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The ontology of person-centered healthcare: Theoretical essentials to reground medicine within its humanistic framework - Part III - The logic of subjectivity: wrapped in one‘s individual history

Thomas Frölich, F F Bevier, Alicja Babakhani, Hannah H Chisholm, Peter Henningsen, David S Miall, Seija Sandberg, Argogast Schmitt

Abstract


To ‘embrace’ focused parts of an addressed environment is the way enclosure of outside foci may be described. Here, the opening of the transfer institution called logical lock (LL) in the previous series of articles points, toward the outside of the individual, selects finite parts of it and either rejects them or utilizes them to achieve the corresponding embodiment. The different layers of the intermediating zone that have in total been described as an individual’s orientation matrix (OM) are described. They consist of mostly invisible, but emotionally perceptible and later intellectually discernible layers, such as the one formed by the personal history, present mood and present feelings, anticipations and expectations. To address a person not as an assembly of discernible organs, but as a person, is hence more demanding than addressing the person only as performing a role, a function. In establishing a logical basis for person-centered healthcare approaches, we introduce further logical and descriptive tools to take the invisible layers into account. This clearly hermeneutical approach is opposed to a method that would hypostasise what in this article are termed ‘naked objects’, abbreviated as NOs. We argue that such NOs exist only as mathematical extrapolations. As abstract extrapolations and, as far as individuality is concerned, they cannot be applied in a meaningful way.

Keywords


Contextual identity, dynamic coherence providers (DCPs), embodiment, gestalt, memory, mentalisation, multimorbidity, naked object (NO), narrative, objectivity, orientation matrix (OM), person-centered healthcare, subjectivity, superimposition

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References


Fröhlich, T., Bevier, F.F., Babakhani, A., Chisholm, H.H., Henningsen, P., Miall, D.S., Sandberg, S. & Schmitt, A. (2016). Updating the descriptive biopsychosocial approach to fit into a formal person centred dynamic coherence model. European Journal for Person Centered Healthcare 4 (3) 545-547.

Kahneman, D. (2011). Thinking, Fast and Slow. New York: Farrar, Straus and Giroux.

Bevier, F.F. & Fröhlich, T. (2014). Grundlagen der Informationsmathematik. An attempt to describe information in a mathematical way. Researchgate, Technical Report, available at:

https://www.researchgate.net/profile/Thomas_Froehlich3/publications, doi: 10.13140/RG.2.1.1270.5606/1

Miall, D.S. (1990). Reader’s Responses to Narrative: Evaluating, Relating, Anticipating. Poetics 19, 323-339.

Spencer-Brown, G. (1969). Laws of Form. London: Allen & Unwin.

Spencer-Brown, G. (1979). Laws of Form. New York: E. P. Dutton.

Loughlin, M. (2012). What Person-Centered Medicine is and isn't: Temptations for the ‘soul’ of PCM. European Journal for Person Centered Healthcare 2 (1) 16-21.

Bevington, D., Fuggle, P., Fonagy, P. & Cracknell, L. (2017). Adaptive Mentalization-Based Integrative Treatment: A Guide For Teams To Develop Systems Of Care. Oxford: Oxford University Press.

Landhäußer, A. & Keller, J. (2012). Flow and its affective, cognitive, and performance-related consequences. In: Advances in flow research. S. Engeser (Ed.), pp. 65-86. New York: Springer.

Rosa, H. (2016). Resonanz - Eine Soziologie der Weltbeziehung. Berlin: Suhrkamp Verlag.

Rosa, H. (2010). Alienation and Acceleration. Towards a Critical Theory of Late-Modern Temporality, Malmö/Arhus: NSU Press.

Rosa, H. (2012). Aliénation et Accéleration. Vers une théorie critique de la modernité tardive. Trans. Thomas Chaumont, Paris: La Découverte.

Sturmberg, J.P., Bennett, J.M., Martin, C.M. & Picard, M. (2016). ‘Multimorbidity’ as the manifestation of network disturbances. Journal of Evaluation in Clinical Practice 23, 199-208.

Miles, A. & Asbridge, J.E. (2017). Multimorbidity - a manifestation of network disturbances? How to investigate? How to Treat. Journal of Evaluation in Clinical Practice 23 (1) 193-198.

Fröhlich, T., Bevier, F.F., Babakhani, A., Chisholm, H.H., Henningsen, P., Miall, D.S., Sandberg, S. & Schmitt, A. (2018). The ontology of person-centered healthcare: Theoretical essentials to reground medicine within its humanistic framework. European Journal for Person Centered Healthcare 6 (1) 138-145.




DOI: http://dx.doi.org/10.5750/ejpch.v6i1.1377

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