Thinking theologically about modern medicine.
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The Dynamic Spatial Reconstructor system has been developed to dynamically (up to 60/sec) image the entire 3-D volume (up to 240 adjacent 1-mm-thick transverse sections) encompassing moving organs of the body, particularly the heart and lungs, or the circulation in any organ. This capability permits accurate regional and global measurements to be made of the important relationships between structure and function within and among these organs, which in turn facilitates achievement of new insights into the basic physiological processes of these organs, and promises increased sensitivity and specificity in the diagnosis of pathology that affects normal organ function. This article explains the biomedical and technological rationale for development of the DSR, describes the design concepts and practical operation of the system, and presents preliminary results obtained with the system, including initial data from one of the first patient studies.
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The past 15 years have witnessed a call for allopathic medicine to incorporate psychosocial perspectives into education and clinical practice. While a biopsychosocial perspective has influenced academic medicine in areas such as primary care and psychiatry, its direct impact on clinical medicine has been questionable. One barrier to the incorporation of psychosocial information into medicine which has only recently received attention has been different cultural assumptions which govern medicine versus the social-behavioral sciences. These assumptions are examined in the context of four issues: knowledge paradigms, models of education, acculturation of psychosocial knowledge into medicine, and patient autonomy. This cultural analysis provides a vantage point for understanding similarities as well as points of divergence between psychosocial and biomedical knowledge and practice.
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