Compassion and Healing in Medicine and Society: On the Nature and Use of Attachment Solutions to Separation Challenges

by
Edition: 1st
Format: Hardcover
Pub. Date: 2011-11-01
Publisher(s): JOHNS HOPKINS UNIV PRESS
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Summary

Reconciling the scientific principles of medicine with the love essential for meaningful care is not an easy task, but one that Greg L. Fricchione performs masterfully in Compassion and Healing in Medicine and Society. At the core of this book is a thought-provoking analysis of the relationship between evolutionary science and neuroscience. Fricchione theorizes that the cries for attachment made by seriously ill patients reflect an underlying evolutionary tenet called the separation challenge / attachment solution process. The pleadings of patients, he explains, are verbal expressions of the history of evolution itself. By exploring the roots of a patient's attachment needs, we come face to face with a critical component of natural selection and the evolutionary process. Medicine engages with the separation challenge / attachment solution process on many levels of scientific knowledge and human meaning and healing. Fricchione applies these concepts to medical care and encourages physicians to fully understand them so they can better treat their patients. Compassionate humanistic care promotes physical, emotional, and spiritual healing precisely because it is consonant with how life, the brain, and humanity have evolved. It is therefore not a luxury of modern medical care but an essential part of it. Fricchione advocates an attachment-based medical system, one in which physicians evaluate stress and resiliency and prescribe an integrative treatment plan for the whole person designed to accentuate the propensity to health. There is wisdom in a perennial philosophy based on compassionate love which, Fricchione stresses, the medical community must take advantage of in designing future health care -- and society must appreciate as it faces its separation challenges.

Table of Contents

Prefacep. ix
Introduction: Knowlege, Meaning, and Healing and the Consilience of Medicinep. 1
The Medical Mission and Evolutionp. 3
Two Realms of KnowledgeùOr One?p. 24
Knowledge, Meaning, and Healingp. 36
The Biological Foundations of the Evolutionary Need For Attachment Solutionsp. 53
Evolution of the Protocellp. 55
Cellular Evolutionp. 80
Animal Evolutionp. 96
The Foundations in Brain Evolution of Knowledge, Meaning, and Healingp. 107
Evolution of the Brainp. 109
Structuring the Brain to Know and Actp. 144
Memory and Motivationp. 168
Meaning, Healing, and the Brainp. 187
The Neurobehavioral and Cultural Foundations of the Need for Attachment Solutionsp. 205
Separation, Attachment, and Human Developmentp. 207
Separation, Attachment, and the Life Cyclep. 225
The Social Neuroscience of Separation and Attachmentp. 238
Consciousness, Language, and Their Originsp. 250
Evolutionary Consciousnessp. 271
Implications for Society, Culture, and Ethicsp. 299
The Theoretical Foundations of The Need for Attachment Solutionsp. 327
An Evolutionary True Cause?p. 329
Investigating the Separation Challenge-Attachment Solution Hypothesisp. 357
A Testable Hypothesisp. 372
Analogies and Analysisp. 393
The Implications of the Separation Challenge-Attachment Solution Hypothesisp. 407
Implications for the Mission of Modern Medicinep. 409
Implications for Medicine at the End of Lifep. 450
Postscript: A Commentary on Human Evolutionp. 461
Referencesp. 475
Indexp. 519
Table of Contents provided by Ingram. All Rights Reserved.

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