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American Medicine as Religious Practice: Care of the Sick as a Sacred Obligation and the Unholy Descent into Secularization

Abstract

Modern medicine serves a religious function for modern Americans as a conduit through which science can be applied directly to the human body. The first half of this paper will focus on the theoretical foundations for viewing medicine as a religious practice arguing that just as a hierarchical structured authoritarian church historically mediated access to God, contemporary Western medicine provides a conduit by which the universalizable truths of science can be applied to the human being thereby functioning as a new established religion. I will then illustrate the many parallels between medicine and religion through an analysis of rituals and symbols surrounding and embedded within the modern practice of medicine. This analysis will pay special attention to the primacy placed on secret interior knowledge of the human body. I will end by responding to the hope for a “secularization of American medicine,” exploring some of the negative consequences of secularization, and arguing that, rather than seeking to secularize, American medicine should strive to use its religious features to offer hope and healing to the sick, in keeping with its historically religious legacy.

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Notes

  1. MacIntyre’s virtue ethics are particularly applicable to medicine conceived of as a practice with internal goods.

  2. The fervor surrounding the creation versus evolution debate points to its religious significance for both sides. The intensity of the debate reveals not only the Fundamentalist religious principles of some Christian groups, but also the religious nature of science in our society. Even the common phrase “I believe in evolution,” rather than “I am convinced of evolution,” suggests a sort of religious or quasi-religious faith in the theory. The recent Jesus fish versus Darwin fish battle that was recently waged on bumpers across America jokingly highlights the religious nature of the debate. My own personal attachment to evolution is quite fervent despite a rather cursory understanding of the science supporting it. This flies in the face of my characteristically skeptical personality and leads me to suspect that there is more at stake for me in the evolution debate than the empiric validity of the claims. It is my belief that evolution is dear to us as a myth of origin for our scientific culture.

References

  • ACOG Practice Bulletin. (2005). Clinical Management Guidelines for Obstetrician-Gynecologists, Number 70, December 2005 (Replaces Practice Bulletin Number 62, May 2005). Intrapartum fetal heart rate monitoring. Obstetrics and Gynecology, 106(6), 1453–1460.

    Article  Google Scholar 

  • Amundsen, D. W., & Ferngren, G. B. (1997). The early Christian tradition. In R. L. Numbers & D. W. Amundsen (Eds.), Caring and curing: Health and medicine in the Western religious traditions (pp. 40–64). Baltimore, MD: The Johns Hopkins University Press.

    Google Scholar 

  • Annas, G. J., & Elias, S. (1999). Thalidomide and the Titanic: Reconstructing the technology tragedies of the twentieth century. American Journal of Public Health, 89(1), 98–101. doi:10.2105/AJPH.89.1.98.

    PubMed  CAS  Google Scholar 

  • Beal, T. (2008). Religion in America: A very short introduction. Oxford, UK: Oxford University Press.

    Google Scholar 

  • Blumhagen, D. W. (1979). The doctor’s white coat. Annals of Internal Medicine, 91(1), 111–116. doi:10.1059/0003-4819-91-1-111.

    PubMed  CAS  Google Scholar 

  • Branson, R. (1973). The secularization of American medicine. The Hastings Center Studies, 1(2), 17–28.

    Article  Google Scholar 

  • Carson, R. (2002). The hyphenated space: Liminality in the doctor–patient relationship. In R. Charon & M. Montello (Eds.), Stories matter: The role of narrative in medical ethics (pp. 171–182). New York, NY: Routledge.

    Google Scholar 

  • Chez, B. F., Harvey, M. G., & Harvey, C. J. (2000). Intrapartum fetal monitoring: Past, present, and future. The Journal of perinatal & neonatal nursing, 14(3), 1–18.

    CAS  Google Scholar 

  • Daniels, N. (2000). Is inequality bad for our health?. Boston: Beacon Press.

    Google Scholar 

  • Davis-Floyd, R. (1992). Birth as an American rite of passage. Berkeley: University of California Press.

    Google Scholar 

  • Dey, H. W. (2008). <i>Diaconiae</i>, <i>xenodochia</i>, <i>hospitalia</i> and monasteries: ‘social security’ and the meaning of monasticism in early medieval Rome. Early Medieval Europe, 16(4), 398–422. doi:10.1111/j.1468-0254.2008.00236.x.

    Article  Google Scholar 

  • Fadiman, A. (1998). The spirit catches you and you fall down: A Hmong child, her american doctors, and the collision of two cultures. New York: Farrar Straus and Giroux.

    Google Scholar 

  • Foucault, M. (2003). The birth of the clinic: An archaeology of medical perception (A. Sheridan, Tran.). London: Routledge.

  • Goodman, J., Mc Elligot, A., & Marks, L. (Eds.). (2003). Useful bodies: Humans in the service of medical science in the twentieth century. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Graham, E. M., Petersen, S. M., Christo, D. K., & Fox, H. E. (2006). Intrapartum electronic fetal heart rate monitoring and the prevention of perinatal brain injury. Obstetrics and Gynecology, 108(3 Pt 1), 656–666. doi:10.1097/01.AOG.0000230533.62760.ef.

    PubMed  Article  Google Scholar 

  • Harrison, M. (2001). The unborn patient: The art and science of fetal therapy (3rd ed.). Philadelphia: W.B. Saunders.

    Google Scholar 

  • Heisig, J. (1987). Symbolism. In M. Eliade & C. J. Adams (Eds.), The encyclopedia of religion. New York: Macmillan.

    Google Scholar 

  • Jones, V. A. (1999). The white coat: Why not follow suit? JAMA, 281(5), 478. doi:10.1001/jama.281.5.478.

    PubMed  Article  CAS  Google Scholar 

  • Konner, M. (1994). Medicine at the crossroads: The crisis in health care (1st ed.). New York: Vintage Books.

    Google Scholar 

  • MacIntyre, A. (1984). After virtue: A study in moral theory (2nd ed.). Notre Dame, IN: University of Notre Dame Press.

    Google Scholar 

  • McKeown, T. (1976). The role of medicine: Dream, mirage or nemesis?. London, UK: Nuffield Provincial Hospitals Trust.

    Google Scholar 

  • Numbers, R. L., & Amundsen, D. W. (Eds.). (1998). Caring and curing: Health and medicine in the western religious traditions. Baltimore, MD: Johns Hopkins University Press.

    Google Scholar 

  • Osler, W. (1937). Man’s redemption of man: An address delivered at the University of Edinburgh in July, 1910. New York: P. B. Hoeber Inc.

    Google Scholar 

  • Schifrin, B. (1989). Forward in Afriat. In C. I. Afriat & C. A. Menihan (Eds.), Electronic fetal monitoring. Rockville, MD: Aspen Publishers.

    Google Scholar 

  • Selzer, R. (1974). The surgeon as priest. In Mortal lessons (pp. 24–36). New York: Simon & Schuster.

  • Smith, H. (2001). Islam: A concise introduction. San Francisco: HarperSanFrancisco.

    Google Scholar 

  • Taylor, C. (2005). Modern social imaginaries (3rd ed.). Durham, NC: Duke University Press.

    Google Scholar 

  • Tercier, J. A. (2005). The contemporary deathbed: The ultimate rush. New York: Palgrave Macmillan. Language, discourse, society.

    Book  Google Scholar 

  • The Cochrane Collaboration. (1996). Cochrane database of systematic reviews. Chichester, UK: Wiley. Retrieved November 30, 2009, from http://www.cochrane.org/reviews/en/ab001451.html.

  • Toulmin, S. (1992). Cosmopolis: The hidden agenda of modernity. Chicago: University of Chicago Press. (University of Chicago Press ed.).

    Google Scholar 

  • Vanderpool, H. Y. (2008). The religious features of scientific medicine. Kennedy Institute of Ethics Journal, 18(3), 203–234. doi:10.1353/ken.0.0199.

    PubMed  Article  Google Scholar 

  • Wagner, M. (1998). The public health versus clinical approaches to maternity services: The emperor has no clothes. Journal of Public Health Policy, 19(1), 25–35.

    PubMed  Article  CAS  Google Scholar 

  • Weber, M. (1958). Science as a vocation. Daedalus, 87(1), 111–134.

    Google Scholar 

  • Winkler, M. G. (1989). Tragic figures: Thoughts on the visual arts and anatomy. Journal of Medical Humanities, 10(1), 5–12. doi:10.1007/BF01136376.

    PubMed  Article  CAS  Google Scholar 

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Correspondence to Margaret P. Wardlaw.

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Wardlaw, M.P. American Medicine as Religious Practice: Care of the Sick as a Sacred Obligation and the Unholy Descent into Secularization. J Relig Health 50, 62–74 (2011). https://doi.org/10.1007/s10943-010-9320-4

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  • DOI: https://doi.org/10.1007/s10943-010-9320-4

Keywords

  • Religion
  • Biomedicine
  • Symbolic meaning
  • Enlightenment