China
Africa
Explore chapters and articles related to this topic
Dynamism, stasism and two concepts of order
Published in John Spiers, Patients, Power and Responsibility, 2018
This dualism is at the root of the issues concerning patients, power, responsibility and reform. Indeed, it is a choice between two incompatible concepts of order. The first is one of control, hierarchy and ‘expertise’ offered by others who know our interests best. This has been characterised by Foucault as a ‘strategy of domination’, which he viewed as the prevailing model of modern society. It is this model which the NHS, based in Fabian analysis, represents.2 This seeks to reduce diverse experience to an unrelenting unitary order, and to limit surprise, innovation, and trial and error, from which new benefits arise.
Overcoming Special Challenges Often Faced by Physician Leaders
Published in Mindi K. McKenna, Perry A. Pugno, William H. Frist, Physicians as Leaders, 2018
Mindi K. McKenna, Perry A. Pugno, William H. Frist
When functioning in leadership positions, physicians frequently find themselves challenged by the need to move back and forth from the clinical to administrative realm many times each day. The roles and priorities demanded in the two different environments are sometimes in opposition. This can create a sense of instability and stress resulting from the need to move among differing priorities while attempting to maintain equilibrium among them. This instability drives some physician leaders to inappropriately “second-guess” themselves, causing them to appear to have difficulty making decisions or to be ambivalent about the ones they do make. “Physicians focus on serving the immediate interests of the individual patient, often in the context of a specific encounter. Leaders focus on serving the long-term interests of the collective. That duality can be disorienting. The unlearning it requires is often difficult, even painful. And yet, the duality has its advantages as well. When frustrated by the challenges associated with either of those roles, physician leaders can find re-invigoration and renewal by focusing on the other.”Deborah S. McPherson, md, faafp Family Physician Associate Director, Family Medicine Residency Program University of Kansas School of Medicine
Introduction
Published in David Greaves, The Healing Tradition, 2018
The influence of dualism in Western thinking has a long lineage. Plato was a dualist and, as part of the Ancient Greek heritage, was an important inspiration for the Renaissance which lasted from the fourteenth to the sixteenth centuries. Then, in the first half of the seventeenth century, Descartes constructed his famous formulation of mind-body dualism. The focus here, though, is not directly on Cartesian dualism so much as the general trend in the historical development of ideas which his work has come to symbolise and sustain. Since Descartes’ time, dualism has become firmly embedded in all Western thought and has had a profound effect on all knowledge, social structure and practice. Medicine then has been shaped by it, both in a general way as well as more obviously in relation to the separation of mind and body. Thus dualism has had an important impact on the following inter-related aspects of medicine - knowledge and research, conceptions of health, illness and disease, the nature of the human person, and the values and goals of medicine and healthcare - and these will be considered in more detail later.
Aged care as a bellwether of future physiotherapy
Published in Physiotherapy Theory and Practice, 2020
Qualitative research, for example, has over the last half-century become increasingly significant as an oppositional paradigm to quantitative research. And while this might appear to be just a difference in research methods, it is, in fact, an expression of a larger duality between mind and body, nature and culture, object and subject, that has run through the history of philosophy for more than two millennia (Denzin and Giardina 2015). At a practice level, we see this duality played out repeatedly in health care: when deciding between the weight of a patient’s story and their physical findings; when deciding whether to remain objective and value-neutral, or empathic and engaged; or when deciding whether a person’s suffering resides in their body, or in the way they make sense of it.
The intersection of assessment, selection and professionalism in the service of patient care
Published in Medical Teacher, 2019
Chris Roberts, Tim J. Wilkinson, John Norcini, Fiona Patterson, Brian D. Hodges
Hodges et al. (2018) re-iterate three key discourses about professionalism that have implications for assessment at the level of the individual, the inter-personal, and the societal–institutional. This framing, developed after extensive consultation and informed by the extant literature, resonates with contemporary issues of selecting and assessing for professionalism. For example, the Physician Charter on Professionalism of the American Board of Internal Medicine (ABIM) Foundation and the European Federation of Internal Medicine, suggest physicians must uphold the best interests of patients whilst simultaneously assuring that health care resources are distributed justly (Weinberger 2011). This duality challenges educators to consider the professionalism of a healthcare professional or student at both the individual level and at a health systems level. In meeting this challenge, there has been much progress both in dispelling the ambiguity, confusion and controversy about what professionalism is, and in providing guiding principles as to what, how, and by whom professionalism might be assessed and critically at what level (Hodges et al. 2018).
Relational and Trait Factors Mediate the Associations between Women’s Intoxication-Related Unwanted Sexual Experiences, Pleasure, and Desire
Published in The Journal of Sex Research, 2022
Katherine W. Bogen, Harper R. Jones, Tierney K. Lorenz
Our findings suggest a dual role of sensation seeking and excitation. On one hand, women may experience their sexuality as exciting and an avenue for reshaping personal agency following experiences of USC, which may result in positive pleasure and desire outcomes but also increase risk for harm. Conversely, some patients may view their excitation or sensation-seeking as the “reason” for their violent experiences, contributing to self-blame (i.e., “I must have brought this upon myself because I am a sexually excitable person”) and negatively impacting sexual wellness. Helping patients to explore this duality may enable them to form a cohesive narrative of their experiences, resolve distressing aspects of their trauma, and seek better sexual wellness outcomes.