{"id":66,"date":"2021-01-25T20:22:27","date_gmt":"2021-01-25T20:22:27","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/?post_type=chapter&#038;p=66"},"modified":"2021-01-25T20:24:37","modified_gmt":"2021-01-25T20:24:37","slug":"what-is-biomedicine","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/chapter\/what-is-biomedicine\/","title":{"raw":"What is Biomedicine?","rendered":"What is Biomedicine?"},"content":{"raw":"<b>Biomedicine<\/b>\u00a0(also referred to as\u00a0<b>Western medicine<\/b>,\u00a0<b>mainstream medicine<\/b>\u00a0or\u00a0<b>conventional medicine<\/b>)<sup id=\"cite_ref-NCI_1-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-NCI-1\">[1]<\/a><\/sup>\u00a0is a branch of\u00a0<a title=\"Medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medicine\">medical science<\/a>\u00a0that applies biological and physiological principles to\u00a0<a class=\"mw-redirect\" title=\"Clinical practice\" href=\"https:\/\/en.wikipedia.org\/wiki\/Clinical_practice\">clinical practice<\/a>. Biomedicine stresses standardized, evidence-based treatment validated through biological research, with treatment administered via formally trained doctors, nurses, and other such licensed practitioners.\u00a0<sup id=\"cite_ref-Quirke_&amp;_Gaudilliere_2-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-Quirke_&amp;_Gaudilliere-2\">[2]<\/a><\/sup>\r\n\r\nBiomedicine also can relate to many other categories in\u00a0<a title=\"Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health\">health<\/a>\u00a0and biological related fields. It has been the dominant system of medicine in the\u00a0<a title=\"Western world\" href=\"https:\/\/en.wikipedia.org\/wiki\/Western_world\">Western world<\/a>\u00a0for more than a century.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-3\">[3]<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-4\">[4]<\/a><\/sup><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-5\">[5]<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-6\">[6]<\/a><\/sup>\r\n<h2><span id=\"Overview\" class=\"mw-headline\">Overview<\/span><\/h2>\r\nBiomedicine is the cornerstone of modern\u00a0<a title=\"Health care\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_care\">health care<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"Laboratory diagnostics\" href=\"https:\/\/en.wikipedia.org\/wiki\/Laboratory_diagnostics\">laboratory diagnostics<\/a>. It concerns a wide range of scientific and technological approaches: from\u00a0<a class=\"mw-redirect\" title=\"In vitro diagnostics\" href=\"https:\/\/en.wikipedia.org\/wiki\/In_vitro_diagnostics\">in vitro diagnostics<\/a><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-7\">[7]<\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-8\">[8]<\/a><\/sup>\u00a0to\u00a0<a title=\"In vitro fertilisation\" href=\"https:\/\/en.wikipedia.org\/wiki\/In_vitro_fertilisation\">in vitro fertilisation<\/a>,<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-9\">[9]<\/a><\/sup>\u00a0from the molecular mechanisms of\u00a0<a title=\"Cystic fibrosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cystic_fibrosis\">cystic fibrosis<\/a>\u00a0to the population dynamics of the\u00a0<a title=\"HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\">HIV<\/a>\u00a0<a title=\"Virus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Virus\">virus<\/a>, from the understanding of molecular interactions to the study of\u00a0<a title=\"Carcinogenesis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Carcinogenesis\">carcinogenesis<\/a>,<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-10\">[10]<\/a><\/sup>\u00a0from a\u00a0<a title=\"Single-nucleotide polymorphism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Single-nucleotide_polymorphism\">single-nucleotide polymorphism<\/a>\u00a0(SNP) to\u00a0<a title=\"Gene therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Gene_therapy\">gene therapy<\/a>.\r\n\r\nBiomedicine is based on\u00a0<a title=\"Molecular biology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Molecular_biology\">molecular biology<\/a>\u00a0and combines all issues of developing\u00a0<a title=\"Molecular medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Molecular_medicine\">molecular medicine<\/a><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-11\">[11]<\/a><\/sup>\u00a0into large-scale structural and functional relationships of the\u00a0 human\u00a0<a title=\"Genome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Genome\">genome<\/a>,\u00a0<a title=\"Transcriptome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Transcriptome\">transcriptome<\/a>,\u00a0<a title=\"Proteome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Proteome\">proteome<\/a>,\u00a0<a title=\"Physiome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Physiome\">physiome<\/a>\u00a0and\u00a0<a title=\"Metabolome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolome\">metabolome<\/a>\u00a0with the particular point of view of devising new technologies for prediction, diagnosis and therapy\u00a0<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-12\">[12]<\/a><\/sup>\r\n\r\nBiomedicine involves the study of (<a title=\"Pathophysiology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Pathophysiology\">patho<\/a>-)\u00a0<a class=\"mw-redirect\" title=\"Physiological\" href=\"https:\/\/en.wikipedia.org\/wiki\/Physiological\">physiological<\/a>\u00a0processes with methods from\u00a0<a title=\"Biology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biology\">biology<\/a>\u00a0and\u00a0<a title=\"Physiology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Physiology\">physiology<\/a>. Approaches range from understanding\u00a0<a class=\"mw-redirect\" title=\"Molecular interaction\" href=\"https:\/\/en.wikipedia.org\/wiki\/Molecular_interaction\">molecular interactions<\/a>\u00a0to the study of the consequences at the\u00a0<a title=\"In vivo\" href=\"https:\/\/en.wikipedia.org\/wiki\/In_vivo\">in vivo<\/a>\u00a0level. These processes are studied with the particular point of view of devising new strategies for\u00a0<a title=\"Medical diagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_diagnosis\">diagnosis<\/a>\u00a0and\u00a0<a title=\"Therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Therapy\">therapy<\/a>.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-13\">[13]<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-14\">[14]<\/a><\/sup>\r\n\r\nDepending on the severity of the disease, biomedicine pinpoints a problem within a patient and fixes the problem through medical intervention. Medicine focuses on curing diseases rather than improving one's health.<sup id=\"cite_ref-Greenhalgh_15-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-Greenhalgh-15\">[15]<\/a><\/sup>\r\n\r\nIn social sciences biomedicine is described somewhat differently. Through an anthropological lens biomedicine extends beyond the realm of biology and scientific facts; it is a\u00a0<a class=\"mw-redirect\" title=\"Socio-cultural anthropology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Socio-cultural_anthropology\">socio-cultural<\/a>\u00a0system which collectively represents reality. While biomedicine is traditionally thought to have no bias due to the evidence-based practices, Gaines &amp; Davis-Floyd (2004) highlight that biomedicine itself has a cultural basis and this is because biomedicine reflects the norms and values of its creators.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-16\">[16]<\/a><\/sup>\r\n\r\nThe\u00a0<b>medical model of disability<\/b>, or medical model, arose from the biomedical perception of\u00a0<a title=\"Disability\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disability\">disability<\/a>. This model links a disability diagnosis to an individual's physical body. The model supposes that this disability may reduce the individual's\u00a0<a title=\"Quality of life\" href=\"https:\/\/en.wikipedia.org\/wiki\/Quality_of_life\">quality of life<\/a>\u00a0and the aim is, with medical intervention, this disability will be diminished or corrected.<sup id=\"cite_ref-FisherGoodley_1-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-FisherGoodley-1\">[1]<\/a><\/sup>\r\n\r\nThe medical model focuses on curing or managing illness or disability. By extension, the medical model supposes a \"compassionate\" or\u00a0<a title=\"Justice\" href=\"https:\/\/en.wikipedia.org\/wiki\/Justice\">just<\/a>\u00a0society invests resources in health care and related services in an attempt to cure or manage disabilities\u00a0<i>medically<\/i>. This is in an aim to expand functionality and\/or improve functioning, and to allow disabled persons a more \"normal\" life. The\u00a0<a class=\"mw-redirect\" title=\"Medical\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical\">medical<\/a>\u00a0profession's responsibility and potential in this area is seen as central.\r\n<h2><span id=\"History\" class=\"mw-headline\">History<\/span><\/h2>\r\nBefore the introduction of the\u00a0<a title=\"Biomedical model\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedical_model\">biomedical model<\/a>, patients relaying their narratives to the doctors was paramount. Through these narratives and developing an intimate relationship with the patients, the doctors would develop treatment plans in a time when diagnostic and treatment options were limited.<sup id=\"cite_ref-Bury_2-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Bury-2\">[2]<\/a><\/sup>\u00a0This could particularly be illustrated with aristocratic doctors treating the elite during the 17th and 18th century.<sup id=\"cite_ref-Lawrence_3-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Lawrence-3\">[3]<\/a><\/sup>\r\n\r\nIn 1980, the\u00a0<a title=\"World Health Organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/World_Health_Organization\">World Health Organization<\/a>\u00a0(WHO) introduced a framework for working with disability, publishing the \"International Classification of Impairments, Disabilities and Handicaps.\" The framework proposed to approach disability by using the terms Impairment, Handicap and Disability.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-4\">[4]<\/a><\/sup>\r\n<ul>\r\n \t<li>Impairment = a loss or abnormality of physical bodily structure or function, of logic-psychic origin, or physiological or anatomical origin<\/li>\r\n \t<li>Disability = any limitation or function loss deriving from impairment that prevents the performance of an activity in the time lapse considered normal for a human being<\/li>\r\n \t<li>Handicap = the disadvantaged condition deriving from impairment or disability limiting a person performing a role considered normal in respect of age, sex and social and cultural factors<\/li>\r\n<\/ul>\r\n<h3><span id=\"Components_and_usage\" class=\"mw-headline\">Components and usage<\/span><\/h3>\r\nWhile\u00a0<a title=\"Personal narrative\" href=\"https:\/\/en.wikipedia.org\/wiki\/Personal_narrative\">personal narrative<\/a>\u00a0is present in\u00a0<a title=\"Interpersonal communication\" href=\"https:\/\/en.wikipedia.org\/wiki\/Interpersonal_communication\">interpersonal interactions<\/a>, and particularly dominant in Western Culture, personal narrative during interactions with medical personnel is reduced to relaying information about specific symptoms of the disability to medical professionals.<sup id=\"cite_ref-FisherGoodley_1-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-FisherGoodley-1\">[1]<\/a><\/sup>\u00a0The medical professionals then interpret the information provided about the disability by the patient to determine a diagnosis, which likely will be linked to biological causes.<sup id=\"cite_ref-FisherGoodley_1-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-FisherGoodley-1\">[1]<\/a><\/sup><sup id=\"cite_ref-Bury_2-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Bury-2\">[2]<\/a><\/sup>\u00a0Medical professionals now define what is \"normal\" and what is \"abnormal\" in terms of biology and disability.<sup id=\"cite_ref-Lawrence_3-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Lawrence-3\">[3]<\/a><\/sup>\r\n\r\nIn some countries, the medical model of disability has influenced legislation and policy pertaining to persons with disabilities on a national level.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-5\">[5]<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-6\">[6]<\/a><\/sup>\r\n\r\nThe\u00a0<a title=\"International Classification of Functioning, Disability and Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/International_Classification_of_Functioning,_Disability_and_Health\">International Classification of Functioning, Disability and Health<\/a>\u00a0(ICF), published in 2001, defines disability as an umbrella term for impairments, activity limitations and participation restrictions. Disability is the interaction between individuals with a health condition (such as cerebral palsy, Down syndrome and depression) and personal and environmental factors (such as negative attitudes, inaccessible transportation and public buildings, and limited social supports).<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-7\">[7]<\/a><\/sup>\r\n\r\nThe altered language and words used show a marked change in emphasis from talking in terms of disease or impairment to talking in terms of levels of health and functioning. It takes into account the social aspects of disability and does not see disability only as a 'medical' or 'biological' dysfunction. That change is consistent with widespread acceptance of the\u00a0<a title=\"Social model of disability\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_model_of_disability\">social model of disability<\/a>\r\n<h2><span id=\"Criticism\" class=\"mw-headline\">Criticism<\/span><\/h2>\r\nThe medical model of disability focuses on the individual's limitations and ways to reduce those impairments or use adaptive technology to adapt them to society. Current definitions of disability accept biomedical assistance but focus more on factors causing environmental and social exclusion. Uncritical reliance on the medical model produces unwanted consequences.\r\n\r\nAmong advocates of\u00a0<a class=\"mw-redirect\" title=\"Disability rights\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disability_rights\">disability rights<\/a>, who tend to subscribe to\u00a0<a title=\"Social model of disability\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_model_of_disability\">the social model<\/a>\u00a0instead, the medical model of disability is often cited as the basis of an unintended social\u00a0<a class=\"extiw\" title=\"wikt:degradation\" href=\"https:\/\/en.wiktionary.org\/wiki\/degradation\">degradation<\/a>\u00a0of disabled people. Resources are seen as excessively misdirected towards an almost-exclusively medical focus when those same resources could potentially be used towards things like\u00a0<a title=\"Universal design\" href=\"https:\/\/en.wikipedia.org\/wiki\/Universal_design\">universal design<\/a>\u00a0and\u00a0<a title=\"Inclusion (disability rights)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Inclusion_(disability_rights)\">societal inclusionary practices<\/a>. This includes the monetary and societal costs and benefits of various interventions, be the medical, surgical, social or occupational, from\u00a0<a class=\"mw-redirect\" title=\"Prosthetics\" href=\"https:\/\/en.wikipedia.org\/wiki\/Prosthetics\">prosthetics<\/a>, drug-based and other \"cures\", and medical tests such as genetic screening or\u00a0<a title=\"Preimplantation genetic diagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Preimplantation_genetic_diagnosis\">preimplantation genetic diagnosis<\/a>. According to disability rights advocates, the medical model of disability is used to justify large investment in these procedures, technologies and research, when adaptation of the disabled person's environment could potentially be more beneficial to the society at large, as well as financially cheaper and physically more attainable.\r\n\r\nAlso, some disability rights groups see the medical model of disability as a\u00a0<a class=\"mw-redirect\" title=\"Civil rights\" href=\"https:\/\/en.wikipedia.org\/wiki\/Civil_rights\">civil rights<\/a>\u00a0issue and criticise\u00a0<a class=\"mw-redirect\" title=\"Charitable organizations\" href=\"https:\/\/en.wikipedia.org\/wiki\/Charitable_organizations\">charitable organizations<\/a>\u00a0or medical initiatives that use it in their portrayal of disabled people, because it promotes a\u00a0<a title=\"Pity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Pity\">pitiable<\/a>, essentially negative, largely\u00a0<a class=\"mw-redirect\" title=\"Disempowered\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disempowered\">disempowered<\/a>\u00a0image of people with disabilities rather than casting disability as a political, social and environmental problem (see also the\u00a0<a class=\"mw-redirect\" title=\"Political slogan\" href=\"https:\/\/en.wikipedia.org\/wiki\/Political_slogan\">political slogan<\/a>\u00a0\"<a title=\"Piss On Pity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Piss_On_Pity\">Piss On Pity<\/a>\").","rendered":"<p><b>Biomedicine<\/b>\u00a0(also referred to as\u00a0<b>Western medicine<\/b>,\u00a0<b>mainstream medicine<\/b>\u00a0or\u00a0<b>conventional medicine<\/b>)<sup id=\"cite_ref-NCI_1-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-NCI-1\">[1]<\/a><\/sup>\u00a0is a branch of\u00a0<a title=\"Medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medicine\">medical science<\/a>\u00a0that applies biological and physiological principles to\u00a0<a class=\"mw-redirect\" title=\"Clinical practice\" href=\"https:\/\/en.wikipedia.org\/wiki\/Clinical_practice\">clinical practice<\/a>. Biomedicine stresses standardized, evidence-based treatment validated through biological research, with treatment administered via formally trained doctors, nurses, and other such licensed practitioners.\u00a0<sup id=\"cite_ref-Quirke_&amp;_Gaudilliere_2-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-Quirke_&amp;_Gaudilliere-2\">[2]<\/a><\/sup><\/p>\n<p>Biomedicine also can relate to many other categories in\u00a0<a title=\"Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health\">health<\/a>\u00a0and biological related fields. It has been the dominant system of medicine in the\u00a0<a title=\"Western world\" href=\"https:\/\/en.wikipedia.org\/wiki\/Western_world\">Western world<\/a>\u00a0for more than a century.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-3\">[3]<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-4\">[4]<\/a><\/sup><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-5\">[5]<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-6\">[6]<\/a><\/sup><\/p>\n<h2><span id=\"Overview\" class=\"mw-headline\">Overview<\/span><\/h2>\n<p>Biomedicine is the cornerstone of modern\u00a0<a title=\"Health care\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_care\">health care<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"Laboratory diagnostics\" href=\"https:\/\/en.wikipedia.org\/wiki\/Laboratory_diagnostics\">laboratory diagnostics<\/a>. It concerns a wide range of scientific and technological approaches: from\u00a0<a class=\"mw-redirect\" title=\"In vitro diagnostics\" href=\"https:\/\/en.wikipedia.org\/wiki\/In_vitro_diagnostics\">in vitro diagnostics<\/a><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-7\">[7]<\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-8\">[8]<\/a><\/sup>\u00a0to\u00a0<a title=\"In vitro fertilisation\" href=\"https:\/\/en.wikipedia.org\/wiki\/In_vitro_fertilisation\">in vitro fertilisation<\/a>,<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-9\">[9]<\/a><\/sup>\u00a0from the molecular mechanisms of\u00a0<a title=\"Cystic fibrosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cystic_fibrosis\">cystic fibrosis<\/a>\u00a0to the population dynamics of the\u00a0<a title=\"HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\">HIV<\/a>\u00a0<a title=\"Virus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Virus\">virus<\/a>, from the understanding of molecular interactions to the study of\u00a0<a title=\"Carcinogenesis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Carcinogenesis\">carcinogenesis<\/a>,<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-10\">[10]<\/a><\/sup>\u00a0from a\u00a0<a title=\"Single-nucleotide polymorphism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Single-nucleotide_polymorphism\">single-nucleotide polymorphism<\/a>\u00a0(SNP) to\u00a0<a title=\"Gene therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Gene_therapy\">gene therapy<\/a>.<\/p>\n<p>Biomedicine is based on\u00a0<a title=\"Molecular biology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Molecular_biology\">molecular biology<\/a>\u00a0and combines all issues of developing\u00a0<a title=\"Molecular medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Molecular_medicine\">molecular medicine<\/a><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-11\">[11]<\/a><\/sup>\u00a0into large-scale structural and functional relationships of the\u00a0 human\u00a0<a title=\"Genome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Genome\">genome<\/a>,\u00a0<a title=\"Transcriptome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Transcriptome\">transcriptome<\/a>,\u00a0<a title=\"Proteome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Proteome\">proteome<\/a>,\u00a0<a title=\"Physiome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Physiome\">physiome<\/a>\u00a0and\u00a0<a title=\"Metabolome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolome\">metabolome<\/a>\u00a0with the particular point of view of devising new technologies for prediction, diagnosis and therapy\u00a0<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-12\">[12]<\/a><\/sup><\/p>\n<p>Biomedicine involves the study of (<a title=\"Pathophysiology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Pathophysiology\">patho<\/a>-)\u00a0<a class=\"mw-redirect\" title=\"Physiological\" href=\"https:\/\/en.wikipedia.org\/wiki\/Physiological\">physiological<\/a>\u00a0processes with methods from\u00a0<a title=\"Biology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biology\">biology<\/a>\u00a0and\u00a0<a title=\"Physiology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Physiology\">physiology<\/a>. Approaches range from understanding\u00a0<a class=\"mw-redirect\" title=\"Molecular interaction\" href=\"https:\/\/en.wikipedia.org\/wiki\/Molecular_interaction\">molecular interactions<\/a>\u00a0to the study of the consequences at the\u00a0<a title=\"In vivo\" href=\"https:\/\/en.wikipedia.org\/wiki\/In_vivo\">in vivo<\/a>\u00a0level. These processes are studied with the particular point of view of devising new strategies for\u00a0<a title=\"Medical diagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_diagnosis\">diagnosis<\/a>\u00a0and\u00a0<a title=\"Therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Therapy\">therapy<\/a>.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-13\">[13]<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-14\">[14]<\/a><\/sup><\/p>\n<p>Depending on the severity of the disease, biomedicine pinpoints a problem within a patient and fixes the problem through medical intervention. Medicine focuses on curing diseases rather than improving one&#8217;s health.<sup id=\"cite_ref-Greenhalgh_15-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-Greenhalgh-15\">[15]<\/a><\/sup><\/p>\n<p>In social sciences biomedicine is described somewhat differently. Through an anthropological lens biomedicine extends beyond the realm of biology and scientific facts; it is a\u00a0<a class=\"mw-redirect\" title=\"Socio-cultural anthropology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Socio-cultural_anthropology\">socio-cultural<\/a>\u00a0system which collectively represents reality. While biomedicine is traditionally thought to have no bias due to the evidence-based practices, Gaines &amp; Davis-Floyd (2004) highlight that biomedicine itself has a cultural basis and this is because biomedicine reflects the norms and values of its creators.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine#cite_note-16\">[16]<\/a><\/sup><\/p>\n<p>The\u00a0<b>medical model of disability<\/b>, or medical model, arose from the biomedical perception of\u00a0<a title=\"Disability\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disability\">disability<\/a>. This model links a disability diagnosis to an individual&#8217;s physical body. The model supposes that this disability may reduce the individual&#8217;s\u00a0<a title=\"Quality of life\" href=\"https:\/\/en.wikipedia.org\/wiki\/Quality_of_life\">quality of life<\/a>\u00a0and the aim is, with medical intervention, this disability will be diminished or corrected.<sup id=\"cite_ref-FisherGoodley_1-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-FisherGoodley-1\">[1]<\/a><\/sup><\/p>\n<p>The medical model focuses on curing or managing illness or disability. By extension, the medical model supposes a &#8220;compassionate&#8221; or\u00a0<a title=\"Justice\" href=\"https:\/\/en.wikipedia.org\/wiki\/Justice\">just<\/a>\u00a0society invests resources in health care and related services in an attempt to cure or manage disabilities\u00a0<i>medically<\/i>. This is in an aim to expand functionality and\/or improve functioning, and to allow disabled persons a more &#8220;normal&#8221; life. The\u00a0<a class=\"mw-redirect\" title=\"Medical\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical\">medical<\/a>\u00a0profession&#8217;s responsibility and potential in this area is seen as central.<\/p>\n<h2><span id=\"History\" class=\"mw-headline\">History<\/span><\/h2>\n<p>Before the introduction of the\u00a0<a title=\"Biomedical model\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedical_model\">biomedical model<\/a>, patients relaying their narratives to the doctors was paramount. Through these narratives and developing an intimate relationship with the patients, the doctors would develop treatment plans in a time when diagnostic and treatment options were limited.<sup id=\"cite_ref-Bury_2-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Bury-2\">[2]<\/a><\/sup>\u00a0This could particularly be illustrated with aristocratic doctors treating the elite during the 17th and 18th century.<sup id=\"cite_ref-Lawrence_3-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Lawrence-3\">[3]<\/a><\/sup><\/p>\n<p>In 1980, the\u00a0<a title=\"World Health Organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/World_Health_Organization\">World Health Organization<\/a>\u00a0(WHO) introduced a framework for working with disability, publishing the &#8220;International Classification of Impairments, Disabilities and Handicaps.&#8221; The framework proposed to approach disability by using the terms Impairment, Handicap and Disability.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-4\">[4]<\/a><\/sup><\/p>\n<ul>\n<li>Impairment = a loss or abnormality of physical bodily structure or function, of logic-psychic origin, or physiological or anatomical origin<\/li>\n<li>Disability = any limitation or function loss deriving from impairment that prevents the performance of an activity in the time lapse considered normal for a human being<\/li>\n<li>Handicap = the disadvantaged condition deriving from impairment or disability limiting a person performing a role considered normal in respect of age, sex and social and cultural factors<\/li>\n<\/ul>\n<h3><span id=\"Components_and_usage\" class=\"mw-headline\">Components and usage<\/span><\/h3>\n<p>While\u00a0<a title=\"Personal narrative\" href=\"https:\/\/en.wikipedia.org\/wiki\/Personal_narrative\">personal narrative<\/a>\u00a0is present in\u00a0<a title=\"Interpersonal communication\" href=\"https:\/\/en.wikipedia.org\/wiki\/Interpersonal_communication\">interpersonal interactions<\/a>, and particularly dominant in Western Culture, personal narrative during interactions with medical personnel is reduced to relaying information about specific symptoms of the disability to medical professionals.<sup id=\"cite_ref-FisherGoodley_1-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-FisherGoodley-1\">[1]<\/a><\/sup>\u00a0The medical professionals then interpret the information provided about the disability by the patient to determine a diagnosis, which likely will be linked to biological causes.<sup id=\"cite_ref-FisherGoodley_1-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-FisherGoodley-1\">[1]<\/a><\/sup><sup id=\"cite_ref-Bury_2-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Bury-2\">[2]<\/a><\/sup>\u00a0Medical professionals now define what is &#8220;normal&#8221; and what is &#8220;abnormal&#8221; in terms of biology and disability.<sup id=\"cite_ref-Lawrence_3-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-Lawrence-3\">[3]<\/a><\/sup><\/p>\n<p>In some countries, the medical model of disability has influenced legislation and policy pertaining to persons with disabilities on a national level.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-5\">[5]<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-6\">[6]<\/a><\/sup><\/p>\n<p>The\u00a0<a title=\"International Classification of Functioning, Disability and Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/International_Classification_of_Functioning,_Disability_and_Health\">International Classification of Functioning, Disability and Health<\/a>\u00a0(ICF), published in 2001, defines disability as an umbrella term for impairments, activity limitations and participation restrictions. Disability is the interaction between individuals with a health condition (such as cerebral palsy, Down syndrome and depression) and personal and environmental factors (such as negative attitudes, inaccessible transportation and public buildings, and limited social supports).<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability#cite_note-7\">[7]<\/a><\/sup><\/p>\n<p>The altered language and words used show a marked change in emphasis from talking in terms of disease or impairment to talking in terms of levels of health and functioning. It takes into account the social aspects of disability and does not see disability only as a &#8216;medical&#8217; or &#8216;biological&#8217; dysfunction. That change is consistent with widespread acceptance of the\u00a0<a title=\"Social model of disability\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_model_of_disability\">social model of disability<\/a><\/p>\n<h2><span id=\"Criticism\" class=\"mw-headline\">Criticism<\/span><\/h2>\n<p>The medical model of disability focuses on the individual&#8217;s limitations and ways to reduce those impairments or use adaptive technology to adapt them to society. Current definitions of disability accept biomedical assistance but focus more on factors causing environmental and social exclusion. Uncritical reliance on the medical model produces unwanted consequences.<\/p>\n<p>Among advocates of\u00a0<a class=\"mw-redirect\" title=\"Disability rights\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disability_rights\">disability rights<\/a>, who tend to subscribe to\u00a0<a title=\"Social model of disability\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_model_of_disability\">the social model<\/a>\u00a0instead, the medical model of disability is often cited as the basis of an unintended social\u00a0<a class=\"extiw\" title=\"wikt:degradation\" href=\"https:\/\/en.wiktionary.org\/wiki\/degradation\">degradation<\/a>\u00a0of disabled people. Resources are seen as excessively misdirected towards an almost-exclusively medical focus when those same resources could potentially be used towards things like\u00a0<a title=\"Universal design\" href=\"https:\/\/en.wikipedia.org\/wiki\/Universal_design\">universal design<\/a>\u00a0and\u00a0<a title=\"Inclusion (disability rights)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Inclusion_(disability_rights)\">societal inclusionary practices<\/a>. This includes the monetary and societal costs and benefits of various interventions, be the medical, surgical, social or occupational, from\u00a0<a class=\"mw-redirect\" title=\"Prosthetics\" href=\"https:\/\/en.wikipedia.org\/wiki\/Prosthetics\">prosthetics<\/a>, drug-based and other &#8220;cures&#8221;, and medical tests such as genetic screening or\u00a0<a title=\"Preimplantation genetic diagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Preimplantation_genetic_diagnosis\">preimplantation genetic diagnosis<\/a>. According to disability rights advocates, the medical model of disability is used to justify large investment in these procedures, technologies and research, when adaptation of the disabled person&#8217;s environment could potentially be more beneficial to the society at large, as well as financially cheaper and physically more attainable.<\/p>\n<p>Also, some disability rights groups see the medical model of disability as a\u00a0<a class=\"mw-redirect\" title=\"Civil rights\" href=\"https:\/\/en.wikipedia.org\/wiki\/Civil_rights\">civil rights<\/a>\u00a0issue and criticise\u00a0<a class=\"mw-redirect\" title=\"Charitable organizations\" href=\"https:\/\/en.wikipedia.org\/wiki\/Charitable_organizations\">charitable organizations<\/a>\u00a0or medical initiatives that use it in their portrayal of disabled people, because it promotes a\u00a0<a title=\"Pity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Pity\">pitiable<\/a>, essentially negative, largely\u00a0<a class=\"mw-redirect\" title=\"Disempowered\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disempowered\">disempowered<\/a>\u00a0image of people with disabilities rather than casting disability as a political, social and environmental problem (see also the\u00a0<a class=\"mw-redirect\" title=\"Political slogan\" href=\"https:\/\/en.wikipedia.org\/wiki\/Political_slogan\">political slogan<\/a>\u00a0&#8220;<a title=\"Piss On Pity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Piss_On_Pity\">Piss On Pity<\/a>&#8220;).<\/p>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-66\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">Public domain content<\/div><ul class=\"citation-list\"><li>Biomedicine. <strong>Provided by<\/strong>: Wikimedia, inc. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biomedicine\">https:\/\/en.wikipedia.org\/wiki\/Biomedicine<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><li>Biomedical Model. <strong>Provided by<\/strong>: Wikimedia,inc. . <strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability\">https:\/\/en.wikipedia.org\/wiki\/Medical_model_of_disability<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":142337,"menu_order":4,"template":"","meta":{"_candela_citation":"[{\"type\":\"pd\",\"description\":\"Biomedicine\",\"author\":\"\",\"organization\":\"Wikimedia, 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