative evidence-based medicine transforms the translational research paradigm. Journal of Evaluation in Clinical Practice, 14, 732 741.
77. Rosenberg, W. M. C. Donald, A. (1995) Evidence-based medicine: an approach to clinical problem solving. British Medical Journal, 310, 1122 1126.
78. Black, D. (1998) The limitations of evidence. Journal of the Royal College of Physicians of London, 32, 23 26. (Pubitemid 128463910)
79. Tournier, P. (1986) A Listening Ear: Fifty Years As A Doctor of the Whole Person. Texts Selected by Charles Piguet. Sevenoaks : Hodder and Stoughton.
80. Battista, R. N., Hodge, M. J. Veneis, P. (1995) Medicine, practice and guidelines: the uneasy juncture of science and art. Journal of Clinical Epidemiology, 48, 875 880.