It is the business of pharmacovigilance to evidence causal failure: when the effects of the drugs are unexpected. Simply knowing that a medicine can affect or interact with a particular biological mechanism is itself a valuable piece of causal information, argue Elena Rocca, Rani Lill Anjum and Stephen Mumford in a recent publication. Read more about this and the CauseHealth collaboration with Uppsala Monitoring Centre (UMC) in Uppsala Reports.
There is still a lot of confusion regarding the word “biopsychosocial”. Yes it’s a compound word made up of three other words Biological (physical), Psychological (of the mind) and Social (of the environment). The trouble is that just like the word biopsychosocial is all one, so are humans.Continue reading “What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem””
Dr Hanne Oddli, Associate Professor at the Department of Psychology, University of Oslo, is a clinical psychologist, and researcher. In this video she presents the ongoing work promoting evidential pluralism in psychotherapy research based on a dispositionalist understanding of causality.Continue reading “Causality in Psychotherapy Research”
A multidisciplinary book dealing with the philosophical biases that tacitly motivate evidence based and person centered clinical practice.
Short presentation video
Access and download the book for free on the Springer webpage.
Long presentation video
A seminar at NMBU invited a group of clinicians from around Norway to discuss philosophical biases in medicine with us and each other. We discussed the challenge of pursuing genuine person centered healthcare for individual patient in a system of New Public Management, standardisation and silo medicine. The invited participants had backgrounds from psychology, nursing, general practice, psychiatry, physiotherapy, osteopathy, rehabilitation, speech language pathology, and more. Continue reading “CauseHealth and the clinic. Philosophical bias in medicine”
A reminder of the great mind and gentle humanity of Stephen Tyreman. I was honoured to be sent this to publish on the blog, and hope that through writings such as this, he can continue to enlighten and inform us. He wrote it in response to a piece by Monica Noy on “cognitive dissonance”.
Cranial Concept, Reality and Perception
Thanks Monica for this honest and thought-provoking piece and also to Penny for drawing my attention to Monica’s thoughts. It takes a lot of courage to speak out against the prevailing assumptions, practices and mores of any group and particularly of osteopathy which continues to be defensive and therefore somewhat ‘touchy’ about its identity and status in respect to other parts of healthcare.
I suppose I’m a bit closer to Penny’s view on the cranial concept, which is that while the theoretical ‘foundation’ of cranial work is very suspect with…
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Technology should make our life better, easier and safer. And yet, medicines, pesticides, nanotechnologies, biotechnologies et cetera, may represent a potential threat to health and environment. Some of the new technologies might be safe for most, but they could still be harmful for vulnerable individuals, communities or ecosystems. Continue reading “CAUSAL DISPOSITIONS IN RISK ANALYSIS”
In this blog (and linked article), physiotherapist Matt Low explains how he uses patient narratives, mind-maps and the vector model of causation to help his patients. The result is a person-centered approach that emphasises causal complexity, individual context and the idea that at least some of the causes of pain can be counteracted and thus controlled by the patient. Matt is a collaborator of CauseHealth and this is his second article describing his unique approach to chronic pain.
I was fortunate enough to have been invited by Physio First to contribute to their journal ‘In Touch’ and I chose to write about managing complexity with the different types of ‘evidence’ that we deal with in a healthcare setting.
This is an area of interest for me and I still grapple with many areas of clinical practice. These include balancing the normative and narrative examination, evaluating and weighting the evidence appropriately for the person seeking care in front of me and also reconciling and communicating the reasoning process within a person centred framework. Clearly, this is work in progress and I hope this reflective piece demonstrates a movement in this direction.
I hope this paper is informative and useful in that it shares some of my deliberations, thoughts and perspectives in clinical care.
Many thanks to Physio First http://www.physiofirst.org.uk/ for giving me the opportunity to share this.
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We have seen a lot of interest in the CauseHealth approach and issues during these last years, especially among clinicians who see a need for a more person centered healthcare. Can this be useful also outside the clinic? Yes, according to senior medical advisor at the WHO Uppsala Monitoring Center for Drug Safety, Ralph Edwards. In a recent perspectives article in the UMC report, he argues that dispositionalism can be useful for dealing with complexity, individual variation and the patient’s unique context. Continue reading “Living with complexity and big data. Causal dispositionalim enters pharmacovigilance”