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Managing one's body using self-management techniques: practicing autonomy.

D Willems1

  • 1Department of General Practice, Academic Medical Centre, University of Amsterdam, The Netherlands. d.l.willems@amc.uva.nl

Theoretical Medicine and Bioethics
|August 6, 2000
PubMed
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This study explores how asthma self-management plans change patient and physician roles, emphasizing patient agency over autonomy. It contrasts technological self-care with philosophical concepts of the body and self.

Area of Science:

  • Anthropology
  • Philosophy of Medicine
  • Health Management

Background:

  • Self-management plans are crucial for chronic disease care, particularly asthma.
  • Technologically mediated self-care presents unique anthropological and philosophical dimensions.
  • Existing frameworks like Mauss and Foucault's theories on body techniques offer lenses to analyze self-care.

Purpose of the Study:

  • To analyze the anthropological and philosophical aspects of self-management plans in chronic disease, with a focus on asthma.
  • To contrast technologically mediated self-care with established theories of self-techniques.
  • To examine how asthma self-management modifies the patient and physician roles and the concept of agency.

Main Methods:

  • Comparative analysis of asthma self-management practices with anthropological and philosophical theories (Mauss, Foucault).
Keywords:
Philosophical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Examination of patient reliance on measurements versus felt sensations in self-monitoring.
  • Analysis of shifts in physician roles from expert to collaborator.

    • Main Results:

    • Asthma self-management alters patient-physician dynamics, redefining their roles.
    • Patients' reliance shifts from subjective feelings to objective measurements, which then influence subjective experience.
    • The concept of patient agency is more fitting than autonomy in describing self-management benefits.

    Conclusions:

    • Self-management plans, especially for asthma, represent a significant shift in healthcare paradigms.
    • Understanding these plans requires integrating anthropological and philosophical perspectives.
    • The framework of agency provides a more nuanced understanding of patient empowerment in chronic disease self-management.