Creating chronicity

J Eval Clin Pract. 2017 Oct;23(5):1071-1074. doi: 10.1111/jep.12715. Epub 2017 May 12.

Abstract

An authentic sickness history is the vantage point for juxtaposing a biomedical and a biographical-phenomenological reading. What, in a biomedical framework, appears to be a longstanding state of comorbidity of different and unrelated types of diseases is rendered transparent in a biographical reading. This particular reading, evidencing the shortcomings of a biomedical framework regarding identifying the social sources of an increasingly complex burden of disease, is reflected upon in light of recent research in the neurosciences. Thus, the biomedical contribution to a sickness history is demonstrated, with its resultant multimorbidity, chronification, and complete incapacitation of a woman despite the continuing and nearly excessive involvement of the health care system.

Keywords: causality; multimorbidity; person-centered medicine.

MeSH terms

  • Chronic Pain / etiology*
  • Chronic Pain / physiopathology
  • Chronic Pain / psychology*
  • Comorbidity
  • Humans