The Clinical Encounter pp 153-172 | Cite as
The Healing Relationship: The Architectonics of Clinical Medicine
Chapter
Abstract
In his devastating novel of the destructive force of human passion, the Spanish philosopher-novelist, Miguel de Unamuno y Jugo records this conversation between the painter, Abel Sanchez, and the doctor, Joaquin Monegro:
-
The habit of giving titles to paintings is peculiar to the literati; something like the doctor’s habit of giving names to diseases they can’t cure.
-
And whatever told you that the real purpose of medicine was to cure illnesses?
-
What is it, then?
-
Knowledge, a knowledge of disease. The end of all science is knowledge.
-
I had thought it was knowledge to cure. What use otherwise of having tasted the fruits of good and evil, if not to free ourselves of the evil?
-
And the end of art, what is it?
-
That is its own end; it contains its purpose. It is an object of beauty and that’s enough ([6], p. 366).
Keywords
Clinical Medicine Good Decision Biomedical Model General System Theory Healing Relationship
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.
Bibliography
- 1.Allen, D. et al.: 1980, Whole Person Medicine, Inter-Varsity Press, Downers Grove, Illinois.Google Scholar
- 2.Bayles, M.: 1979, ‘Physicians as Body Mechanics’, in J. Davis et al. (eds.), Contemporary Issues in Biomedical Ethics, Humana Press, Clifton, New Jersey.Google Scholar
- 3.Burnham, J.: 1982, ‘American Medicine’s Golden Age: What Happened to It?’ Science 215, 1474–1479.CrossRefGoogle Scholar
- 4.Caplan, A. J. et al. (eds.): 1981, Concepts of Health and Disease, Addison Wesley, Reading, Massachussets.Google Scholar
- 5.Constitution of the World Health Organization: 1958, Preamble: The First Ten Years of the World Health Organization, Geneva.Google Scholar
- 6.de Unamuno y Jugo, M.: 1976, Selected Works of Miguel de Unamuno, edited and annotated by A. Kerrigan and M. Nozick, Vol. 6, Novela/Nivola Series LXXXV 6, Princeton University Press, Princeton, New Jersey.Google Scholar
- 7.Edwards, P. (ed.): 1967, ‘The Good’, The Encyclopedia of Philosophy, Vol. 3, pp. 367–370. Free Press, New York.Google Scholar
- 8.Engel, G.: 1977, ‘The Need for a New Medical Model: A Challenge for Biomedicine’ Science 196, 129–136.CrossRefGoogle Scholar
- 9.Engel, G.: 1980, ‘The Clinical Application of the Biopsychosocial Model’, The v American Journal of Psychiatry 137 (May), 535–544.Google Scholar
- 10.Fabrega, H.: 1973, ‘Concepts of Disease: Logical Features and Social Implications’, Perspectives in Biology and Medicine 1 (Summer), 538–617.Google Scholar
- 11.Frankena, W. K.: 1963, Ethics, Prentice-Hall, Englewood Cliffs, New Jersey.Google Scholar
- 12.Gorovitz, S. and Maclntyre, A.: 1976, ‘Toward a Theory of Medical Fallibility’, Journal of Medicine and Philosophy 1 (March), 51–71.Google Scholar
- 13.Jacob, F.: 1982, The Possible and the Actual, University of Washington Press, Seattle and London.Google Scholar
- 14.Kass, L.: 1975, ‘Regarding the End of Medicine and the Pursuit of Health’, The Public Interest 40 (Summer), 11–42.Google Scholar
- 15.Kety, S.: 1974, ‘From Rationalization to Reason’, American Journal of Psychiatry 131, 957–963.Google Scholar
- 16.Nozick, R.: 1981, Philosophical Explanations, Belknap-Harvard University Press, Cambridge, Massachusetts.Google Scholar
- 17.Pellegrino, E.: 1976, ‘Philosophy and Medicine: Problematic and Potential’, Journal of Medicine and Philosophy 1 (March), 5–31.Google Scholar
- 18.Pellegrino, E.: 1979, ‘The Anatomy of Clinical Judgments: Some Notes on Right Reason and Right Action’, in H. T. Engelhardt, Jr. et al. (eds.), Ginical Judgment: A Critical Appraisal, D. Reidel, Dordrecht, pp. 169–194.Google Scholar
- 19.Pellegrino, E.: 1979, ‘Toward a Reconstruction of Medical Morality: The Primacy of the Act of Profession and the Fact of Illness’, Journal of Medicine and Philosophy 4 (March), 32–56.Google Scholar
- 20.Pellegrino, E.: 1980, Humanism and the Physician, University of Tennessee Press, Nashville.Google Scholar
- 21.Pellegrino, E. and Thomasma, D.: 1980, A Philosophical Basis of Medical Practice, Oxford University Press, New York.Google Scholar
- 22.Pellegrino, E.: 1980, ‘The Physician-Patient Relationship in Preventive Medicine: A Reply to Robert Dickman’, Journal of Medicine and Philosophy 5 (September), 208–212.Google Scholar
- 23.Pellegrino, E.: 1982, ‘The Ethics of Collective Judgments in Medicine and Health Care’, Editorial, Journal of Medicine and Philosophy 7 (March), 3–10.Google Scholar
- 24.Pellegrino, E.: forthcoming, ‘Biology and Public Administration: Some Touchstones Scrutinized’, Proceedings, Colloquium Series, C. W. Post Center, Long Island University, Greenvale, New York.Google Scholar
- 25.Pellegrino, E.: forthcoming, ‘Optimizing the Uses of Medical Knowledge’, Academy of Independent Scholars Symposium.Google Scholar
- 26.Pellegrino, E.: forthcoming, ‘Value Desiderata in Logical Structuring of Clinical Diagnosis’, in J. L. Peset et al. (eds.), Ethics of Diagnosis, D. Reidel, Dordrecht.Google Scholar
- 27.Sade, R.: 1971, ‘Medical Care as a Right: A Refutation’, New England Journal of Medicine 285 (December 2), 1288–1292.CrossRefGoogle Scholar
- 28.Seldin, D.: 1977, ‘The Medical Model: Biomedical Science as the Basis for Medicine’, Beyond Tomorrow, The Rockefeller University Press, New York.Google Scholar
- 29.Seldin, D.: 1981, ‘The Boundaries of Medicine’, Presidential Address, Transactions of the Association of American Physicians 94, 75–86.Google Scholar
- 30.Siegler, M.: 1981, ‘The Doctor-Patient Encounter and Its Relationship to Health and Disease’, in A. Caplan et al. (eds.), Concepts of Health and Disease, Addison Wesley, Reading, Massachussets, pp. 627–644.Google Scholar
- 31.Spicker, S. (ed.): 1970, The Philosophy of the Body, Quadrangle Books, Chicago.Google Scholar
- 32.Westberg, G.: 1979, Theological Roots of Wholistic Health Care, Wholistic Health Centers, Inc., Hinsdale, Illinois.Google Scholar
- 33.Whitbeck, C.: 1981, ‘A Theory of Health’, in A. Caplan et al. (eds.), Concepts of Health and Disease, Addison Wesley, Reading, Massachussets, pp. 611–626.Google Scholar
Copyright information
© D. Reidel Publishing Company 1983