Abstract
This chapter explores the place of holism within the philosophy of medicine. It is organized into three sections which explore three related aspects of holism in the context of medicine and health care. The chapter begins with an introduction which places the holism debate within the wider history of ideas and the evolution of medicine as a scientifically grounded practice. An early consideration in section one is whether holism can be positively defined or whether it can be discussed only in terms of its relationship with reductionism – the holism/reductionism dyad. A key question is whether medicine’s reliance upon the natural sciences requires the adoption of a form of reductionism that is incompatible with holism. Developing the analysis of reductionism the question of the compatibility of reductionism with holism is explored further. Section two deals with the question of whether holism is actually antireductionist. Here several strands are explored in order to show that the holism/reductionism dyad is not merely a scientific, philosophical debate but in addition has important normative implications for understanding the very raison d’être of medicine. Section three continues the analysis of the normative issues by exploring the holism/reductionism dyad in the context of medical ethics.
References
Beauchamp TL, Childress JF (1979) The principles of biomedical ethics. Oxford University Press, Oxford
Beecher HK (1966) Ethics and clinical research. N Engl J Med 274(24):1354–1360
Borrel-Carrió F, Suchman AL, Epstein RM (2004) The biopsychosocial model 25 years later: principles, practice, and scientific enquiry. Ann Fam Med 2(6):576–582
Brandon RN (1996) Concepts and methods in evolutionary biology. Cambridge University Press, Cambridge
Cantopher T (2012) Depressive illness: the curse of the strong, 3rd edn. Sheldon Press, London
Carlson RJ (1979) Holism and reductionism as perspectives in medicine and patient care, In Orthodox medicine, humanistic medicine and holistic health care – a forum. West J Med 131:466–470
Chilvers CED, Bagenal FS, Easton DF, Harris E, McElwain TJ (1990) Survival of patients with breast cancer attending Bristol Cancer Help Centre. The Lancet 336(8715):606–610
Clouser KD, Gert B (1999) A critique of principlism. J Med Philos 15(2):219–236
Descartes R (1637/1991) The philosophical writings of descartes, vol III (trans: Cottingham J, Stoothoff R, Kenny A, Murdoch D). Cambridge University Press, Cambridge
Engel GL (1981) The clinical application of the biopsychosocial model. J Med Philos 6:101–123
Faulder C (1985) Whose body is it?: the troubling issue of informed consent. Virago, London
Foss L (1989) The challenges to biomedicine: a foundations perspective. J Med Philos 14:165–191
Foucault M (1965) The birth of the clinic: an archaeology of medical perception. Vintage Books, New York
Goodare H (2007) The media and cancer survival. J R Soc Med 100(10):483–484
Hunt L (1993) News of death greatly exaggerated: the report on the Bristol Cancer Help Centre was damning. It was also highly inaccurate. These ex-patients want the world to be told, and they are tired of waiting. The Independent Newspaper. Monday, 15 Nov 1993. http://www.independent.co.uk/life-style/news-of-death-greatly-exaggerated-the-report-on-the-bristol-cancer-help-centre-was-damning-it-was-also-highly-inaccurate-these-expatients-want-the-world-to-be-told-and-they-are-tired-of-waiting-liz-hunt-reports-1504475.html#. Accessed 8 Aug 2015
Illich I (1974) Medical nemesis. Marion Boyars, New York
Kearney M (1992) Palliative medicine – just another speciality? Palliat Med 6:39–46
Koppelman L, Moskop J (1981) The holistic health movement: a survey and critique. J Med Philos 6:209–235
Loeb J (1912) Mechanistic conception of life. The University of Chicago Press, Chicago
Loewy EEH, Loewy Springer R. (2006) Textbook of healthcare ethics. 2d ed. Dordrecht: Kluwer Academic Publishers
Montalenti G (1974) Chapter 2, From Aristotle to Democritus via Darwin: a short survey of a long historical and logical journey. In: Ayala FJ, Dobzhansky TG (eds) Studies in the philosophy of biology: reduction and related problems. University of California Press, Berkley, pp 3–20
Nagel E (1961) The structure of science. Problems in the logic of explanation. Harcourt, Brace & World, New York
Nightingale F (1860/2006) Notes on nursing what it is, and what it is not. Hard Press, London
Pappworth MH (1967) Human guinea pigs: experimentation on man. Routledge and Kegan Paul, London
Pellegrino ED (1976) Philosophy of medicine: problematic and potential. J Med Philos 1(1):5–31
Peplau H (1952) Interpersonal relations in nursing: a conceptual frame of reference for psychodynamic nursing. Putnam, New York
Phillips DC (1976) Holistic thought in the social sciences. California University Press, Stanford
Quigley C (2012) Dissection on display: cadavers, anatomists and public spectacle. McFarland & Co, Jefferson
Ramsey P (1970) The patient as person: explorations in medical ethics. Yale University Press, New Haven
Rogers ME (1970) An introduction to the theoretical basis of nursing. Davis Company, Philadelphia
Rosenberg C (1998) Holism in twentieth-century medicine. In: Lawrence C, Weisz G (eds) Greater than the parts: holism in biomedicine 1920–1950. Oxford University Press, Oxford, pp 335–355
Saunders C (2005) Watch with me: inspiration for a life in hospice care. Observatory Publications, Lancaster
Smuts JC (1926) Holism and evolution. Macmillan, New York
Szasz TS (1961/1974) The myth of mental illness: foundations of a theory of personal conduct. Harper & Row, New York
Tauber QI (2002) The ethical imperative of holism in medicine. In: Van Regenmortel MHV, Hull DI (eds) Promises and limits of reductionism in biomedical sciences. Wiley, West Sussex, pp 261–277
Tauber AI (2003) Sick autonomy. Perspect Biol Med 46(4):484–495
Thomasma DC (1990) Establishing the moral basis of medicine: Edmund d. Pellegrino’s philosophy of medicine. J Med Philos 15:245–267
Van Riel R, Van Gulick R (2014) Scientific reduction. In: Zalta EN (ed) The Stanford encyclopedia of philosophy, Summer 2014 edn. http://plato.stanford.edu/archives/sum2014/entries/scientific-reduction/
Watson A (2011) Nursing: human science and human care, 2nd edn. Jones & Bartlett, New York
Woods S (1998a) Holism in nursing. In: Edwards SD (ed) Philosophical issues in nursing. Macmillan Press, London
Woods S (1998b) A theory of holism for nursing. Med Health Care Philos 1(3):255–261
Woods S (2007) Death’s dominion: ethics at the end of life. Facing death. Open University Press
World Health Organization (1946/1958) Preamble to the constitution, adopted by the International Health Conference. New York 19 June to 22 July 1946. In: The first ten years of the World Health Organization. WHO, Geneva
Zucker A (1981) Holism and reductionism: a view from genetics. J Med Philos 6:145–163
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Woods, S. (2015). Holism in Health Care: Patient as Person. In: Schramme, T., Edwards, S. (eds) Handbook of the Philosophy of Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8706-2_21-1
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