Bench and Bedside Medicine: A One-Way Contamination
摘要
Whilst patients form perceptions and projections about the human body and personhood, doctors’ mental models of care often stem from research and medical education, leading to misconceptions regarding medical approaches. This chapter explores the dual nature of medicine as both science and art, highlighting the confusion caused by the interchangeable use of “model” and “approach” in medical care and argues that research models differ fundamentally from care models, which are translated into patient approaches. In other words, I state that a research model becomes the source and resource for medical practice models, which may lead to false assumptions regarding approaches in medical care. The first part defines key terms—theory, model and approach—and examines how this linguistic overlap creates tension, particularly in the contamination of bedside medicine (art) with principles from bench medicine (science). In the second part, I state the need for this clarification, which resides in the artificial desire to dichotomise medicine into reductionist, holistic and, consequently, paternalistic and humanistic medical care. The chapter concludes by emphasising the need for a shift in mentality rather than paradigms.