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John F Clark1,2

  • 1UCSF, Natividad Medical Center Family Medicine Residency Program, 1441 Constitution Blvd., Salinas, CA, 93906, USA. johnmed@comcast.net.

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Summary

Modern medicine faces challenges like burnout and dehumanization due to excluding emotion from reason. This study proposes a new philosophical framework integrating intellect and emotion to reform medical practice and enhance physician well-being.

Keywords:
BurnoutCompassionDehumanizationDiagnosisDual-processEmotionIntelligenceKnowledgeMeaningReason

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Area of Science:

  • Philosophy of Medicine
  • Epistemology
  • Cognitive Science

Background:

  • Modern medicine confronts significant challenges including a compassion crisis, physician burnout, dehumanization, and a loss of meaning.
  • These issues are rooted in historical philosophical traditions that have historically excluded human emotion from rational thought.
  • This separation has led to a hyper-intellectualized approach in medicine, neglecting crucial emotional dimensions.

Purpose of the Study:

  • To propose a novel philosophical schema that integrates human intellect and emotion for a more balanced understanding of knowledge and reason.
  • To extend dual-process theory into epistemology, recognizing distinct knowledge generated by intellect and emotion.
  • To provide a foundation for reformulating medical practice and incorporating the humanities more effectively.

Main Methods:

  • Development of a new philosophical framework based on the balanced interaction of intellect and emotion.
  • Extension of dual-process theory to epistemology, positing independent knowledge generation by intellect and emotion.
  • Application of the proposed schema to medical practice with practical examples for reform.

Main Results:

  • A novel philosophical schema is presented that re-conceptualizes human knowledge and reason.
  • The schema demonstrates how intellect and emotion independently generate knowledge and interact to form reason.
  • Practical applications in medicine are illustrated, aiming for a more knowledgeable and balanced practice.

Conclusions:

  • The proposed philosophical schema offers a pathway to address core challenges in modern medicine.
  • Integrating emotion with intellect provides a more holistic foundation for medical epistemology and practice.
  • This framework supports the enhanced incorporation of humanities in medical education and patient care.