Abstract

Ceylon Medical Journal (CMJ) is a peer-reviewed, open access journal published quarterly by the Sri Lanka Medical Association in the last week of March, June, September and December each year. The mission of the CMJ is to promote the science and art of medicine and betterment of public health. The Journal publishes original papers and commentaries which have relevance to medicine and allied sciences. The CMJ is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.

Highlights

  • Michel Foucault was a nineteenth century French philosopher who coined the term “medical gaze”

  • Foucault feared that doctors may treat a ‘diseased organ’ rather than a ‘sick patient’ with the invent of technologies

  • What we are doing is removing the patient from his “sociological context” making him a “medical entity”

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Summary

Medical gaze and EBM

Michel Foucault was a nineteenth century French philosopher who coined the term “medical gaze”. EBM resists to include non-quantifiable data from studies assessing patients values and individual perception of “health or cure” In this narrative patient becomes a ‘statistic’ with ‘predictive values’ and ‘probabilities’ rather than a sick person with values and perceptions in sociological context. It is the same as what Foucault described as “medical gaze” or rather we propose to use the term “statistical gaze” in this context. In the final analysis ‘statistical gaze’ of a patient may not get ‘the conscientious, explicit, and judicious use of current best evidence’ as expected in the use of EBM paradigm This “statistical gaze” is increasingly becoming common among young physician who think there is an answer to all the questions in the domains of EBM

Biopolitics and EBM
Where does Hegel come in?
Conclusion
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