Advertisement

Culture, Medicine and Psychiatry

, Volume 6, Issue 3, pp 219–236 | Cite as

“Treat the patient, not the lab” Internal medicine and the concept of ‘Person’

  • Robert A. Hahn
Article

Abstract

In different medical systems, notions of person, as patient and as healer, vary widely. An analysis of the talk of a practitioner of internal medicine in the U.S.A. reveals an understanding of patients as syndromes. The work of medicine is ‘physiological integrity’, distinct from personal and interpersonal integrity. It is suggested that the world view of this practitioner is consistent with the institutions of medicine in which he practices, and with historical movements in U.S. society and Western civilization more broadly.

Keywords

Internal Medicine Medical System Western Civilization World View Historical Movement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anwar, Rebecca, David K. Wagner, and L. Bolinski 1981 A comparative Study of Residents in Emergency Medicine, Surgery, and Internal Medicine. Philadelphia: Division of Emergency Medicine, Medical College of Pennsylvania.Google Scholar
  2. Berger, Peter L. and Thomas Luckmann 1967 The Social Construction of Reality. New York: Doubleday.Google Scholar
  3. Bloomfield, Arthur L. 1959 Origins of the Term ‘Internal Medicine’. Journal of the American Medical Association 169: 14: 168–169.Google Scholar
  4. Brim, O. C., Jr. and S. Wheeler 1966 Socialization after Childhood. New York: Wiley.Google Scholar
  5. Dumont, Louis 1965 The Modern Conception of the Individual, Notes on Its Genesis. Contributions to Indian Sociology 8: 13–61.Google Scholar
  6. Engel, George L. 1977 The Need for a New Medical Model: A Challenge for Bio-Medicine. Science 196: 129–136.Google Scholar
  7. Giddens, Anthony 1976 New Rules of Sociological Method. New York: Basic.Google Scholar
  8. Godelier, Maurice 1978 Infrastructures, Societies, and History. Current Anthropology 19: 4: 763–771.Google Scholar
  9. Hahn, Robert A. 1973 Understanding Beliefs; an Essay on the Description and Analysis of Belief Systems. Current Anthropology 14: 207–229.Google Scholar
  10. Hahn, Robert A. and Arthur A. Kleinman 1981 Belief as Pathogen, Belief as Medicine: “Voodoo Death” and the ‘Placebo Phenomenon” in Anthropological Perspective. Paper read at Annual Meetings of The Society of Applied Anthropology, Edinburgh.Google Scholar
  11. Holzner, Burkhart and John H. Marx 1979 Knowledge Application. The Knowledge System in Society. Boston: Allyn and Bacon.Google Scholar
  12. Isselbacher, Kurt J. et al. 1980 Harrison's Principles of Internal Medicine. New York: McGraw Hill.Google Scholar
  13. Kleinman, Arthur A. 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.Google Scholar
  14. Manning, Peter K. and Horacio Faberga, Jr. 1973 The Experience of Self and Body: Health and Illness in the Chiapas Highlands. In Phenomenological Sociology. George Psathas (ed.), New York: Wiley, pp. 251–301.Google Scholar
  15. Needham, Rodney 1972 Belief, Language and Experience. Chicago: University of Chicago Press.Google Scholar
  16. Schneider, David 1977 Kinship, Nationality, and Religion in American Culture: Toward a Definition of Kinship. In Symbolic Anthropology. Janet L. Dolgin, D. S. Kemnitzer, and D. M. Schneider (eds.), New York: Columbia University Press, pp. 63–71.Google Scholar
  17. Stedman's Medical Dictionary 1976 Baltimore: Williams and Wilkins.Google Scholar
  18. Stern, H., and E. E. Cornwall (eds.) 1917 Transactions of the American Congress on Internal Medicine. First Scientific Session, New York, 1916. New York: Burr Printing House.Google Scholar
  19. Stevens, Rosemary 1971 American Medicine and the Public Interest. New Haven: Yale University Press.Google Scholar
  20. Strauss, Anselm (ed.) 1964 George Herbert Mead on Social Psychology. Chicago: University of Chicago Press.Google Scholar
  21. De Tocqueville, AlexisGoogle Scholar
  22. De Tocqueville, Alexis 1966 Democracy in America, Garden City, New York: Doubleday.Google Scholar
  23. Turner, Victor 1967 The Forest of Symbols. Ithaca, New York: Cornell University Press.Google Scholar

Copyright information

© D. Reidel Publishing Co 1982

Authors and Affiliations

  • Robert A. Hahn
    • 1
  1. 1.University of WashingtonUSA

Personalised recommendations