의료인문학의 실천적 모델로서의 위약효과
Placebo Effects as the Practical Model for Medical Humanities
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Although medicine has so far represented originally the complex characteristics which contains both scientific and artistic aspects, modern medicine has placed too much emphasis on the scientific medicine, i.e. biomedical model focusing mainly on the biological properties of diseases which are objective and measurable in order to treat diseases effectively. As a result, modern medicine attains outstanding success, but it deals with negligently and makes light of artistic aspects of medicine such as unique subjective experiences of individual patient, various circumstances of each individual, etc. This phenomenon leads to separate patients form diseases and disregards the context in which non-disease conditions occur. Modern medicine accordingly faces the serious crisis of dehumanization in the medical practice. Reflecting on the scientific medicine under these circumstances, medical humanities made an appearance to pursue more humane medicine on the basis of humanistic introspection. However, medical humanities demonstrates the realistic limitations of being unable to intervene in clinical situations where the direct process of disease treatment is unfolded. On the one hand, placebo effects are actually involved in the treatment of diseases in clinical field. Many characteristics of placebo effects also demonstrates the useful possibility of utilization for improving the various problems of modern medicine. This study therefore discussed detailed measures in which placebo effects as the practical model for medical humanities could be helpfully utilized.
Abstract
Although medicine has so far represented originally the complex characteristics which contains both scientific and artistic aspects, modern medicine has placed too much emphasis on the scientific medicine, i.e. biomedical model focusing mainly on the biological properties of diseases which are objective and measurable in order to treat diseases effectively. As a result, modern medicine attains outstanding success, but it deals with negligently and makes light of artistic aspects of medicine such as unique subjective experiences of individual patient, various circumstances of each individual, etc. This phenomenon leads to separate patients form diseases and disregards the context in which non-disease conditions occur. Modern medicine accordingly faces the serious crisis of dehumanization in the medical practice. Reflecting on the scientific medicine under these circumstances, medical humanities made an appearance to pursue more humane medicine on the basis of humanistic introspection. However, medical humanities demonstrates the realistic limitations of being unable to intervene in clinical situations where the direct process of disease treatment is unfolded. On the one hand, placebo effects are actually involved in the treatment of diseases in clinical field. Many characteristics of placebo effects also demonstrates the useful possibility of utilization for improving the various problems of modern medicine. This study therefore discussed detailed measures in which placebo effects as the practical model for medical humanities could be helpfully utilized.
참고문헌 (25)
- 강신익, "비판적 의료인문학과 거꾸로 의학교육", 의철학연구, 25, pp.87~119 (2018), 한국의철학회
- 권상옥, "의료 인문학의 개념과 의학 교육에서의 역할", Korean Journal of Medical Education, 17(3), pp.217~224 (2005), 한국의학교육학회
- 권상옥, "의료 인문학의 성격과 전망", 의철학연구, 5, pp.3~18 (2008)
- 임영채, "위약반응으로 바라본 우리 삶의 의학", 의철학연구, 16, pp.3~36 (2013), 한국의철학회
- 임영채, "'개별 맞춤 의학'의 철학적 의미 고찰", 의철학연구, 18, pp.53~90 (2014), 한국의철학회
- 임영채, "약물효과 평가에 대한 인식론적 고찰", 의철학연구, 21, pp.55~82 (2016), 한국의철학회
- 임영채, "과학과 기예 사이의 교량으로서 위약효과- 의학시대별 위약과 위약효과에 대한 역사적 고찰", 의철학연구, 24, pp.77~118 (2017), 한국의철학회
- 임영채, "의학의 지평을 확장시켜주는 위약효과", 의철학연구, 26, pp.25~66 (2018), 한국의철학회
- 임영채, "위약효과로 바라본 의학의 새로운 모습", 건지인문학, (27), pp.363~389 (2020), 인문학연구소[DOI]
- Andrew Miles, "On a Medicine of the Whole Person: Away from Scientistic Reductionism and Towards the Embrace of the Complex in Clinical Practice", Journal of Evaluation in Clinical Practice, 15(6), pp.941~949 (2009)
- Dimitrios G Oreopoulos, "Humane Medicine", Canadian Medical Association Journal, 128(1), pp.1279~1280 (1983)
- Edmund D Pellegrino, "The Humanities in Medical Education: Entering the Post-evangelical Era", Theoretical Medicine, 5, pp.253~266 (1984)
- Franklin G Miller, "The Power of Context: Reconceptualizing the Placebo Effect", Journal of the Royal Society of Medicine, 101(5), pp.222~225 (2008)
- Franklin G Miller, "The Placebo Effect: Illness and Interpersonal Healing", Perspectives in Biology and Medicine, 52(4), pp.518~539 (2009)
- Irving Kirsch, "The Placebo Effect Revisited: Lessons Learned to Date", Complementary Therapies in Medicine, 21(2), pp.102~104 (2013)
- James A Marcum, "Reflections on Humanizing Biomedicine", Perspective in Biology and Medicine, 51(3), pp.392~405 (2008)
- Jill Gordon, "Medical Humanities: to Cure Sometimes, to Relieve Often, to Comfort Always", Medical Journal of Australia, 182(1), pp.5~8 (2005)
- John A Muir Gray, "Postmodern Medicine", The Lancet, 354(9189), pp.1550~1553 (1999)
- Kathryn Montgomery, "How Doctors Think. Clinical Judgement and the Practice of Medicine", pp.30~33 (2006), Oxford University Press
- Martyn Evans, "Developing the Medical Humanities'-Report of a Research Colloquium, and Collected Abstracts of Papers", Journal of Medical Ethics: Medical Humanities, 27, pp.93~98 (2001)
- Nuala P Kenny, "Role Modeling in Physicians' Professional Formation: Reconsidering an Essential but Untapped Educational Strategy", Academic Medicine, 78(12), pp.1203~1210
- Robert Arnott, "Proposal for an Academic Association for Medical Humanities", Journal of Medical Ethics: Medical Humanities, 27, pp.104~105 (2001)
- Robert M Arnold, "The Humanities, Humanistic Behavior, and the Humane Physician: a Cautionary Note", Annals of Internal Medicine, 106, pp.313~318 (1987)
- Saul J Weiner, "Contextual Errors and Failures in Individualizing Patient Care", Annals of Internal Medicine, 153(2), pp.69~75 (2010)
- 황성미, "Patient Preference and Satisfaction with Their Involvement in the Selection of an Anesthetic Method for Surgery", Journal of Korean Medical Science, 29(2), pp.287~291 (2014), 대한의학회