From Evidence-based Medicine to Human-based Medicine in Psychosomatics
1Department of Psychiatry, Anton Proksch Institute, 1230 Wien, Austria. michael.musalek@api.or.at.
Acta Dermato-Venereologica
|June 11, 2016
Summary
Human-based medicine (HbM) integrates evidence-based medicine (EbM) by focusing on the whole person, not just illness. HbM prioritizes patient autonomy and a happy life over solely eradicating symptoms, emphasizing resources in diagnostics and treatment.
Area of Science:
- Psychiatry
- Philosophy of Medicine
Background:
- Modern psychiatry's positivism is challenged by postmodernism's view on objective truth.
- Human-based medicine (HbM) views the whole person, moving beyond fragmented approaches.
Purpose of the Study:
- To explore the theoretical underpinnings and practical implications of Human-based Medicine (HbM).
- To demonstrate the integration of Evidence-based Medicine (EbM) within the framework of HbM.
- To redefine the goals of psychiatric treatment towards patient autonomy and well-being.
Main Methods:
- Conceptual analysis of medical philosophies (positivism vs. postmodernism).
- Comparative analysis of diagnostic and therapeutic aims between EbM and HbM.
- Emphasis on multidimensional diagnostics incorporating patient resources.
Main Results:
- HbM and EbM are complementary, not mutually exclusive.
- HbM shifts treatment goals from symptom eradication to enabling autonomous and joyful living.
- Diagnostics in HbM focus on patient resources alongside symptoms and pathogenesis.
Conclusions:
- Evidence-based Medicine (EbM) is an essential component of Human-based Medicine (HbM).
- Human-based Medicine (HbM) prioritizes the patient's potential for a fulfilling life.
- Psychiatric care should center on the individual's overall well-being and autonomy.
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