Family Practice Vol. 18, No. 4, 356-358
© Oxford University Press 2001
Editorial |
Post-normal medicine
St Thomas' Health Centre and
a St Leonard's Practice, Exeter, UK.
Kernick D and Sweeney K. Post-normal medicine. Family Practice 2001; 18: 356358.
Received 2 October 2000; Revised 9 February 2001; Accepted 12 March 2001.
Keywords. Complexity, non-linearity, post-normal medicine.
The evolution of post-normal thinkingfrom normal to post-normal science
Since the time of the Renaissance, the predominant metaphor for science has been the machine. Normal science is based on logical positivismthe belief that there is a single universal condition that can be validated and which accumulates with time building on what has gone before.1 With the application of science to medicine the paradigm of certaintythe modern world had arrived. With it came a view that the methods of science would transcend the psychological, social and cultural forces that previously had shaped world views. But is the clockwork universe finally running down?
More recently, post-modernism has challenged the directives of science, emphasizing the process of knowing and the importance of how our minds form an integral part of that process. To the post-modern eye, the truth is not out there waiting to be
Some fundamentals of complex systems
Understanding complex systems
Trajectories and attractors
Complex systems are dependent on their history
Information is distributed across the whole system
Complex systems are unpredictable but have emergent properties
Towards post-normal medicine
References