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For Tag "Medicine"
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Lewis Mehl-Madrona: How we treat is more important than the treatment! The way we relate to people is more important than what we do in both medicine and psychiatry. Randomized, clinical trials of the drug, citalopram, for geriatric depression, for example, showed that where a patient got treated mattered more than what drug they received. The response rate to citalopram varied from 16% to 82% among 15 hospitals. The time is nigh to improve the human elements in what we do be more helpful.
Lewis Mehl-Madrona: To Do and Not To Be I reflect upon the importance of doing, what is called behavioral activation. In order to change, we need to do things differently, and not just think about doing things differently. Unfortunately, conventional medicine has supported a narrative which tells us that we do not have to make an effort to change our behavior, so people who are depressed or anxious don't believe they need to do anything. We need to change this.
Lewis Mehl-Madrona: Narrative Concepts I attempt to say what a narrative is. It is a telling of something to someone by someone. It may reflect the basic means by which our brains work, the result of a co-evolution of brain and story to allow us to recall the myriad of details necessary for negotiating a social life with the 500 people whom we are capable of knowing. Its shortest form consists of two action clauses that can be sequenced and one orienting clause.
Lewis Mehl-Madrona: Explanatory Plurarlism I ask the question, what if all knowledge existed in the form of stories and all stories were true? If we practiced in this manner, as advocated by Uncle Albert, an aboriginal elder, how would we act? The notion of explanatory pleuralism argues that explanatory stories on any particular level do not have to relate to any other level of explanation; rather they must correspond to the level of which they are explaining.

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