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The mind-body dichotomy reified: an illustrative case
The American Journal of Psychiatry
|October 1, 1978
Summary
Cartesian dualism, separating mind and body, can lead to unfair healthcare denials. Benefits should be based on functional disability, not just diagnosis, to ensure equitable patient care.
Area of Science:
- Philosophy of Mind
- Bioethics
- Health Policy
Background:
- Cartesian dualism posits a strict separation between the mind and the body.
- This philosophical concept has influenced various societal structures, including healthcare policy.
- Reification of dualism can lead to the categorization of individuals based on distinct mind-body classifications.
Observation:
- A case study revealed a social policy formulation rooted in diagnostic dualism.
- This policy resulted in the denial of health-related facility placement for a patient.
- The denial was based on a perceived separation between the patient's mental and physical conditions.
Findings:
- The authors argue that the denial of facility placement was both prejudicial and illogical.
- The case highlights the negative consequences of applying rigid mind-body distinctions in social policy.
- The study identifies diagnostic dualism as the underlying issue leading to discriminatory practices.
Implications:
- The findings suggest a need to re-evaluate social and health policies that rely on Cartesian dualism.
- There is a call for benefits and services to be allocated based on functional disability rather than diagnostic categories.
- This approach promotes a more holistic and equitable system for patient care and resource allocation.