Pub Date : 2024-07-03DOI: 10.55016/ojs/jah.v2024i2024.79368
Adam Bedford
This paper examines two competing approaches to the study of addiction: the neuroscientific model which conceives of addiction as a brain disease, and the phenomenological critique of neuroscience, which appeals to lived experience. I employ Gadamer’s rich hermeneutic contribution to the phenomenological tradition in order to generate more fruitful dialogue between these competing models. Gadamer’s critique of the leveling of language in science is employed to counter neuroscientific claims to objectivity, while his redescription of the constructive role of prejudice in understanding is employed to highlight inadequacies in the phenomenological critique of neuroscience. Ultimately, I propose a fusion of these contested horizons which can generate richer clinical practice—reimagining the role of addiction recovery as helping individuals interpret and understand their experience of addiction toward new ways of being in the world.
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Pub Date : 2024-01-08DOI: 10.55016/ojs/jah.v2023i2023.78510
Dr. Martina Kelly
The interplay of art and medicine is centuries long. In contemporary medical education, “arts and humanities” relevant to medical practice are often instrumentalized and justified in curriculum to “improve” training, increasing empathy, for example. The aesthetic pleasure of engaging with art is less considered. In this essay, as a family physician, I reflect on my aesthetic experience of poetry as a gateway to consider the possibility of aesthetic experience in clinical practice. As I tarry with language in a poem, new horizons of understanding are extended. In a similar way, in clinical practice, when I allow my senses to experience a patient aesthetically, be it by seeing, smelling, touching, I can enter a new appreciation of their personhood. Using a combination of poetry and visual art, I draw on an example of an older man, unstably housed, to elucidate how experiencing arts and humanities in medical practice can answer what Gadamer called the first task of medicine, that is to restore a person to their original state.
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