Healthcare is very much dependent on the model of the patient that is assumed by healthcare providers. The current model derives from a chemical/mechanical view of the patient body. Simply put: we are healthy if all of our mechanical parts are working properly and if all of the chemicals in our body are in the right proportions and have the appropriate reactions. This view is based on philosophical accounts of the body that go back to Paracelsus, Descartes, Boyle and others. It became the central basis of medical practice only in the late 19th Century after several hundred years of research…mehr
Healthcare is very much dependent on the model of the patient that is assumed by healthcare providers. The current model derives from a chemical/mechanical view of the patient body. Simply put: we are healthy if all of our mechanical parts are working properly and if all of the chemicals in our body are in the right proportions and have the appropriate reactions. This view is based on philosophical accounts of the body that go back to Paracelsus, Descartes, Boyle and others. It became the central basis of medical practice only in the late 19th Century after several hundred years of research and professional politics. The Mechanical Patient traces the intellectual development of the chemical/mechanical model of the patient and its implementation. This book names the problem that we have with the mechanical patient and prepares us to respond to its exaggerated place in our society. It provides a historical and conceptual background and explains how the chemical/mechanical model of health gained such a strong hold over our thinking and took the place of the earlier Galenic humoral model. It sketches a promising outline of a more humanized model for understanding health and calls for help to fully articulate it. In that way, it joins a growing movement to go beyond our current chemical/mechanical orientation.Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Sholom Glouberman is Philosopher in Residence at Baycrest Health Sciences in Toronto. He has a PhD in Philosophy from Cornell University. His early experience in healthcare was caring for his dying father. He was a planner and adviser at the McGill University Health Centre in Montreal, a Fellow at the King's Fund in London England, the director of Health Policy for Canadian Policy Research Networks, the director of the International Health Management Program at McGill University and the founder of Patients Canada. He has been an adviser to many healthcare organizations in Canada and the UK. He has spoken before more than 25,000 people around the world. In the last few years he has worked extensively with patients and organizations to create patient partnerships and identify performance targets to humanize healthcare experiences. Sholom Glouberman is Chairman of the Patient Advisory Board of the Registered Nurses Association of Ontario which has 42,000 members. In 2015 he underwent a major surgical procedure and was himself a patient. His direct experience and work with others has helped him see the disparity between the current medical model and patient concerns. He has written four books and many articles.
Inhaltsangabe
Author 1 Introduction 2 Aristotle and a Good Life Aristotle (384 322 BC) How Aristotle's Ideas Can Help Us Understand More about Health 3 Galen's Four Humors: The First Medical Model Galen (AD 129 c.210) 4 The Renaissance and Roots of the Mechanical Patient, Paracelsus (1493 1541) Francis Bacon (1561 1626) William Harvey (1578 1657) René Descartes (1596 1650) Pierre Simon Laplace (1749 1827) 5 Robert Boyle: The First Mechanical Patient Robert Boyle (1627 1691) Boyle and Samuel Hartlib Boyle and George Starkey (1628 1665) Boyle and William Petty (1623 1687) Boyle and John Wilkins (1614 1672) Boyle and Thomas Willis (1621 1675) Boyle and Robert Hooke (1635 1703) Boyle and Thomas Hobbes (1588 1679) Boyle and Arthur Coga (1631 1691) Boyle and John Locke (1632 1704) Boyle and Isaac Newton (1642 1727) 6 The Story of Scurvy and the First Failed Controlled Trial George Anson, 1st Baron Anson (1697 1762) James Lind (1716 1794) James Cook (1728 1779) John Pringle (1707 1782) Sir Gilbert Blane (1749 1834) Almroth Wright (1861 1947) Axel Holst (1860 1931) and Theodor Frolich (1870 1947) Ancel Keys (1904 2004) 7 Surgery and the Mechanical Patient John Hunter (1728 1793) Fanny Burney (1772 1840) Ignaz Semmelweis (1818 1865) Joseph Lister (1827 1912) Wilhelm Röntgen (1845 1923) Abraham Flexner (1866 1959) The Mechanical Patient in the Modern Hospital Nurses in the Modern Hospital Lili Elbe (1882 1931) Christiaan Barnard (1922 2001) Surgical Techniques PROMs 8 Medicine and the Chemical Patient Lady Mary Wortley Montagu (1689 1762) Edward Jenner (1749 1823) Louis Pasteur (1822 1895) Robert Koch (1843 1910), Ferdinand Cohn (1829 1898), and Maurice Hilleman (1919 2005) Mary Mallon (Typhoid Mary) (1869 1938) Charles Best (1899 1978), Sir Frederick Banting (1891 1941), and James Collip (1892 1965) The Tuskegee Syphilis Study (1932 1972) and Ethics Gerhard Domagk (1895 1964) Alexander Fleming (1881 1955), Howard Florey (1898 1968), and Ernst Chain (1906 1979) Henrietta Lacks (1920 1951) Ali Maow Maalin (1954 2013) Sam Wagstaff (1921 1987) and Robert Mapplethorpe (1946 1989) Brenda Zimmermann (1956 2014) 9 Genetics and the Return of Individualized Medicine Charles Darwin (1809 1882) An Aside on the Evolution of Human Consciousness Francis Galton (1822 1911) Wilhelm Beiglböck (1905 1963), Karl Brandt(1904 1948), and Josef Mengele (1911 1979) Rosalind Franklin (1920 1958), Francis Crick (1916 2004), and James Watson (1928 ) Herbert Boyer (1936 ) and Stanley Cohen (1935 ) Charles DeLisi (1941 ), Pete Domenici (1932 ), and Craig Venter (1946 ) Angelina Jolie (1975 ) Emmanuelle Charpentier (1968 ) and Jennifer Doudna (1964 ) 10 The Great Mortality Shift Edwin Chadwick (1800 1890) John Snow (1813 1858) Joseph Bazalgette (1818 1891) John Simon (1816 1876) Aneurin Bevan (1897 1960) Rachel Carson (1907 1964) Thomas McKeown (1912 1988) Hubert Laframboise (1924 1991) and Marc Lalonde (1929 ) 11 Humanizing Health: The Social/Relational Person The Great Chain of Being Voltaire (1694 1778), Rousseau (1712 1778),Diderot (1713 1784), and Hume (1711 1776) The Enlightenment and Reform James Edward Oglethorpe (1696 1785) Jeremy Bentham (1748 1832) and John Stuart Mill (1806 1873) Richard Wilkinson (1943 ) Michael Marmot (1945 ) Amartya Sen (1933 ) Thomas Piketty (1971 ) Finding a More Human Model of Health Bibliography Index
Author 1 Introduction 2 Aristotle and a Good Life Aristotle (384 322 BC) How Aristotle's Ideas Can Help Us Understand More about Health 3 Galen's Four Humors: The First Medical Model Galen (AD 129 c.210) 4 The Renaissance and Roots of the Mechanical Patient, Paracelsus (1493 1541) Francis Bacon (1561 1626) William Harvey (1578 1657) René Descartes (1596 1650) Pierre Simon Laplace (1749 1827) 5 Robert Boyle: The First Mechanical Patient Robert Boyle (1627 1691) Boyle and Samuel Hartlib Boyle and George Starkey (1628 1665) Boyle and William Petty (1623 1687) Boyle and John Wilkins (1614 1672) Boyle and Thomas Willis (1621 1675) Boyle and Robert Hooke (1635 1703) Boyle and Thomas Hobbes (1588 1679) Boyle and Arthur Coga (1631 1691) Boyle and John Locke (1632 1704) Boyle and Isaac Newton (1642 1727) 6 The Story of Scurvy and the First Failed Controlled Trial George Anson, 1st Baron Anson (1697 1762) James Lind (1716 1794) James Cook (1728 1779) John Pringle (1707 1782) Sir Gilbert Blane (1749 1834) Almroth Wright (1861 1947) Axel Holst (1860 1931) and Theodor Frolich (1870 1947) Ancel Keys (1904 2004) 7 Surgery and the Mechanical Patient John Hunter (1728 1793) Fanny Burney (1772 1840) Ignaz Semmelweis (1818 1865) Joseph Lister (1827 1912) Wilhelm Röntgen (1845 1923) Abraham Flexner (1866 1959) The Mechanical Patient in the Modern Hospital Nurses in the Modern Hospital Lili Elbe (1882 1931) Christiaan Barnard (1922 2001) Surgical Techniques PROMs 8 Medicine and the Chemical Patient Lady Mary Wortley Montagu (1689 1762) Edward Jenner (1749 1823) Louis Pasteur (1822 1895) Robert Koch (1843 1910), Ferdinand Cohn (1829 1898), and Maurice Hilleman (1919 2005) Mary Mallon (Typhoid Mary) (1869 1938) Charles Best (1899 1978), Sir Frederick Banting (1891 1941), and James Collip (1892 1965) The Tuskegee Syphilis Study (1932 1972) and Ethics Gerhard Domagk (1895 1964) Alexander Fleming (1881 1955), Howard Florey (1898 1968), and Ernst Chain (1906 1979) Henrietta Lacks (1920 1951) Ali Maow Maalin (1954 2013) Sam Wagstaff (1921 1987) and Robert Mapplethorpe (1946 1989) Brenda Zimmermann (1956 2014) 9 Genetics and the Return of Individualized Medicine Charles Darwin (1809 1882) An Aside on the Evolution of Human Consciousness Francis Galton (1822 1911) Wilhelm Beiglböck (1905 1963), Karl Brandt(1904 1948), and Josef Mengele (1911 1979) Rosalind Franklin (1920 1958), Francis Crick (1916 2004), and James Watson (1928 ) Herbert Boyer (1936 ) and Stanley Cohen (1935 ) Charles DeLisi (1941 ), Pete Domenici (1932 ), and Craig Venter (1946 ) Angelina Jolie (1975 ) Emmanuelle Charpentier (1968 ) and Jennifer Doudna (1964 ) 10 The Great Mortality Shift Edwin Chadwick (1800 1890) John Snow (1813 1858) Joseph Bazalgette (1818 1891) John Simon (1816 1876) Aneurin Bevan (1897 1960) Rachel Carson (1907 1964) Thomas McKeown (1912 1988) Hubert Laframboise (1924 1991) and Marc Lalonde (1929 ) 11 Humanizing Health: The Social/Relational Person The Great Chain of Being Voltaire (1694 1778), Rousseau (1712 1778),Diderot (1713 1784), and Hume (1711 1776) The Enlightenment and Reform James Edward Oglethorpe (1696 1785) Jeremy Bentham (1748 1832) and John Stuart Mill (1806 1873) Richard Wilkinson (1943 ) Michael Marmot (1945 ) Amartya Sen (1933 ) Thomas Piketty (1971 ) Finding a More Human Model of Health Bibliography Index
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