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Recognizing the Philosophy of Mind-Body-Spirit Medicine

Dr. Richard Smith in his remarkably outspoken blog has rightly said that ‘Medicine needs to feel defeat’. I suggest that it would be more correct to say that ‘Modern medicine needs to feel defeat’. In his blog he has listed some queries ‘for which there are no answers’:

“Why are we using more and more resources to achieve less and less? Have we gone beyond “flat of the curve medicine” to the point where more inputs produces harm rather than benefit? Is our relationship with death all wrong? What should be our aims and priorities? How do we feel about medicine when huge resources may be spent keeping tiny babies alive while millions die for lack of clean water? Have we medicalised too much of life? Is our relationship with patients all wrong, too infantilising? Have we promised too much?”

I prefer to use the term ‘modern medicine’ because the alternative systems of medicine that include mind-body-spirit systems like Ayurveda do not face such questions. They have their priorities right, which is to care for the patient as a whole including his/her spiritual well-being. They emphasize on health of the spirit, which in turn would take care of the health of the mind and the body.

Modern medicine is incapacitated by limiting itself to a biomedical view of health. The fact that health is the outcome of harmony between mind, body and the spirit is ignored. Having understood the facts of physics, chemistry, biology & psychology that pertain to the body and the mind, it theorizes that health can be sustained or regained by making use of these facts.

This state of affairs stems from the fact that modern medicine predominantly uses the logical mind, which is incapable of conceptualizing the spirit. The simple intuition of a child can grasp the spirit. But modern education systematically teaches us to view everything logically to the exclusion of the intuitive mind. Technology makes use of this predilection to logical thinking and commercial interests exploit such technology.

It is no wonder that Health for all seems to be still a distant dream when modern medicine is entrapped within a mindset of its own making. Medical education needs to recognize the philosophy of mind-body-spirit medicine to overcome this limitation.

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Deb_D wrote:
Isn't medicine a science? Isn't science based on logic? Isn't science based on the generation of testable hypotheses? Would I accept an evidence based approach or an intuition based approach towards my treatment? Evidence based approach of course.
14/9/2010 7:22 PM BST on bmj.com
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drvp wrote:
Mind-body-spirit medicine is not to disregard evidence based approach. It is giving priority to understanding the patient as a person. With understanding comes healing of the spirit, thus facilitating the healing of the mind and the body. Actions based on the science of medicine are arranged around this core understanding, to the extent needed.
15/9/2010 3:25 PM BST on bmj.com
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Deb_D wrote:
You specifically said that "This state of affairs stems from the fact that modern medicine predominantly uses the logical mind, which is incapable of conceptualizing the spirit. ". Evidence-based approach to medicine is an approach based on logical reasoning, hence according to your argument evidence based approach will be incapable in having a measurable effect on spirit. How then you say that Mind-body-spirit medicine is not to disregard evidence based approach?
15/9/2010 9:26 PM BST on bmj.com
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skyesteve wrote:
Sorry - but I don't agree. I don't believe in "the spirit" - whatever that actually means (I suspect in a world of 6 billion people there are about 6 billion different meanings). You are who you are and how you deal with life's ups and downs is down to you ultiamtely (and I can assure you I have had to deal with serious personal trauma in life). The WHO defintion of health talks of physical, mental and social well-being and that's the one I will stick with. All these apsects can be addressed by modern, Western medicine and public health. Do we do "too much"? Yes, I think that we do. Polypharmacy is a huge problems particularly in the elderly - but in my part of the world it's now being specifically addressed. I think we are guilty of chasing numbers sometimes to the detriment of health - HbA1 levels in daibetes being a good current example. I think that the pahrmaceutical industry is too powerful and insufficiently regulated and will always put profit before good in the end of the day (hence their current push of drugs for non-diseases such as "pre-diabetes" or "pre-hypertension". But the bottom line is that the huge advances in health and public health of the last 100 years have been based on a Western style of medicine which has saved and prolonged literally billions of lives and it would be foolish to turn our backs on this and retreat to some non-existent Utopia. It has become very fashionable to slag off Western medicine of late. It's very easy to do - but also very lazy.
16/9/2010 1:12 PM BST on bmj.com
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drvp wrote:
Deb, Trying to understand the patient as a person needs intuition and the quality of empathy; the logical reasoning of the physician does not help him in this regard. The patient's condition is understood in logical terms and the treatment decided, but the extent of treatment would be appropriate to the patient as a person. This last step again needs intuition rather than logical reasoning. Thus evidence-based approach is the tool; how this tool is used on a particular patient depends on the physician's discrimination, who makes use of both the faculties of logical reasoning and intuitive understanding.
17/9/2010 11:36 AM BST on bmj.com
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drvp wrote:
Skyesteve, My blog is not about turning the back on 'western medicine' but rather making fuller use of its potential to heal by overcoming its limitation. I agree that 'spirit' can mean different things to different people. But the essence of that word is 'feeling'. The 'feeling' of the individual is healed by someone who understands him. Healing of the 'feeling' facilitates healing of the 'mind' and the 'body', which is the philosophy of mind-body-spirit medicine. Being intangible and liable to misinterpretation the word spirit is left out by the WHO in its definition of health.
17/9/2010 11:44 AM BST on bmj.com