Systemic and Dynamic Aspects of the Entireness in a Theory of Family Medicine
DOI: 10.3238/zfa.2011.0407german translation / full article
Summary: Is the postulate of “entireness” and “pluralism” in medicine undermining its scientific aspiration? Or is this possibly a “phase transition” towards a new way of scholarship? Viewing systemic processes of self-regulation from a meta-perspective allows a new look on family medicine. The human being grows in resonance to its supra-systems as environment, family, culture and biosphere. These “dimensions of being” are differentiated by the way of the communication used, which characterizes their coherence: e.g. a direct sensual interaction in social being and an indirect communication, mediated by a semiotic system in the cultural dimension. Understanding individual interdependency with its surroundings as systemic resonance helps us to respect the autonomy of a person as well as her or his connection to others. Resonance is an oscillation at one’s own frequencies. A healthy development (salutogenesis) is a self-regulated process. Our psychophysical self-regulation is directed by aspiration for coherence. We are approaching our attractors in recurring cycles with three phases. For this we have the neuropsychological approach- and avoidance-system, which should cooperate synergistically. A consultation with the doctor is a communicative companionship and stimulation of the patient’s self-regulation. This theoretical model of a systemic coherence-regulation produces basic approaches for a new scientific theory of family medicine. This allows us to cooperate compatibly with other health professions.