HLTHAGE 1AA3 Lecture Notes - Lecture 6: Gordon Guyatt, Randomized Controlled Trial, David Sackett

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Disease specificity: the idea that each disease has some very specific cause along with a specific course of symptoms. Because the cause is specific the treatment is also specific. Body focused, materialist (all diseases have some sort of physical manifestation) not about the mind. Reductionism: looking at diseases from a cellular level. Machine metaphor: looking at the body as a machine, fixing the body. Individual oriented: a disease is something an individual has within their body and this ignores the social determinants of health. Health/disease dichotomy: you are either healthy or have a disease there is no spectrum. Church became less of an authority with anatomy. Health professionals were now able to look inside the body. Science became more important than faith when determining health (do not need to look to spirits or god about health anymore) Virchow (cellular pathology), lister (hygiene), koch (germ theory) This shifted the focus from patient"s story to measurable body.

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