JOSEPH D. SAPIRA, M.D.
One of the most powerful tools of the contemporary physician is the concept of disease. Most of our education and practice is concerned with disease-oriented dichotomization: the patient either has or does not have a given disease. Diagnosis, prognosis, and treatment are all determined by a correct disease-oriented dichotomization. In fact, the demonstrated power of disease-oriented dichotomization is so great that it appears currently to have generated two undesirable side effects: we tend to be so disease-oriented that sometimes we forget also to be patient-oriented; and sometimes we tend to dichotomize inappropriately and produce artificial conceptual dichotomies where none really
SAPIRA JD. Diseases, Dichotomies, and Detail Men. Ann Intern Med. ;78:293–296. doi: 10.7326/0003-4819-78-2-293
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Published: Ann Intern Med. 1973;78(2):293-296.
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