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VOL. 1, ISSUE 2 (2025)
The reconstruction of health concepts in twentieth-century western medicine: From reductionism to human-centered care
Authors
Dr. Lung-Tan Lu
Abstract
Twentieth-century Western medicine established global dominance through a reductionist and empiricist methodology that achieved unprecedented technical precision while simultaneously narrowing the meaning of health. The mechanistic dissection of the human body—from cellular pathology to molecular genetics—secured remarkable progress in diagnosis and therapy but also fragmented medical knowledge and alienated the patient as a person. This article re-examines the historical evolution of health concepts in modern Western medicine from the dual perspectives of medical history and the history of health thought. Drawing upon philosophical, sociological, and clinical sources, it traces how reductionism, medical specialization, and the medicalization of daily life reshaped the understanding of health, disease, and the human subject. It further analyzes how technocentrism, the commodification of health, and the moralization of well-being transformed medicine from a healing art into a technological enterprise. The study argues that the core trajectory of twentieth-century Western medicine follows a dialectical movement from wholeness to fragmentation and toward renewed integration. By revisiting integrative and narrative approaches to care, as well as community-based and patient-centered models, the paper highlights the contemporary shift toward reconstructing a human-centered paradigm that reconciles technical rationality with moral and existential dimensions of health.
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Pages:17-21
How to cite this article:
Dr. Lung-Tan Lu "The reconstruction of health concepts in twentieth-century western medicine: From reductionism to human-centered care". International Journal of Applied Review , Vol 1, Issue 2, 2025, Pages 17-21
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