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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Are we on the brink of a major transformation of clinical method?</title><author><name sortKey="Mcwhinney, I R" sort="Mcwhinney, I R" uniqKey="Mcwhinney I" first="I R" last="Mcwhinney">I R Mcwhinney</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">3756718</idno><idno type="pmc">1491472</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1491472</idno><idno type="RBID">PMC:1491472</idno><date when="1986">1986</date><idno type="wicri:Area/Pmc/Corpus">000064</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000064</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Are we on the brink of a major transformation of clinical method?</title><author><name sortKey="Mcwhinney, I R" sort="Mcwhinney, I R" uniqKey="Mcwhinney I" first="I R" last="Mcwhinney">I R Mcwhinney</name></author></analytic><series><title level="j">CMAJ: Canadian Medical Association Journal</title><idno type="ISSN">0820-3946</idno><idno type="eISSN">1488-2329</idno><imprint><date when="1986">1986</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The traditional clinical method, which has served medicine well for over 100 years, had its origins in the integration of physical examination with morbid anatomy in early 19th-century France. Now this method is showing signs of failing to meet some contemporary needs. In particular, there is no means for understanding the inner experience of patients. Previous models of a transformed method have not grappled with the problem of validation. Data on the inner experience of patients are not open to empiric validation in the same way as clinical data. The process of understanding the meaning of an illness is not, therefore, scientific in the conventional sense. There are, none the less, rigorous methods for validating the results of this form of inquiry, notably those of phenomenology. A transformed method should aim to understand the meaning of an illness for the patient as well as provide a clinical diagnosis. The transformation will require a change in the epistemology of medicine and an educational process that encourages reflection and growth of self-knowledge.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">CMAJ</journal-id><journal-title>CMAJ: Canadian Medical Association Journal</journal-title><issn pub-type="ppub">0820-3946</issn><issn pub-type="epub">1488-2329</issn></journal-meta><article-meta><article-id pub-id-type="pmid">3756718</article-id><article-id pub-id-type="pmc">1491472</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Are we on the brink of a major transformation of clinical method?</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>McWhinney</surname><given-names>I R</given-names></name></contrib></contrib-group><pub-date pub-type="ppub"><day>15</day><month>10</month><year>1986</year></pub-date><volume>135</volume><issue>8</issue><fpage>873</fpage><lpage>878</lpage><abstract><p>The traditional clinical method, which has served medicine well for over 100 years, had its origins in the integration of physical examination with morbid anatomy in early 19th-century France. Now this method is showing signs of failing to meet some contemporary needs. In particular, there is no means for understanding the inner experience of patients. Previous models of a transformed method have not grappled with the problem of validation. Data on the inner experience of patients are not open to empiric validation in the same way as clinical data. The process of understanding the meaning of an illness is not, therefore, scientific in the conventional sense. There are, none the less, rigorous methods for validating the results of this form of inquiry, notably those of phenomenology. A transformed method should aim to understand the meaning of an illness for the patient as well as provide a clinical diagnosis. The transformation will require a change in the epistemology of medicine and an educational process that encourages reflection and growth of self-knowledge.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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