Limits to medicine. Medical nemesis: the expropriation of health

Smith, Robert S.

doi:10.1136/jech.57.12.928

Cited by 14 publications

(12 citation statements)

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“…According to him, social iatrogenesis results from the medicalization of life and cultural medicalization is the destruction of traditional ways of dealing with and making sense of death, pain, and sickness. [ 9 ] The intimidating nature of iatrogenesis has also been stated by Oliver Wendell Holmes, an American physician and a medical reformer of the 19 th century when he stated:…”

Section: Periodicity Of Iatrogenesismentioning

confidence: 93%

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Iatrogenesis: A review on nature, extent, and distribution of healthcare hazards

Peer

Shabir

2018

J Family Med Prim Care

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Modern medicine is given overarching importance to tackle disease in the human body than environmental determinants. Although, most of the literature confirms that the determinants of disease are there in the environment. Yet in the modern times what is being emphasized is highly limited and reductionist approach of curing ailments in the human body only, which is one of the desired interventions but is full of other side effects and risks leading to iatrogenic reactions. Most of the literature establishes that modern medicine is one of the major threats to the world health. Besides treating disease at the clinical level, rational, and well-thoughtout changes in the overall environment can positively impact the nature, extent, and distribution of disease.

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Section: Periodicity Of Iatrogenesismentioning

confidence: 93%

“…[ 11 ] A. R. Smith assessing the intensity of the side effects of modern medicine states that the major threat to health in this world is modern medicine. [ 9 ] So says, Illich, that “the medical establishment has become a major threat to health.”[ 1 ]…”

Section: Periodicity Of Iatrogenesismentioning

confidence: 99%

Iatrogenesis: A review on nature, extent, and distribution of healthcare hazards

Peer

Shabir

2018

J Family Med Prim Care

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“…Komesaroff and Launer both suggest a ‘way to break through the curtain of mutual unintelligibility’ that stems from the paradoxes situated in clinical interactions, begins with opening oneself to ‘suggestiveness and allusiveness’ . This means suspending one's own standards of truth and validity and recognising the need to listen with greater curiosity and creativity, thereby identifying the contextual messiness upon which clinical decisions are built.…”

Section: Recommended Strategies and Educational Exercisesmentioning

confidence: 99%

“…Rather than reducing or increasing one's tolerance or appreciation of uncertainty, philosophers such as Levinas and Komesaroff propose preserving uncertainty through effective communication . This does not imply the use of ‘muddled expressions and miscommunication’, rather an attuned attention to any verbal nuance, where meanings and interpretations are not fixed.…”

Section: Recommended Strategies and Educational Exercisesmentioning

confidence: 99%

“…Yet the practice of medicine requires working with patients, in a social world that is more subjective and prone to arbitrariness and chaos. This paradox characterises clinical examples, such as a man with a treatable condition who refuses treatment or a woman who continues to smoke despite a life‐threatening lung condition . Patients’ lives rarely resemble the carefully constructed cases presented in health care education; they are steeped in uncertainty and messiness.…”

Section: Introductionmentioning

confidence: 99%

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Well‐being and uncertainty in health care practice

George

Lowe

2019

The Clinical Teacher

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Summary Background Well‐being and uncertainty are intimately related, although less easily defined from a health care perspective. Uncertainty is intrinsic to both the science and practice of health care, and dealing with uncertainty can bring feelings of stress, avoidance and resistance, all of which are detrimental to an individual's well‐being. Context Contrary to the majority of the literature, which suggests promoting resilience as a way to improve health care professionals’ well‐being, our paper argues that a better understanding of the relationship between well‐being and uncertainty can support health care professionals in managing the complexity of everyday clinical interactions. Innovation Various strategies and educational exercises around being comfortable in not knowing, preserving uncertainty through effective communication and the use of reflective silence are discussed to support clinical educators in recognising the impact of uncertainty on individual well‐being. Implications Our paper calls for a broader understanding of the term well‐being, recognising the interplay between individual and environmental factors that contribute to maintaining our well‐being. The recommended strategies and exercises can be considered in faculty member development sessions and used to promote the incorporation of curriculum initiatives in this area.

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Considering the Way Forward

2005

Health Economics: An Introduction for Health Professionals

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Limits to medicine. Medical nemesis: the expropriation of health

Cited by 14 publications

References 0 publications

Iatrogenesis: A review on nature, extent, and distribution of healthcare hazards

Iatrogenesis: A review on nature, extent, and distribution of healthcare hazards

Well‐being and uncertainty in health care practice

Considering the Way Forward

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