Category
Medicine & health
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Health cannot be defined without values, and Boorse’s statistical theory shows it by trying
Christopher Boorse's biostatistical theory is the most serious attempt to define health without any value judgements. Roughly: health is the absence of disease, and a disease is an internal state that reduces some function below what is statistically typical for your reference…
Started by Dima Nasser3 replies -
Deafness: disease, disability, or difference? And who gets to decide?
Last month a family in Amman asked me to help them think about a cochlear implant for their deaf toddler. The surgeon spoke of "correcting hearing loss". A Deaf friend of mine, who signs and has a rich social life in the…
Started by Dima Nasser4 replies -
Ageing is a disease, and medicine should treat it as one
I'll argue this as an outsider to medicine and expect to be corrected. Ageing is the largest single risk factor for most of what kills people in rich countries: cancers, heart disease, dementia. It involves the progressive failure of almost every bodily…
Started by Derek Hollis5 replies -
Does general anaesthesia switch experience off, or only the memory of it?
Last month, a patient I was interpreting for asked before surgery whether she would "be there" during the operation and simply forget it, or whether she would not be there at all. I passed on the reassuring answer she was given. Afterwards…
Started by Tsion Bekele6 replies -
Does a diagnosis name a real condition, or a useful bundle of symptoms?
I work as an interpreter at a hospital in Addis Ababa. Some diagnoses I translate every day feel like discoveries: a particular infection, caused by a particular organism, with a test that finds it. Others feel more like agreements. "Metabolic syndrome" is…
Started by Tsion Bekele5 replies -
What is Wakefield’s “harmful dysfunction” account, and why do psychiatrists still argue about it?
In our clinical module we spent a week on whether intense grief should ever be diagnosed as depression. When the diagnostic manual changed in 2013 and dropped the old exclusion for recent bereavement, there was a big argument, and one name kept…
Started by Elif Yıldız3 replies -
Reading group: Canguilhem, The Normal and the Pathological
Georges Canguilhem's essay began as his medical thesis in 1943, written while he was also active in the Resistance, and was reissued in 1966 with a second part, "New Reflections". It is one of the founding texts of the philosophy of medicine,…
Started by Claire Dubois4 replies -
Ibn Sina begins the Canon by defining medicine. What does that definition assume about health?
I recently reread the opening of Ibn Sina's Canon of Medicine for a reading group at the hospital, and I was struck by how much philosophy is packed into the first sentence. Paraphrasing: medicine is the knowledge of the states of the…
Started by Omar Ragab5 replies