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Asclepius and Hygieia in Dialectic: Philosophical, Ethical and Educational Foundations of an Integrative Medicine

机译:辩证法中的骨质和卫生:中西医结合的哲学,伦理和教育基础

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In this essay, we posit that modern medicine, in its Asclepian focus, has subordinated the need and importance of Hygieian healing and caring, and in so doing has lost a quality that is essential to medicine, and fundamental to its lasting moral value. We argue that an integrative medicine must be based upon a core philosophical foundation that re-enjoins Asclepian and Hygieian approaches in true conceptual and practical dialectic, such that integration represents a synthesis of these orientations in epistemic, humanitarian and ethical domains. While we assert that a core philosophy is critical to the development and sustainability of an integrative medicine, such claims remain vacant in the absence of some meaningful attempt to put these concepts into action. We believe that to apply such philosophical foundations, an approach is necessary that simultaneously engages education, research, practice and policy. This involves not simply studying and co-opting new (or older, more ancient) modalities in a curative paradigm, but represents a paradigm shift that requires and is based upon understanding of, and skills for the application(s) of the most appropriate types of treatment(s) to affect disease, illness and health in a patient-centered model of care.
机译:在本文中,我们认为,现代医学在其以阿斯克勒派为中心的研究中,已经服从了卫生保健和关怀的需要和重要性,并且这样做已经失去了医学必不可少的质量,也是其持久道德价值的基础。我们认为,中西医结合必须建立在核心哲学基础上,该哲学基础要在真正的概念和实践辩证法中重新结合阿斯克莱比和卫生学的方法,以使整合代表了认识论,人道主义和伦理学领域这些取向的综合。尽管我们断言核心哲学对中西医结合的发展和可持续性至关重要,但由于缺乏将这些概念付诸实践的有意义尝试,此类主张仍然空缺。我们认为,要运用这样的哲学基础,必须采取一种同时参与教育,研究,实践和政策的方法。这不仅涉及在治疗范式中研究和选择新的(或更旧的,更古老的)模式,而且还代表着范式的转变,这种转变要求并基于最合适类型的应用的理解和技能以患者为中心的护理模型中影响疾病,疾病和健康的治疗方法。

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