3/1/2023 0 Comments Storywriting in other cultures![]() The inability to recognize and deal with perspectives of illness that deviate from those of the biomedically trained practitioner can paralyze attempts at identifying problems and developing plans for solving them.īiomedicine must use approaches that recognize and account for the views and values of the individual and of cultures, not only in determining the nature of a patient's problems but also in describing solutions. Cross-cultural circumstances often magnify the discrepancy between the views held by patients and health care providers. It has been proposed that the inability to deal with illness is a major failing of biomedicine. The dichotomy between disease and the illness experience has provoked extensive commentary. There is a disparity between the biomedical categorization of human disruptions as disease and the patient's personal and social experience of illness. The methods and language of biologically based and somatically focused health care have created an extraordinary gulf between practitioners and the public they serve. Science teaches us that human populations are governed by biologic universals that transcend cultural boundaries. ![]() Western medicine has developed into a subculture with its own history, language, codes of conduct, expectations, methods, technologies, and concerns about the science which supports it. Cultural and language barriers complicate the situation. In brief, it has now acquired the status of a dogma … Biomedical dogma requires that all disease be conceptualized in terms of derangement of underlying physical mechanisms. The biomedical model has become a cultural imperative, its limitations easily overlooked. Disease is what is happening to science and to populations. "Sickness" is what is happening to the patient.
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