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Anticipation in Medicine: A Critical Analysis of the Science, Praxis and Perversion of Evidence Based Healthcare looks at an aspect of healthcare rarely addressed: how the capitalist interest in diagnosis and treatment impacts upon the patient and, by extension, the system of healthcare itself. Using Lacanian structures of discourse, Dr. Owen Dempsey critiques the praxis of scientific Evidence Based Medicine (EBM) applied to anticipatory and preventive healthcare under capitalism and ultimately, what constitutes good care. This book features up-to-date case studies that combine real-life patients and the psychological impacts of anticipatory care such as cancer screening in the modern era. The book identifies the dangers of anticipatory care in medicine and provides compelling and new possibilities for progressing towards a more emancipatory conception of a less knowing, less apparently compassionate, as well as less harmful practice of health care. This is fascinating reading for academics, students and practitioners interested in critical health psychology, the practice of ‘scientific’ medicine, and the politics of health and social care.
In this book, practicing physicians and experts in anticipation present arguments for a new understanding of medicine. Their contributions make it clear that medicine is the decisive test for anticipation. The reader is presented with a provocative hypothesis: If medicine will align itself with the anticipatory condition of life, it can prompt the most important revolution in our time. To this end, all stakeholders—medical practitioners, patients, scientists, and technology developers—will have to engage in the conversation. The book makes the case for the transition from expensive, and only marginally effective, reactive treatment through “spare parts” (joint replacements, organ transplants) and reliance on pharmaceuticals (antibiotics, opiates) to anticipation-informed healthcare. Readers will understand why the current premise of treating various behavioral conditions (attention deficit disorder, hyperactivity, schizophrenia) through drugs has to be re-evaluated from the perspective of anticipation. In the manner practiced today, medicine generates dependence and long-lasting damage to those it is paid to help. As we better understand the nature of the living, the proactive view of healthcare, within which the science and art of healing fuse, becomes a social and political mandate.
Anticipation in Medicine: A Critical Analysis of the Science, Praxis and Perversion of Evidence Based Healthcare looks at an aspect of healthcare rarely addressed: how the capitalist interest in diagnosis and treatment impacts upon the patient and, by extension, the system of healthcare itself. Using Lacanian structures of discourse, Dr. Owen Dempsey critiques the praxis of scientific Evidence Based Medicine (EBM) applied to anticipatory and preventive healthcare under capitalism and ultimately, what constitutes good care. This book features up-to-date case studies that combine real-life patients and the psychological impacts of anticipatory care such as cancer screening in the modern era. The book identifies the dangers of anticipatory care in medicine and provides compelling and new possibilities for progressing towards a more emancipatory conception of a less knowing, less apparently compassionate, as well as less harmful practice of health care. This is fascinating reading for academics, students and practitioners interested in critical health psychology, the practice of ‘scientific’ medicine, and the politics of health and social care.
The first detailed study of this most important class of systems which contain internal predictive models of themselves and/or of their environments and whose predictions are utilized for purposes of present control. This book develops the basic concept of a predictive model, and shows how it can be embedded into a system of feedforward control. Includes many examples and stresses analogies between wired-in anticipatory control and processes of learning and adaption, at both individual and social levels. Shows how the basic theory of such systems throws a new light both on analytic problems (understanding what is going on in an organism or a social system) and synthetic ones (developing forecasting methods for making individual or collective decisions).
This Handbook presents the state of the art overview of current research on anticipation studies. It develops anticipation from both the theoretical and applied points of view. Via this comprehensive overview of the research on anticipation, this Handbook makes clear that anticipation is a serious topic of research that can and should be connected to Futures Studies research, perspectives and orientation. The Handbook uses the anticipatory viewpoint as a unifying framework able both to stop the progressive fragmentation of the human and social sciences and begin a process aimed at progressively closer integration, mutual knowledge and dialogue among the human and social sciences. It sets the agenda for the field, helps futures studies to come of age, and contributes to changing the orientation of the human and social sciences from their dominant past-orientation to a new future-orientation. The Handbook presents research from a variety of fields such as: Biology, ecology, psychology, social sciences, humanities, engineering, and computer science. The editorial board consists of scholars from various sciences, such as futurists, sociologists, economists, statisticians, computer scientists, designers and game builders.
The COVID-19 pandemic further exacerbated the long-standing skills shortages in the health workforce across countries. Equipping health workers with the right skills is essential to respond to future health crises, to prepare for increasing use of digital technologies, and to plan for demographic change.
The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned with detecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidence and analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.
From the author of the “engrossing historical epic” (Booklist) The Scribe of Siena comes a thrilling tale set in the crumbling city of Mystras, Greece, in which a scientist’s vacation with her young son quickly turns into a fight for their lives after they cross paths with a man out of time. After the death of her beloved husband and becoming a single parent to her nine-year-old son Alexander, overworked scientist Helen desperately needs an escape. So when Alexander proposes a trip to Greece—somewhere he's always dreamed of visiting—Helen quickly agrees. After spending several days exploring the tourist-filled streets, they stumble upon the ancient city of Mystras and are instantly drawn to it. Its only resident is Elias, a mysterious tour guide living on the city’s edges…both physically and temporally. In 1237, Elias’s mother promised his eternal service to the Profitis Ilias in Mystras in exchange for surviving a terrible illness. But during his 800 years of labor, he’s had one common enemy: the noble Lusignan family. The Lusignan line is cursed by a deadly disease that worsens with each generation, and a prophecy hints that Elias’s blood is their only hope for a cure. He has managed to survive throughout the centuries, but the line has dwindled down to the last Lusignan and he is desperate to avert his family’s destiny. When Elias runs into Helen, he meets his match for the first time—but he unwittingly puts both her and her young son in danger as a result. With time running out and an enemy after them, Elias and Helen are forced to choose between the city they love, and each other. Blending the historical romance of Diana Gabaldon, the rich detail of Philippa Gregory’s novels, and Dan Brown’s fast-paced suspense, Anticipation is a thrilling and satisfying read like no other.
This book reviews the growing evidence for the link between prospection and well-being. A variety of aspects of prospection are discussed, including prediction and anticipation for future events, judging how we will feel when events do happen to us, and how we feel in the here-and-now when contemplating what will happen in the future.
Focuses on the key legal issues including medical documentation, which reduce risk and liability when handled correctly. This book contains chapters on difficult patients and special issues for emergency physicians. The case-based format demonstrates clinical relevance, and useful examples are drawn from office, hospital and community settings.