Medizin in Bewegung

Siebeck, Richard

doi:10.1097/00000441-195408000-00023

Cited by 6 publications

(3 citation statements)

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“…Health and disease should not be interpreted solely because of their biological references, but also because of their personal references. The transformation from healthy to sick, either unforeseen or very slow, is linked to a general commotion, derived from the more or less conscious experience of suffering, knowledge of the diagnosis and interpretation of its meaning (1)(2)(3) From the perspective of clinical ecology, each patient and each community are considered inseparable from the total environment lived over time (19). All these changes are interconnected in a complex Clinical Ecology and its Repercussions on General Medicine and Epidemiology network of causes and effects, and have repercussions, among other effects, in the human biopsychological system (including the immune system, but not only this one).…”

Section: Biopsychosocial Clinical Ecologymentioning

confidence: 99%

“…The disease demonstrates clear diaphanous dependence of its course and prognosis of personality and it also points out the importance of context. And also, disease demonstrates dependence of the treatment established in time (before deep or irreversible structural anomalies are produced) (1,2).…”

Section: What Is the Correct Classification Clinically And Epidemiolo...mentioning

confidence: 99%

“…Richard Siebeck (1883Siebeck ( -1965, together with Ludolf von Krehl and Viktor von Waizsacker, who were the pillars of the Heidelberg Anthropological School, gave special importance to the biography of the patient, its pathographic evolution and its historicity. The health / disease dichotomy, it develops as a moment in a person's life (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

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Clinical Ecology and its Repercussions on General Medicine and Epidemiology

2022

AHS

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The need for ecological perspectives in medicine and epidemiology is now obvious. The grand interconnected challenges of our time (infectious diseases, non-communicable diseases, global socioeconomic inequalities, biodiversity losses, climate change, disconnect from the natural environment, etc.) demands that all of medicine be viewed from an ecological perspective. it is increasingly clear that each person maintains complex, biologically-relevant microbial ecosystems, and those ecosystems are, in turn, a product of the lived experiences within larger social, political, and economic ecosystems. Biodiversity maintains a microbiota or microbial ecology, and its dysbiotic drift is associated with contextual changes (environmental contamination, chemical modification, altered absorption of macronutrients, etc.) that cause dysregulation that affects the anatomy, physiology, immunology, growth and evolution of living beings, leading to changes in health / physical and mental illness, and that leads to responses in clinical medicine and interventions on lifestyle factors (dietary patterns, hygiene, physical activity, sleep hygiene, etc.), which in turn act on biodiversity and microbiota, in different contexts that are modulated by psychosocial factors, family, work, community, socioeconomic groups, age, sex, vulnerable populations, etc. Clinical ecology is a perspective that sees illness as a response to the total lived experience and the surroundings in which “exposures” accumulate. Clinical ecology is manifesting itself in the ecosystems at the tip of an intestinal villus and elsewhere in and on the body. Clinical ecology is a development towards another clinical medicine and another epidemiology that must understand the experiences of man in terms of multidirectional, simultaneous and sequential causal interrelationships of the microcosm and the macrocosm.

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Section: Biopsychosocial Clinical Ecologymentioning

confidence: 99%

Section: What Is the Correct Classification Clinically And Epidemiolo...mentioning

confidence: 99%