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  Mens Sana Monographs
A Monograph Series Devoted To The Understanding Of Medicine, Mental Health, Man, Mind, Music And Their Matrix
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   2006| January-December  | Volume 4 | Issue 1  
 
 
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ARTICLES
Medicine : Science or Art?
SC Panda
January-December 2006, 4(1):127-138
DOI:10.4103/0973-1229.27610  PMID:22013337
Debate over the status of medicine as an Art or Science continues. The aim of this paper is to discuss the meaning of Art and Science in terms of medicine, and to find out to what extent they have their roots in the field of medical practice. What is analysed is whether medicine is an "art based on science"; or, the "art of medicine" has lost its sheen (what with the rapid advancements of science in course of time, which has made present day medicine more sophisticated). What is also analysed is whether the "science of medicine" is a pure one, or merely applied science; or the element of science in it is full of uncertainty, simply because what is accepted as "scientific" today is discarded by medical practitioners tomorrow in the light of newer evidence. The paper also briefly touches upon how, in the field of present medical education, the introduction of medical humanities or humanistic education has the potential to swing the pendulum of medicine more towards the lost "art of medicine". The paper concludes by saying that the art and science of medicine are complementary. For successful practice, a doctor has to be an artist armed with basic scientific knowledge in medicine.
  2 16,950 434
Where is medical practice in India heading?
Sunil K Pandya
January-December 2006, 4(1):50-61
DOI:10.4103/0973-1229.27605  PMID:22013332
Medical practice is based on teaching, learning and examples set by seniors. Past and present practices are briefly analysed. Current trends do not justify optimism. The poor patient is likely to be sidelined as doctors reach out to the rich and powerful in this country and those bringing in American dollars from abroad. While corrective steps are possible, it is unlikely that they will be implemented.
  1 10,719 423
What medicine and medical journal editing mean to me
Shaukat Ali Jawaid
January-December 2006, 4(1):62-77
DOI:10.4103/0973-1229.27606  PMID:22013333
Medicine and medical journalism are both noble professions. Those who are infected with the materialistic virus and want to make quick money should not take up these as professional careers. Editing a good quality peer reviewed medical journal in a developing third world country is extremely frustrating. An editor has to work under considerable stress and strain, and face numerous pressures. However, it is a joy and pleasure to be a successful medical editor. The mere fact that one can help so many authors and influence decision makers in the medical profession, health officials, pharmaceutical trade and industry and all others connected with the health sector gives tremendous professional satisfaction, which is invaluable and keeps one motivated.
  1 6,533 271
Medicine and money: Friends or foe ?
Adamson S Muula
January-December 2006, 4(1):78-88
DOI:10.4103/0973-1229.27607  PMID:22013334
The relationship between medicine and money is a delicate one that all people involved need to handle responsibly. If one becomes a physician for the mere fact of pursuing money, s/he may soon find that another profession or activity may have fulfilled such a need in a better way. While in the practice of medicine the interest of the patient is paramount, this does not suggest that the welfare of the physician should be neglected at all. It is much about a balance of priorities between the legal and ethical pursuit of money and the promotion of the health of society. Physicians are not called to a life of self-denial, poverty and destitution, as others may be tempted to suggest. The service of patients and the honest reward from one's labour are not incompatible. Where conflict of interest arises, it is prudent for a physician to always remember never to harm oneself, the profession and the patient more than what can be gained.
  1 4,427 245
EDITORIAL
To cure sometimes, to comfort always, to hurt the least, to harm never
Ajai Singh, Shakuntala Singh
January-December 2006, 4(1):8-9
DOI:10.4103/0973-1229.27598  PMID:22013325
  1 5,817 262
What is a good editorial?
Ajai Singh, Shakuntala Singh
January-December 2006, 4(1):14-17
DOI:10.4103/0973-1229.27600  PMID:22013327
  1 14,892 285
THE LOOKING GLASS
A look at CMAJ: A misty image indeed
Ajai R Singh, Shakuntala A Singh
January-December 2006, 4(1):21-33
DOI:10.4103/0973-1229.27603  PMID:22013330
  1 8,846 248
AN APPEAL
The mensanamonographs group
Ajai Singh
January-December 2006, 4(1):19-20
DOI:10.4103/0973-1229.27602  PMID:22013329
  - 2,699 181
ARTICLES
Call for poems in MSM poems section on medicine, health and human behaviour
Ajai R Singh, Shakuntala A Singh
January-December 2006, 4(1):207-207
DOI:10.4103/0973-1229.27615  PMID:22013342
  - 2,674 179
What does addiction mean to me
Morten Hesse
January-December 2006, 4(1):104-126
DOI:10.4103/0973-1229.27609  PMID:22013336
Addiction is compulsive need for and use of a habit-forming substance. It is accepted as a mental illness in the diagnostic nomenclature and results in substantial health, social and economic problems. In the diagnostic nomenclature, addiction was originally included in the personality disorders along with other behaviours considered deviant. But it is now considered a clinical syndrome. Addiction is multifactorially determined, with substantial genetic influence. The development of addictions is also influenced by environmental factors, and an interplay between the two. In the clinical context, addiction puts problem substance use on the agenda, and helps focus on the difficulties associated with drug use. But the concept of addiction is also used to distance the user from addicts, and in this way, may be counter-therapeutic. The addiction concept has also had a substantial influence on policy. The almost universal prohibition against drugs such as opiates, cocaine, cannabis and amphetamine has much support. But unfortunately, it has not been able to hinder the development of substance use problems. Optimism is fostered by the development of respectful ways of thinking about people with addictions, in particular, from advocates of motivational interviewing.
  - 15,671 347
What clinical pharmacology means to us
S Malhotra, N Shafiq
January-December 2006, 4(1):184-206
DOI:10.4103/0973-1229.27614  PMID:22013341
Clinical Pharmacology is a specialty with many attributes and our association with the subject has allowed us to acquire, apply and disseminate myriad aspects of research and practice. Though clinical pharmacologists are conspicuous by virtue of their small number, recent years have shown a growing need for the course. In the review below we navigate through several aspects of the subject as we encountered them from time to time. From critical appraisal of literature, to application of knowledge of drugs, to clinical practice; moving on to clinical and basic research, to drug development process, to policy making - these are but a few of the many fields which constitute the scope of clinical pharmacology. The importance of the subject lies in allowing a trainee to develop a broad overview of the entire process, from drug generation to drug distribution to drug utilization, a process meant for the greater common goal of better health for all. We foresee a bright future for the subject though with a slight skepticism thrown in. In the present article, we make use of personal experiences and reference from literature to help you get a broad view of what clinical pharmacology means to us.
  - 9,039 421
Reflections:Turning points in my medical career
Sunil Pandya
January-December 2006, 4(1):154-165
DOI:10.4103/0973-1229.27612  PMID:22013339
I have reviewed briefly persons who have influenced me during my years as a student of medicine and to date. I have been blessed in my teachers and owe everything I am to them. The chief lessons they taught me were integrity, sincerity, the need to keep learning and practice ethically keeping the welfare of the patient in mind all the time. Above all, they taught me to observe the Golden Rule**.
  - 6,012 231
What psychiatry means to us
JK Trivedi, Dishanter Goel
January-December 2006, 4(1):166-183
DOI:10.4103/0973-1229.27613  PMID:22013340
Psychiatry has come up as one of the most dynamic branches of medicine in recent years. There are a lot of controversies regarding concepts, nosology, definitions and treatments in psychiatry, all of which are presently under a strict scanner. Differences are so many that even the meaning of psychiatry varies amongst individual psychiatrists. For us, it is an art to practice psychiatry and give the patient what he needs. Still, it should be practiced with great caution and utmost sincerity towards the patient, based on scientific knowledge and not to be guided by individual conceptions alone. Ethics in psychiatry forms an integral part of its basic concept and meaning, and a tight balance should be maintained between professional advancement and patient benefit. In recent years, the scope of psychiatry has enlarged considerably, with wide ranging influences from Sociology, Anthropology and Philosophy on the one hand, and Neurology and Medicine on the other.
  - 5,858 265
What psychology means to me
Roy Sugarman
January-December 2006, 4(1):139-153
DOI:10.4103/0973-1229.27611  PMID:22013338
The author takes on the task of describing the interface between emotion and cognition by way of a narrative about psychology, and its meaning to his life. Using time as an overall metaphor, or perhaps a foundation stone underpinning a series of seemingly unconnected events, some insight is given into the author's personal life. The author invokes the works of feminist philosopher and author, Susan Faludi, to portray some aspects of his journey through fantasy, and then the reality of a disparate practice on two continents in psychology and neuropsychology. With particular reference to Faludi's portrayal of men as failed heroes without a role in modern society, the author discovers that all of his work with others has been a work with his own troubled soul, and his failed heroism. Calling on his early role models, and life with and without a sense of purpose, he learns from his clients the value of courage and patience, a spiritual as well as intellectual journey that leads him to become many things to many people in order to heal them, and himself.
  - 8,756 280
What does biostatistics mean to us
Vance W Berger, J Rosser Matthews
January-December 2006, 4(1):89-103
DOI:10.4103/0973-1229.27608  PMID:22013335
It is human nature to try to recognize patterns and to make sense of that which we observe. Unfortunately, our intuition is often wrong, and so there is a need to impose some objectivity on the methods by which observations are converted into knowledge. One definition of biostatistics could be precisely this, the rigorous and objective conversion of medical and/or biological observations into knowledge. Both consumers of biostatistical principles and biostatisticians themselves vary in the extent to which they recognize the need to continue the improvement. Some may not recognize the need for (some or all of) the methods that have already been developed; others may accept these as they find them completely sufficient; still others recognize both the value and the shortcomings of these methods, and seek to develop even better methods to ensure that future medical conclusions are less subject to biases than current ones are.
  - 5,216 303
What psychology means to me
Donelson E Dulany
January-December 2006, 4(1):36-49
DOI:10.4103/0973-1229.27604  PMID:22013331
What the title of this article means to me after decades on a university faculty is very broad. It would include topics of my research and writing, of my graduate and undergraduate teaching, and of what I read in the area, including papers that have been submitted to me as editor of the American Journal of Psychology. What I can write here focuses on my research and writing and related metatheoretical views, including what I have considered the deeper and more significant questions formulated in philosophy of mind and submitted to empirical investigation in psychology. Of most active concern today, and over the years, are those asking about the roles of consciousness, symbolic representation, and volition in mental activity and action. Is symbolic representation carried out consciously or unconsciously, or both? This paper recognizes the 19th century attempt to establish a science of consciousness, a behavioristic movement that rejected consciousness as being the soul of theology, a cognitive metatheory giving some place to consciousness but emphasizing non-conscious symbolic representation. This summarizes our experimental examinations of my theories of the source of intentional action, of causal reasoning, and of explicit and implicit learning. It also summarizes the overarching mentalistic metatheory I have described.
  - 6,706 283
EDITORIAL
Psychiatrists and clinical psychologists
Ajai Singh, Shakuntala Singh
January-December 2006, 4(1):10-13
DOI:10.4103/0973-1229.27599  PMID:22013326
  - 5,455 227
MSM POEMS
A case of identity
Ajai R Singh
January-December 2006, 4(1):208-209
PMID:22013343
  - 2,594 198
More Smoke
Ajai R Singh
January-December 2006, 4(1):210-210
PMID:22013344
  - 2,637 166
MUSINGS
Childhood buddy hangs up
Ajai Singh
January-December 2006, 4(1):18-18
DOI:10.4103/0973-1229.27601  PMID:22013328
  - 2,933 190
OBITUARY
Dr. Mrs. Dhanalakshmi De Sousa 1938-2005: A Tribute
Avinash De Sousa
January-December 2006, 4(1):211-212
  - 2,572 164
Late Dr. (Mrs.) Dhanalakshmi De Sousa
KP Dave
January-December 2006, 4(1):213-213
  - 4,391 158
PREFACE
Preface
Ajai R Singh, Shakuntala A Singh
January-December 2006, 4(1):0-0
  - 2,656 162
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