The Clinic & The Person
The Clinic and The Person is a podcast developed to summon or quicken the attention of health care professionals, their educators, researchers and others to the interests and plights of people with specific health problems aided through knowledge and perspectives the humanities provide. We are guided by how physician-writer Iona Heath sees the arts adding a view to biomedicine “that falls from a slightly different direction revealing subtly different detail” and how that view applies to particular health care situations. Our aim is to surface these views, and our desire is to present them in ways that encourage and enable health care professionals to fully engage, to consider all sources, not just biomedical, in their roles helping people with their particular health problems.
“The Clinic” represents all that Biomedicine brings to bear on disease processes and treatment protocols, and “The Person,” represents all that people experience from health problems. Our episodes draw from works in the humanities—any genre—that relate directly to how people are affected by specific clinical events such as migraine headaches, epileptic seizures, and dementia, and by specific health care situations such as restricted access to care and gut-wrenching, life and death choices. We analyze and interpret featured works and provide thoughts on how they apply in patient care and support; health professions education; clinical and population research; health care policy; and social and cultural influences and reactions.
The Clinic & The Person
“No Escape from Reality:” Thomas Kuhn and the Reliability of Medical Knowledge
“Should we worry about the reliability of medical knowledge?” asks philosopher John Huss (University of Akron). We consider this question from the perspective of Thomas Kuhn’s classic, 1962 book, The Structure of Scientific Revolutions. Kuhn explains how science does not evolve incrementally, one step following another, but rather undergoes wholesale revolutions disconnected from all that came before. He called these revolutions, “paradigm shifts” (to his everlasting regret). While Kuhn draws mostly from astronomy to make his case, we draw from recent and past medical examples to show how his concept applies to medicine as well. We talk about how various groups dependent on reliable medical knowledge (e.g., patients, health care professionals, educators) can be affected by the possibility of major shifts in established approaches to health care at any time. There’s no escape from reality, as the song goes.
Primary Source Citation
Kuhn T. The Structure of Scientific Revolutions, 3rd ed, Chicago: The University of Chicago Press; 1996.
Links
Russell Teagarden’s related blog posts on According to the Arts:
- Kuhn’s book, The Structure of Scientific Revolution
- Michel Foucault’s book, The Birth of the Clinic
Dr. Barry Marshall’s story of how he and Dr. Robin Warren engineered the change in peptic ulcer disease from acid based to infection based.
The Clinic & The Person Episode 12 (September, 2023), featuring the paradigm shift from lobotomies and other forms of psychosurgery to psychopharmacology.
Sir Brian May’s bio (guitarist for Queen and PhD-level astrophysicist).
Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.
Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.
Executive producer: Anne Bentley