In the postmodern
period of history, the advances in technology became the main way and objective
in healthcare. So, anamnesis and physical examination were more and more let
aside and almost ignored. It is important to recognize several achievements of
that kind of thing. But, in human history, many times when we gain something,
we lose something. That was the “trade” then in healthcare…
Nevertheless,
in after-postmodern times, those efficiencies don’t work anymore. It is
impossible to provide indifferently to everybody all kind of test without
looking singularly to each person. It is not economically sustainable. Another
thing is that when we look too much for the tests we lose the human
contingencies or the human being as a whole. So, even the improvement of
lifetime did not avoid the complaining of patients and health professionals
about dehumanization in medicine. It seems that something is wrong, or
something is missing…
Narrative
Medicine is a way to recover something almost lost in health care, and beyond
that it is a new paradigm. But, it is a paradigm inserted in Complex Thinking,
Transdisciplinarity and the Singularity of Guattari. It is not an imposed
paradigm, but a dialogical paradigm open to listening and discussion. It doesn’t
deny the scientific advances but it situates them into the human context.
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