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Related Experiment Video

Updated: Apr 23, 2026

A Modified Mirror Test as a Visual Guide for the Self-awareness Trait in Wild Antarctica Penguins, Pygoscelis adeliae
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The quantified self: closing the gap between general knowledge and particular case?

Eline Thornquist1, Anna Luise Kirkengen

  • 1Department of Physiotherapy, University College of Bergen, Bergen, Norway; Nesttunhjørnet, Psychomotor Institute, Bergen, Norway.

Journal of Evaluation in Clinical Practice
|October 1, 2014
PubMed
Summary
This summary is machine-generated.

Evidence-based medicine (EBM) and personalized medicine (PM) face criticism for overlooking patient individuality and clinical complexity. A case study reveals how fragmented biomedical approaches neglect holistic patient care, leading to adverse outcomes and increased costs.

Keywords:
biomedical rationalefragmentationmulti-morbiditypersonalized medicinepoly-pharmacyquantified selfsocial gradients of sickness

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Area of Science:

  • Medical Philosophy
  • Health Systems Research
  • Clinical Practice

Background:

  • Evidence-based medicine (EBM) is criticized for oversimplifying clinical complexity and patient individuality.
  • Personalized medicine (PM) aims to tailor treatments using extensive patient data, driven by technological advancements.

Observation:

  • A case study analyzed a patient's sickness history to understand biomedical approaches.
  • Biomedical logic focused on isolated problems, neglecting systemic interactions and patient experiences.

Findings:

  • Fragmented treatment approaches led to chronification, poly-pharmacy, and multi-morbidity.
  • Specialists focused on their disciplines, overlooking the interconnectedness of the patient's condition.
  • This resulted in unsustainable increases in healthcare costs.

Implications:

  • The study challenges the separation of the physical body from human experience in medicine.
  • It questions the knowledge frameworks of EBM and PM, advocating for a more holistic view.
  • Over-reliance on molecular data may obscure crucial factors in human illness.