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Simplified Models of the Relationship Between Health and Disease

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Abstract

The concepts of health and disease are crucial in defining the aim and the limits of modern medicine. Accordingly it is important to understand them and their relationship. However, there appears to be a discrepancy between scholars in philosophy of medicine and health care professionals with regard to these concepts. This article investigates health care professionals’ concepts of health and disease and the relationship between them. In order to do so, four different models are described and analyzed: the ideal model, the holistic model, the medical model and the disjunctive model. The analysis reveals that each model has its pros and cons, and that health care professionals appear to apply more than one models. Furthermore, the models and the way health care professionals’ use them may be helpful for scholars in philosophy of medicine with regard to developing theories and communicating them to health care professionals.

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References

  • E.H. Ackerknecht (1982) Causes and Pseudocauses in the History of Diseases L.G. Stevenson (Eds) A Celebration of Medical History The Johns Hopkins University Press Baltimore 19–36

    Google Scholar 

  • D.A. Albert R. Munson M.D. Resnik (1988) Reasoning in Medicine: An Introduction to Clinical Inference Johns Hopkins University Press Baltimore

    Google Scholar 

  • C Boorse (1975) ArticleTitleOn the Distinction Between Disease and Illness Philosophy and Public Affairs 5 49–68

    Google Scholar 

  • C Boorse (1976) ArticleTitleWhat a Theory of Mental Health Should Be Journal for the Theory of Social Behaviour 6 62

    Google Scholar 

  • B. Brülde P.-P. Tengland (2003) Hälsa och sjukdom - en begreppslig utredning Studentlitteratur Lund

    Google Scholar 

  • C.R. Burns (1975) Diseases Versus Healths: Some Legacies in the Philosophies of Modern Medical Science H.T. Engehlardt S.F. Spicker (Eds) Evaluation and Explanation in the Biomedical Sciences Reidel Dordrecht 29–47

    Google Scholar 

  • Canguilhem, G. Le normal et le pathologique. Paris: Presses Universitaires de France, 1943. English translation: Canguilhem, G. The Normal and the Pathological. Translated by C.S. Fawcett and R.S. Cohen. New York: Zone Books, 1991.

  • A.L. Caplan (1989) The Concepts of Health and Disease R.M. Veatch (Eds) Medical Ethics Jones and Bartlett Publishers Boston 51–63

    Google Scholar 

  • H.T. Engelhardt (1975) The Concepts of Health and Disease H.T. Engehlardt S.F. Spicker (Eds) Evaluation and Explanation in the Biomedical Sciences Reidel Dordrecht 125–141

    Google Scholar 

  • H.T. Engelhardt K.W. Wildes. (1995) Health and Disease – Philosophical Perspectives W.T. Reich (Eds) Encyclopedia of Bioethics NumberInSeries2 MacMillan New York 1101–1106

    Google Scholar 

  • A Flew (1973) Crime or Disease? Barnes and Noble New York

    Google Scholar 

  • P. Fugelli B. Ingstad (2001) ArticleTitleHelse – slik folk ser det. [A Lay Perspective on Health] Tidsskr Nor Lægeforen 121 3600–3604 Occurrence Handle11808025

    PubMed  Google Scholar 

  • K.W.M Fulford (1989) Moral Theory and Medical Practice Cambridge University Press Cambridge

    Google Scholar 

  • H.G Gadamer (1993) Über die Verborgenheit der Gesundheit Suhrkamp Frankfurt aM

    Google Scholar 

  • J Glover (1999) Humanity: A Moral History of the Twentieth Century Jonathan Cape London

    Google Scholar 

  • G Hesslow (1993) ArticleTitleDo We Need a Concept of Disease? Theoretical Medicine 14 1–14 Occurrence Handle10.1007/BF00993984 Occurrence Handle8506536

    Article  PubMed  Google Scholar 

  • B Hofmann (2001) ArticleTitleComplexity of the Concept of Disease as Shown Through Rival Theoretical Frameworks Theoretical Medicine and Bioethics 22 IssueID3 211–237 Occurrence Handle10.1023/A:1011416302494 Occurrence Handle11499496

    Article  PubMed  Google Scholar 

  • B Hofmann (2002) ArticleTitleOn the Triad Disease, Illness and Sickness Journal of Medicine and Philosophy 27 IssueID6 651–674 Occurrence Handle10.1076/jmep.27.6.651.13793 Occurrence Handle12607162

    Article  PubMed  Google Scholar 

  • B Hofmann (2002) ArticleTitleThe Myth of Technology in Health Care Science and Engineering Ethics 8 IssueID1 17–29 Occurrence Handle11840953

    PubMed  Google Scholar 

  • H Jonas (1985) Technik, Medizin und Ethik Insel Verlag Frankfurt a.M

    Google Scholar 

  • I Kant (1913) Anthropolgie Georg Reimer Berlin

    Google Scholar 

  • G. Khushf (2001) What is at Issue in the Debate About Concepts of Health and Disease? Framing the Problem of Demarcation for a Post-Positivist Era of Medicine Nordenfelt Lenart (Eds) Health, Science and Ordinary Language Radopi New York 123–169

    Google Scholar 

  • L King (1954) ArticleTitleWhat is a Disease? Philosophy of Science 21 193–203 Occurrence Handle10.1086/287343

    Article  Google Scholar 

  • M Merleau-Ponty (1962) Phenomenology of Perception Routledge London

    Google Scholar 

  • L Nordenfelt (1986) ArticleTitleHealth and Disease: Two Philosophical Perspectives Journal of Epidemiological and Community Health 40 IssueID4 281–284

    Google Scholar 

  • L Nordenfelt (1987) On the Nature of Health Kluwer Academic Publishers Dordrecht

    Google Scholar 

  • L Reznek (1987) The Nature of Disease Routledge & Keagen Paul New York

    Google Scholar 

  • W Riese (1953) The Conception of Disease, Its History, Its Versions, and Its Nature Philosophical Library New York

    Google Scholar 

  • R.M Sade (1995) ArticleTitleA Theory of Health and Disease: The Objectivist-Subjectivist Dichotomy Journal of Medicine and Philosophy 20 513–525 Occurrence Handle8830104

    PubMed  Google Scholar 

  • A.C. Sørensen C. Dalgård (1999) Sundhed mellem biologi og kultur: en bog om nye sundhedsbegreber Gyldendal Uddannelse København

    Google Scholar 

  • F Svenaeus (1999) The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Medical Practice Health and Society, Linköping University Linköping

    Google Scholar 

  • F. Svenaeus (2003) A Phenomenological Analysis of the Concepts of Handicap and Illness Nordenfelt Lennart Liss Per-Erik (Eds) Dimensions of Health and Health Promotion Radopi Amsterdam 97–109

    Google Scholar 

  • S.K Toombs (1990) ArticleTitleThe Temporality of Illness: Four Levels of Experience Theoretical Medicine 11 IssueID3 227–241 Occurrence Handle10.1007/BF00489832 Occurrence Handle2247858

    Article  PubMed  Google Scholar 

  • K.E Tranøy (1967) ArticleTitleAsymmetries in Ethics Inquiry 10 351–372

    Google Scholar 

  • K.E. Tranøy (1995) Om helsebegreper og helsetjeneste: en meditasjon K. Klockars B Österman (Eds) Begrepp om hälsa: filosofiska och etiska perspektiv på livskvalitet, hälsa och vård. Liber Utbildning Stockholm 127–139

    Google Scholar 

  • KE. Tranøy (1995) Grunnleggende etiske prinsipper i helsetjenesten P.-E. Liss B Petersson (Eds) Helsosamma tankar Nya Doxa Nora 145–154

    Google Scholar 

  • T Troels-Lund (1900) Sundhedsbegreber i Norden i det 16 aarhundrede Schubotheske forlag Copenhagen

    Google Scholar 

  • Wulff H.R., and P.C. Gøtzche. Rationel klinik – evidensbaserede diagnostiske og␣terapeutiske beslutninger København: Munksgaard, 1997. English version: Rational Diagnosis and Treatment: An Introduction to Clinical Decision-Making. Oxford: Blackwell Scientific Publications, 1976/1981.

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Correspondence to Bjørn Hofmann.

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Hofmann, B. Simplified Models of the Relationship Between Health and Disease. Theor Med Bioeth 26, 355–377 (2005). https://doi.org/10.1007/s11017-005-7914-8

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