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Mind and Body as Metaphors: Hidden Values in Biomedicine

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Biomedicine Examined

Part of the book series: Culture, Illness and Healing ((CIHE,volume 13))

Abstract

Although Western medicine has often been characterized, and criticized, as dualistic and reductionistic, contemporary biomedical physicians are largely unconcerned with the metaphysical “world-knot” of the mind-body problem. Science seems to be slowly untangling this knot, offering a multitude of empirical correspondances between physiology and behaviour that constrain philosophical speculation. Modern biology explains mindful action as an emergent property of the hierarchical organization of the nervous system. A more sophisticated version of this materialism recognizes that mind and consciousness are not simply functions of the isolated nervous system but can be better understood as emergent properties of social systems, that is, of interactions between many individual organisms (Bateson 1979; Harré 1984). However, biology leaves unexplored an aspect of the mind-body problem that is essentially ethical. This residual mind-body problem occurs because mind and body symbolize contrasting poles in human experience: the voluntary or intentional and the involuntary or accidental. It is because the contrast between willful action and impersonal accident is central to both the private sense of self and the public concept of the person that mind-body dualism persists in Western thinking about morally significant events like sickness and disability.

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References

  • Ackernecht, E.H. 1982 The History of Psychosomatic Medicine. Psychological Medicine 12:17–24.

    Google Scholar 

  • American Psychiatric Association 1980 Diagnostic and Statistical Manual, Edition III. Washington: American Psychiatric Association.

    Google Scholar 

  • Averiii, J. 1974 An Analysis of Psychophysiological Symbolism and its Influence on Theories of Emotion. Journal for the Theory of Social Behavior 4:147–190.

    Google Scholar 

  • Bateson, G. 1979 Mind and Nature: A Necessary Unity. New York: Dutton.

    Google Scholar 

  • Beckman, H.B. and Frankel, R.M. 1984 The Effect of Physician Behavior on the Collection of Data. Annals of Internal Medicine 101:692–696.

    Google Scholar 

  • Belenky, M.F., Clinchy, B.M., Goldberger, N.R. and Tarule, J.M. 1986 Women’s Ways of Knowing. New York: Basic Books.

    Google Scholar 

  • Blackwell, B. 1967 Upper Middle Class Adult Expectations about Entering the Sick Role for Physical and Psychiatric Dysfunctions. Journal of Health and Social Behavior 8:83–95.

    Google Scholar 

  • Bloor, D. 1982 Durkheim and Mauss Revisited: Classification and the Sociology of Knowledge. Studies of the History and Philosophy of Science 13:267–297.

    Google Scholar 

  • Carrithers, M., Collins, S. and Lukes, S. (eds.) 1985 The Category of the Person. Cambridge: Cambridge University Press.

    Google Scholar 

  • Cassell, E.J. 1982 The Nature of Suffering and the Goals of Medicine. New England Journal of Medicine 306:634–645.

    Google Scholar 

  • Chodoff, P. 1982 Hysteria and Women. American Journal of Psychiatry 139:545–551.

    Google Scholar 

  • Cobb, S. 1957 Monism and Psychosomatic Medicine. Psychosomatic Medicine 19:177–78.

    Google Scholar 

  • Corballis, M. 1980 Laterality and Myth. American Psychologist 35:284–295.

    Google Scholar 

  • Dearing, B. 1980 Aequanimitas Revisited: Personal and Professional Styles of Physicians. Man and Medicine 5:139–148.

    Google Scholar 

  • DeVos, G. 1985 Dimensions of the Self in Japanese Culture. In A.J. Marsella, G. DeVos and F.L.K. Hsu (eds.), Culture and Self. Pp. 141–184. New York: Tavistock Publications.

    Google Scholar 

  • Doi, T. 1973 The Anatomy of Dependence. Tokyo: Koadansha International.

    Google Scholar 

  • Durkheim, E. 1973 The Dualism of Human Nature and its Social Consequences. In R.N. Bellah (ed.), Emile Durkheim on Morality and Society. Pp. 149–163. Chicago: University of Chicago Press.

    Google Scholar 

  • Durkheim, E. and Mauss, M. 1963 Primitive Classification. Chicago: University of Chicago Press.

    Google Scholar 

  • Engel, G.L. 1970 Conversion Symptoms. In C.M. MacBryde and R.S. Blacklow (eds.), Signs and Symptoms: Applied Pathologic Physiology and Clinical Interpretation (5th edition). Pp. 650–668. Philadelphia: Lippincott.

    Google Scholar 

  • Engel, G.L. 1977 The Need for a New Medical Model: A Challenge for Biomedicine. Science 196:129–136.

    Google Scholar 

  • Eisenberg, L. 1977 Disease and Illness: Distinctions Between Professional and Popular Ideas of Sickness. Culture, Medicine and Psychiatry 1:9–24.

    Google Scholar 

  • Fischer-Homberger, E. 1979 On the Medical History of the Doctrine of Imagination. Psychological Medicine 9:619–628.

    Google Scholar 

  • Fortenbaugh, W.W. 1975 Aristotle on Emotion. London: Duckworth.

    Google Scholar 

  • Gellner, E. 1985 The Psychoanalytic Movement. London: Paladin Books.

    Google Scholar 

  • Gentner, D. 1985 The Evolution of Mental Metaphors in Psychology: A 90-year Retrospective. American Psychologist 40:181–192.

    Google Scholar 

  • Gergen, K.J. and Davis, K.E. (eds.) 1985 The Social Construction of the Person. New York: Springer-Verlag.

    Google Scholar 

  • Gilligan, C. 1982 In a Different Voice. Cambridge: Harvard University Press.

    Google Scholar 

  • Goldstein, R. 1983 The Mind-Body Problem: A Novel. New York: Random House. Greenhill, M.H.

    Google Scholar 

  • Goldstein, R. 1977 The Development of Liaison Programs. In G. Usdin (ed.), Psychiatric Medicine. Pp. 115–191. New York: Brunner/Mazel.

    Google Scholar 

  • Groddeck, G. 1949 The Book of the It. New York: Random House.

    Google Scholar 

  • Hahn, R.A. 1985a A World of Internal Medicine. In R.A. Hahn and A.D. Gaines (eds.), Physicians of Western Medicine. Pp. 51–111. Dordrecht, Holland: D. Reidel.

    Google Scholar 

  • Hahn, R.A. 1985b Between Two Worlds: Physicians as Patients. Medical Anthropology Quarterly 16:87–98.

    Google Scholar 

  • Hankins, T.L. 1985 Science and the Enlightenment. Cambridge: Cambridge University Press.

    Google Scholar 

  • Harding, S. and Hintikka, M.B. (eds.) 1983 Discovering Reality. Dordrecht, Holland: D. Reidel.

    Google Scholar 

  • Harré, R. 1984 Social Elements as Mind. British Journal of Medical Psychology 57:127–135.

    Google Scholar 

  • Hertz, R. 1973 The Pre-Eminence of the Right Hand: A Study in Religious Polarity. In R. Needham (ed.), Right and Left: Essays on Dual Symbolic Classification. Pp. 3–31. Chicago: University of Chicago Press.

    Google Scholar 

  • Hesse, M. 1978 Theory and Value in the Social Sciences. In C. Hookway and P. Pettit (eds.), Action and Interpretation. Pp. 1–16. Cambridge: Cambridge University Press.

    Google Scholar 

  • Hsu, F.L.K. 1971 Psychological Homeostasis and Jen: Concepts for Advancing Psychological Anthropology. American Anthropologist 73:23–41.

    Google Scholar 

  • Hudson, L. 1972 The Cult of the Fact. New York: Harper & Row.

    Google Scholar 

  • Hyler, S. and Spitzer, R. 1978 Hysteria Split Asunder. American Journal of Psychiatry 135:1500–1504.

    Google Scholar 

  • Jones, M.M. 1980 Conversion Reaction: Anachronism or Evolutionary Form? A Review of the Neurological, Behavioral and Psychoanalytic Literature. Psychological Bulletin 87:427–441.

    Google Scholar 

  • Keller, E.F. 1985 Reflections on Gender and Science. New Haven: Yale University Press.

    Google Scholar 

  • Kirmayer, L.J. 1986 Somatization and the Social Construction of Illness Experience. In S. McHugh and T.M. Vallis (eds.), Illness Behavior: A Multidisciplinary Model. Pp. 111–133. New York: Plenum Press.

    Google Scholar 

  • Kirmayer, L.J. 1987 Languages of Suffering and Healing: Alexithymia as a Social and Cultural Process. Transcultural Psychiatric Research Review 24:120–136.

    Google Scholar 

  • Kleinman, A. and Kleinman, J. 1985 Somatization: The Interconnections Among Culture, Depressive Experiences, and the Meanings of Pain. A Study in Chinese Society. In A. Kleinman and B. Good (eds.), Culture and Depression. Pp. 429–490. Berkeley: University of California Press.

    Google Scholar 

  • Lakoff, G. and Johnson, M. 1980 Metaphors We Live By. Chicago: University of Chicago Press.

    Google Scholar 

  • Lange, L. 1983 Woman is Not a Rational Animal: On Aristotle’s Biology of Reproduction. In S. Harding and M.B. Hintikka (eds.), Discovering Reality. Pp. 1–16. Dordrecht, Holland: D. Reidel.

    Google Scholar 

  • Lipowski, Z.J. 1984 What Does the Word “Psychosomatic” Really Mean? A Historical and Semantic Inquiry. Psychosomatic Medicine 46:153–171.

    Google Scholar 

  • Lloyd, G. 1964 The Hot and the Cold, the Dry and the Wet in Greek Philosophy. Journal of Hellenic Studies 84:92–106.

    Google Scholar 

  • Lloyd, G. 1973 Right and Left in Greek Philosophy. In R. Needham (ed.), Right and Left: Essays on Dual Symbolic Classification. Pp. 167–186. Chicago: University of Chicago Press.

    Google Scholar 

  • Lock, M. 1987 Protests of a Good Wife and a Wise Mother: The Medicalization of Distress in modern Japan. In E. Norbeck and M. Lock (eds.), Health, Illness and Medical Care in Japan: Continuity and Change. Pp. 130–157. Honolulu: University of Hawaii Press.

    Google Scholar 

  • MacLean, P.D. 1949 Psychosomatic Disease and the “Visceral Brain.” Recent Developments Bearing on the Papez theory of Emotion. Psychosomatic Medicine 11:338–353.

    Google Scholar 

  • Margetts, E.L. 1950 The Early History of the Word “Psychosomatic.” Canadian Medical Association Journal 63:402–404.

    Google Scholar 

  • Marsella, A.J., DeVos, G. and Hsu, F.L.K, (eds.) 1985 Culture and Self. New York: Tavistock Publications.

    Google Scholar 

  • Mauss, M. 1979 Sociology and Psychology. London: Routledge & Kegan Paul.

    Google Scholar 

  • Mechanic, D. 1972 Social Psychological Factors Affecting the Presentation of Bodily Complaints. New England Journal of Medicine 286:1132–39.

    Google Scholar 

  • Merskey, H. 1982 The Analysis of Hysteria. London: Balliere Tindall.

    Google Scholar 

  • Mishler, E.G. 1985 The Discourse of Medicine. New Jersey: Ablex Publishing Company.

    Google Scholar 

  • Needham, R. 1979 Symbolic Classification. Santa Monica: Goodyear Publishing Company.

    Google Scholar 

  • Needham, R. 1985 Exemplars. Berkeley: University of California Press.

    Google Scholar 

  • Needleman, J. 1985 The Way of the Physician. New York: W.W. Norton.

    Google Scholar 

  • Osherson, S. and AmaraSiugham, L. 1981 The Machine Metaphor in Medicine. In E. Mishler, G. Mishler, L. AmaraSignham, et al. Social Contexts of Health, Illness and Patient Care. Pp. 218–249. New York: Cambridge University Press.

    Google Scholar 

  • Osler, W. 1928 Aequanimitas, 2nd edition. London: H.K. Lewis.

    Google Scholar 

  • Papez, J.W. 1937 A Proposed Mechanism of Emotion. Archives of Neurology 38:725–743.

    Google Scholar 

  • Parsons, T. 1951 The Social System. Glencoe, Ill: The Free Press.

    Google Scholar 

  • Perelman, C. 1982 The Realm of Rhetoric. Notre Dame, Indiana: University of Notre Dame Press.

    Google Scholar 

  • Phillips, J.A. 1984 Eve: The History of an Idea. San Francisco: Harper & Row.

    Google Scholar 

  • Reiser, M.F. 1985 Mind, Brain and Body. New York: Basic Books.

    Google Scholar 

  • Roy, A. (ed.) 1982 Hysteria. New York: John Wiley & Sons.

    Google Scholar 

  • Ruesch, J. 1948 The Infantile Personality: The Core Problem of Psychosomatic Medicine. Psychosomatic Medicine 10:134–144.

    Google Scholar 

  • Russell, J.A. 1979 Affective Space is Bipolar. Journal of Personality and Social Psychology 37:345–356.

    Google Scholar 

  • Schneiria, T.C. 1959 An Evolutionary and Developmental Theory of Biphasic Processes Underlying Approach and Withdrawal. In M.R. Jones (ed.), Nebraska Symposium on Motivation (Vol. 7). Pp. 1–42. Lincoln: University of Nebraska Press.

    Google Scholar 

  • Schwartz, G.E. 1982 Testing the Biopsychosocial Model: The Ultimate Challenge Facing Behavioral Medicine. Journal of Consulting and Clinical Psychology 50:795–796.

    Google Scholar 

  • Segall, A. 1976 The Sick Role Concept: Understanding Illness Behavior. Journal of Health and Social Behavior 17:163–170.

    Google Scholar 

  • Shaver, K.G. and Drown, D. 1986 On Causality, Responsibility and Self-Blame: A Theoretical Note. Journal of Personality and Social Psychology 50:697–702.

    Google Scholar 

  • Shields, S.A. 1987 Women, Men and the Dilemma of Emotion. In P. Shaver and C. Hendrick (eds.), Review of Personality and Social Psychology 7:229–250.

    Google Scholar 

  • Shweder, R.A. 1984 Anthropology’s Romantic Rebellion Against the Enlightenment, or There’s More to Thinking than Reason and Evidence. In R.A. Shweder and R.A. LeVine (eds.), Culture Theory: Essays on Mind, Self and Emotion. Pp. 27–66. Cambridge: Cambridge University Press.

    Google Scholar 

  • Simonton, O.C., Matthews-Simonton, S. and Creighton, J.L. 1980 Getting Well Again. New York: Bantam Books.

    Google Scholar 

  • Smith, R. 1983 Japanese Society. New York: Cambridge University Press.

    Google Scholar 

  • Sontag, S. 1977 Illness as Metaphor. New York: Random House.

    Google Scholar 

  • Spelman, E.V. 1983 Aristotle and the Politicization of the Soul. In S. Harding and M.B. Hintikka (eds.), Discovering Reality. Pp. 17–30. Dordrecht, Holland: D. Reidel.

    Google Scholar 

  • Spicker, S. (ed.) 1970 The Philosophy of the Body: Rejections of Cartesian Dualism. Chicago: Quadrangle Books.

    Google Scholar 

  • Stainbrook, E. 1952 Psychosomatic Medicine in the 19th Century. Psychosomatic Medicine 14:211–226.

    Google Scholar 

  • Sullivan, M. 1986 In What Sense is Contemporary Medicine Dualistic? Culture, Medicine and Psychiatry 10:331–350.

    Google Scholar 

  • Sulloway, F.J. 1979 Freud: Biologist of the Mind. New York: Basic Books.

    Google Scholar 

  • Takano, R. 1977 Anthropophobia and Japanese Performance. Psychiatry 40:259–269.

    Google Scholar 

  • Taussig, M.T. 1980 Reification and the Consciousness of the Patient. Social Science and Medicine B 14:3–13.

    Google Scholar 

  • Taylor, C. 1982 Rationality. In M. Hollis and S. Lukes (eds.), Rationality and Relativism. Pp. 87–105. Cambridge, Mass.: MIT Press.

    Google Scholar 

  • TenHouten, W. 1985 Cerebral-lateralization Theory and the Sociology of Knowledge. In D.F. Benson and E. Zaidel (eds.), The Dual Brain: Hemispheric Specialization in Humans. Pp. 341–358. New York: The Guilford Press.

    Google Scholar 

  • Tumulty, P.A. 1970 What is a Clinician and What Does He Do? New England Journal of Medicine 283:20–24.

    Google Scholar 

  • Turk, D.C., Meichenbaum, D. and Genest, M. 1983 Pain and Behavioral Medicine: A Cognitive-Behavioral Perspective. New York: Guilford Press.

    Google Scholar 

  • Turner, Bryan 1984 The Body and Society. Oxford: Basil Blackwell.

    Google Scholar 

  • Twaddle, A.C. 1969 Health Decisions and Sick Role Variations: An Exploration. Journal of Health and Social Behavior 10:105–114.

    Google Scholar 

  • Veith, I. 1965 Hysteria: The History of a Disease. Chicago: University of Chicago Press.

    Google Scholar 

  • Warner, R. 1978 The Diagnosis of Antisocial and Hysterical Personality Disorders: An Example of Sex Bias. Journal of Nervous and Mental Disease 166:839–845.

    Google Scholar 

  • Williams, B. 1985 Ethics and the Limits of Philosophy. Cambridge: Harvard University Press.

    Google Scholar 

  • Winstead, B.A. 1984 Hysteria. In CS. Widom (ed.), Sex Roles and Psychopathology. Pp. 73–100. New York: Plenum Press.

    Google Scholar 

  • Wittgenstein, L. 1958 Philosophical Investigations. New York: Macmillan.

    Google Scholar 

  • Wittgenstein, L. 1980 Culture and Value. Chicago: Chicago University Press.

    Google Scholar 

  • World Health Organization 1964 Psychosomatic Disorders (Technical Report Series No. 275). Geneva: World Health Organization.

    Google Scholar 

  • Wu, D. 1982 Psychotherapy and Emotion in Traditional Chinese Medicine. In A. Marsella and G. White (eds.), Cultural Conceptions of Mental Health and Therapy. Pp. 285–302. Dordrecht, Holland: D. Reidel.

    Google Scholar 

  • Young, A. 1982 The Anthropologies of Illness and Sickness. Annual Review of Anthropology 11:257–285.

    Google Scholar 

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© 1988 Kluwer Academic Publishers

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Kirmayer, L.J. (1988). Mind and Body as Metaphors: Hidden Values in Biomedicine. In: Lock, M., Gordon, D. (eds) Biomedicine Examined. Culture, Illness and Healing, vol 13. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2725-4_4

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  • DOI: https://doi.org/10.1007/978-94-009-2725-4_4

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