Karin Engebretsen, Thinking about guidelines:
The question that is still with me after the workshop is how the naturalist paradigm might affect the “political correct” attitude towards patients suffering from medically unexplained syndromes.
If the political decision makers within the medical field believe in the biomedical model as the provider of the best medical practice, their “worldview” will automatically influence the complete medical system.
The biomedical model excludes psychological and social factors and includes only biological factors in an attempt to understand a person’s medical illness or disorder. Thus, the biomedical model has a limited, reductionist attitude that divides the human body into separate elements, focusing on biological factors. Patients often seem to have a unique expression of their symptoms and a unique combination of biological, social and psychological overlapping symptoms. So how do reductionism and dualism affect clinical guidelines and diagnosing related to medically unexplained syndromes?
I see this question as related to ethical issues in medical practice and I hope there will be more focus on this fact as a critical mechanism.