Cultural medicine in real

First, we are not in the position to elaborate/communicate/argue .. out of exact knowledge but from limited knowledge bases which vary in degree of certainty!  Scientist or not!

In science we platform our thinking/working/… on paradigms (preferably introduced ny Thomas Kuhn) and using Karl Poppers falsification and three world paradigm we can express difference between science and real world as

  1. Falsifikation is a hallmark of science while validation is real world strategy, you do not falsify individuals, which means you have to make decisions based on limited knowledge and – in medicine/psychology/psychiatry – very complex biopsychosocial-cultural processes where individuals vary in a varying way between and also in some respects within over situations and time. This requires respect and cooperation (see e.g. http://biopsychosocialmedicine.com/projects/rd-international-projects-2/placebo-rd/the-cancer-patient-as-an-educated-resource-an-coworker-in-own-rehab/) between patients and clinicians.
  2. About Poppers world one, two and three
    1. World one is our physical material world,
    2. World two is individuals subjective “maps of their territory” (not the way Popper express it!), which means no one is expressing the “fact” (that is, 100% knowledge, where some can be quite close at specific levels. e.g. hypertension concerns high blood pressure, but the reasons are complex, not well understood/identified/ .. but a biopsychosocial-cultural toolbox tailored in cooperation between well informed (which is not always the case) clinician and by health care systems reasonably well educated patients, is mostly a constructive way – where many small steps have possibilities to obtain large advantages!
    3. World three is existing collective knowledge more or (mostly) less well collected, which we try to express in different theories/paradigm “maps” as well as also in subgroups and in individuals interpretation of the collective knowledge expressed within the paradigmatic map individual are active in.
  3. The above needs to be respected, which more and more seems to me be forgotten favoring besserwisser self-assertion also in science and clinical context. Some do not realize it and some exploit – some are kind, humbled caring clinicians who want to do good things through convince/assure/persuade while the patient is standing passively by not communicated.
  4. More on different paradigm  …
  5. What is biopsychosocial medicine?
  6. About Vygotsky and Kelly