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Subjunctive medicine: A manifesto.

Doug Hardman1, Giulio Ongaro2

  • 1Bournemouth University, United Kingdom.

Social Science & Medicine (1982)
|May 24, 2020
PubMed
Summary

Modern medicine can enhance healing by recognizing the patient as a person, not just a body. This "subjunctive medicine" uses imagination and ritual within the clinical encounter to foster resilience and improve patient outcomes.

Keywords:
Medical practicePerson-centred careRitualSubjunctivity

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Area of Science:

  • Medical Humanities
  • Clinical Psychology
  • Sociology of Health

Background:

  • Modern medicine often overlooks the subjective experience of illness, focusing solely on physical dysfunction.
  • Person-centred care acknowledges the 'lived body' alongside the 'physical body', emphasizing patient-clinician partnership.
  • A narrative perspective on selfhood is crucial for understanding the patient's experience.

Purpose of the Study:

  • To propose "subjunctive medicine" as an alternative framework for medical practice.
  • To explore the role of ritual efficacy and imagination in clinical encounters.
  • To enhance healing opportunities and foster resilience through a narrative and imaginative approach.

Main Methods:

  • Developing the narrative focus of person-centred care.
  • Integrating ritual efficacy and imagination into medical practice.
  • Analyzing the subjunctive co-construction of shared social worlds in clinical settings.

Main Results:

  • Healing effects in clinical encounters depend on the subjunctive co-construction of a shared social world.
  • Increased awareness of the subjunctive nature of encounters can expand clinicians' healing potential.
  • Subjunctive medicine fosters resilience in both patients and clinicians.

Conclusions:

  • Subjunctive medicine offers a novel framework for medical practice, integrating narrative and imagination.
  • A conscious appreciation of subjunctivity at a social level is necessary for its full actualization.
  • Reawakening to the power of imagination in medicine can transform the healing process.