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Subjunctive medicine: A manifesto.

Hardman, D. and Ongaro, G., 2020. Subjunctive medicine: A manifesto. Social Science & Medicine, 256 (July), 113039.

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DOI: 10.1016/j.socscimed.2020.113039

Abstract

Despite the manifest advantages of modern medicine, many aspects of the experience of illness and healing are not reducible to bodily dysfunction and its restoration. Clinicians and researchers now largely understand that medical practice needs to accommodate a dual aspectivity of the physical body and the lived body. This is increasingly operationalised through the framework of person-centred care, focussed on initiating, integrating, and safeguarding the partnership between the patient-as-person and the clinician-as-person, informed by a narrative perspective on selfhood. In this manifesto, we develop the narrative focus of person-centred care into an alternative framework for medical practice – subjunctive medicine – grounded in ritual efficacy and an explicit appeal to the imagination. We argue that the healing effects of a clinical encounter are reliant on the subjunctive co-construction of a temporary shared social world for a particular purpose. More explicit awareness of the subjunctive nature of the clinical encounter may expand clinicians’ opportunities for healing, whilst fostering resilience. We further suggest that, to be fully actualised, subjunctive medicine requires a shift towards conscious appreciation of the nature of subjunctivity at the social level; a social reawakening to the power of the imagination in modern medicine.

Item Type:Article
ISSN:0277-9536
Uncontrolled Keywords:Medical practice; subjunctivity; ritual; person-centred care
Group:Faculty of Science & Technology
ID Code:34028
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:22 May 2020 21:33
Last Modified:16 Jun 2020 14:33

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