Is health care inefficient, reductionistic, rigid regulatory system where the patient is lost – at best?

NB the below is a working draft! To those of you, who have similar ways to think/work, contributions would be appreciated! Please mail to and “Man as a scientist” as a message (while I get many mails and will be able to make priorities among them)

A rough, general issue where I do not consider all individual admirable humanity related efforts here, but the focus is on overall perspectives and the “medical power structures” that determine what is good care!

At the same time, it is perhaps easy to criticize (see more below) but more difficult to show how it can change in terms of, for example, “the patient as educated, reasonably competent,” he said. resource and co-workers in their rehab” (manual based on my doctoral thesis 1986, Uppsala University). I am referring above all to what we call lifestyle-related illnesses/disorders/problems …

I try to show in brief summary how I myself practically, clinically worked to realize the manual above on  At the same time, I would like to point out that I would not have worked as I have done over the years (outside the mainstream) without very strong influence of George Kelly’s work (Personal Construct Theory, 1955) which I believe can have a decisive influence on reorganizing,  reeducate/training employees in health care but also being able to recon structure health care systems!

Health care paradigms?
First, I will emphasize “Downing, J.N. (2000). Between Conviction and Uncertainty, philosophical Guidelines for Practicing Psychotherapists. State University of New York Press, will be discussed also during Mars 2016.” I have written some (NB draft) at What do therapists know about their basic scientific paradigm ….? | Biopsychosocial Medicine and A huge problem for health care? Confirmation bias, placebo/nocebo vs reductionistic medicine | Biopsychosocial Medicine perhaps also Clinical Medicine Evidence – What-Why-How-??? | Biopsychosocial Medicine

What I mean we have missed is to (a) clarify what  paradigms we work from in different areas of health care – since none of us have access to and “have” absolute knowledge (objections?) and partly (b) clarify how we know-how we work in terms of knowledge and practice (!) work based on an effective human attitude, often as important as our skill to work clinically,  practical from a more functional approach.

Of the methods (basic attitude, values, knowledge-based methods I have seen, George Kelly’s approach is the most functional in most respects! Although his thinking focuses on psychological areas, I believe (experientially) that the way of working itself is outstanding even in most medical areas!

Below are suggestions for links that give a more detailed picture of Kelly’s thinking in psychological areas – which can be expanded e.g. via the hand metaphor “Man as a scientist” – which was my guiding principle both as a scientist, clinician and not least private person

Links coming …

My own work rests on
HELLA, not just to be considered in Medicine? | Cultural Medicine where I try to summarize my clinical work during 40 years.

Perhaps also see Personalized medicine vs MBiL, the Swedish “Patient as a reasonable competent educated (by us) resource and coworker in own rehab” | Cultural Medicine


Critics on present general formalistic health care:
Texts coming – I hope ..