This chapter addresses scholars’ call for modern medicine to acknowledge a paradigm shift from reductionism to holism. I argue that medicine has historically undergone a series of paradigm shifts, which have unfolded organically, often without formal recognition. The chapter is divided into two parts. The first part traces the historical evolution of these shifts, from Asklepios’ “divine” perspective to the current “holistic” paradigm, with intermediate stages including Hippocrates and Galen’s focus on “natural forces” and the later contributions of Descartes and Newtonian principles to the reductionist paradigm. The second part highlights how the influence of bench medicine on bedside practice during the latest paradigm shift has left healthcare education and practice outdated. I, therefore, claim that future doctors continue to be trained within a reductionist framework, whilst current research is already adopting a holistic approach, exploring the interactions amongst the body, psychology and environment through personalised medicine and psycho-neuro-endocrine-immunology. Consequently, the chapter concludes that the focus should be on a sustainable mentality shift in medical education and clinical practice, which is critical to bridging the gap between current research and healthcare delivery.

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Should Mentality Overpass Paradigms in Medicine?

  • Gabriela-Paula Florea

摘要

This chapter addresses scholars’ call for modern medicine to acknowledge a paradigm shift from reductionism to holism. I argue that medicine has historically undergone a series of paradigm shifts, which have unfolded organically, often without formal recognition. The chapter is divided into two parts. The first part traces the historical evolution of these shifts, from Asklepios’ “divine” perspective to the current “holistic” paradigm, with intermediate stages including Hippocrates and Galen’s focus on “natural forces” and the later contributions of Descartes and Newtonian principles to the reductionist paradigm. The second part highlights how the influence of bench medicine on bedside practice during the latest paradigm shift has left healthcare education and practice outdated. I, therefore, claim that future doctors continue to be trained within a reductionist framework, whilst current research is already adopting a holistic approach, exploring the interactions amongst the body, psychology and environment through personalised medicine and psycho-neuro-endocrine-immunology. Consequently, the chapter concludes that the focus should be on a sustainable mentality shift in medical education and clinical practice, which is critical to bridging the gap between current research and healthcare delivery.