Ian McDonald 
Crisis in Contemporary Medicine and the Rise of the Reflective Physician 

This book is an account of criticism and controversy surrounding modern medicine. Chapter One provides an overview of the contents. Chapter Four explains the contribution of the concept of ‘paradigm’ to the analysis provided. The argument is that, for all its fine accomplishments in medicine, the science has also damaged the art. This view is an echo of views expressed by eminent physicians early in the last Century, including William Osler and Francis Peabody. Concrete evidence of an ailing doctor-patient relationship is manifest in the form of some serious clinical problems. These include patient dissatisfaction, failure to take prescribed medication, failure of a doctor’s reassurance of normality to allay anxiety, resort to alternative medicine, use of patient advocates and ‘defection’ to alternative medicine. These we see as, not only damaging to treatment and health outcome, and very expensive, but indicators of a basic lack of trust.