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The clinical paradox: Acting in two worlds in parallel
1European Society for Person Centered Healthcare, London, UK.
Journal of Evaluation in Clinical Practice
|November 28, 2022
Summary
Clinical practitioners navigate two parallel worlds: the quantitative and the qualitative. This study defines the qualitative world
Area of Science:
- Healthcare Practice
- Cognitive Science
- Social Sciences
Background:
- Clinical practice involves two parallel realities: a quantitative, metric world and a qualitative, interactive world.
- This article defines the characteristics of the qualitative world and its dynamics.
- Contrasts are drawn between metric dimensions and qualitative elements.
Purpose of the Study:
- To define the characteristics and interactions within the qualitative world of clinical practice.
- To explore the nature of qualitative elements and their governing rules.
- To derive practical applications from this theoretical framework.
Main Methods:
- Theoretical definition of a qualitative world alongside the conventional metric world.
- Analysis of coherent perspectival interaction and polycentric agency.
- Hermeneutical approach aligning with enactment theory and Ostrom's work.
Main Results:
- The qualitative world comprises individual worlds in coherent perspectival interaction.
- Polycentric agency drives individual perspectives and mutual information uptake.
- This framework aligns with cognitive science enactment theory and Elinor Ostrom's theories.
Conclusions:
- Two practical consequences emerge: an advanced biopsychosocial interaction model and quality-oriented self-aid groups.
- Training is proposed to help practitioners navigate both quantitative and qualitative worlds.
- Enhances practitioners' ability to consciously operate within dual realities.
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