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Medicine is often learned through a mechanistic metaphor of biology
and a military metaphor of war. However, the conceptual elements
and skills that promote the mastery of family medicine, such as
contextual knowledge, continuity of care, the clinical interview,
comprehensiveness, coordination, and so on, are often difficult to
explain and to understand. Furthermore, these fundamental concepts
of family medicine have nothing to do with the metaphor of the
machine or the metaphor of war. In this book, these concepts are
explained through metaphors that are more explanatory, nicer,
sweeter, and more playful. Thinking based on metaphors and
comparisons is a way of making a concept so suggestive, interesting
and surprising that it reaches people more easily. The value of
family medicine lies in its distinctiveness from academic medicine;
it is a unique discipline that defines itself in terms of
relationships, especially those between the doctor and patient.
Family physicians tend to think in terms of individual patients
rather than of abstractions and generalizations, and family
medicine is based more on the metaphor of an organism rather than
that of mechanistic biology. Family medicine is unique in the
medical arena in that it transcends the duality of body and mind.
Thus, the family doctor should be encouraged to use a
non-conventional form when thinking about the problems that are
presented in the consultation (for example, thinking on the basis
of metaphors).
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