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Research: Integrative Health, Education and Care. Stephen Baron. Research: Integrative Health, Education and Care. Reasons for Engaging with Research, particularly social research Disintegrating Integration A Centre for Anthroposophic Medicine and Integrative Care?.
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Research: Integrative Health, Education and Care Stephen Baron
Research: Integrative Health, Education and Care • Reasons for Engaging with Research, particularly social research • Disintegrating Integration • A Centre for Anthroposophic Medicine and Integrative Care?
Reasons for Researching: Pt. 1Inner Reasons • Development of own anthroposophic practice through critical reflection • Improved encounter of ego with ego through disciplined study • Development of communities of practice through systematic enquiry
Reasons for Researching: Pt. 2Outer Reasons • Understand and combat threats to Image of Human • Establish and disseminate legitimacy of Anthroposophic Care • Establish and disseminate value of Anthroposophic Care • Establish and disseminate effectiveness of Anthroposophic Care
Disintegrating Integration:No positively valued antonym • Who can be against integrated care? • Who can be in favour of fragmented, uncoordinated, atomistic, boundary defending, impersonal, discontinuous care?
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Disintegrating Integration:No positively valued antonym NOT to be destructively critical of ‘integrative care’ but argue need for critical self awareness Five meanings of Integration
Integration: Meaning 1Joined Up Policy • ‘Corporate management’ since 1970s to ensure that activities of state don’t contradict/ support each other BUT Rise of ‘surveillance society’ in which: • More, and more intrusive, data are collected about individuals and groups • Data are linked • Consequential actions are taken on basis of linked data • Strongly normative assumptions of a good life
Integration: Meaning 2Restructuring the State • (Re)-organize the machinery of state so that joined up policy can be delivered e.g. Local Strategic Partnerships BUT Reduces mediating layers of state • Twin movement of decentralization-centralization • Discourse of standards and inspection
Integration: Meaning 3Interprofessionalism • Break down barriers between different professional groups and institute joint working BUT • Turf wars and exaggerated professional ideologies • Increasing subjugation of the lay
Integration: Meaning 4Epistemological Integration • Little considered in Britain due to the dominance of the (a?) natural scientific model AND Anthroposophic Medicine and Care has a (partial?) model. Can elements of this system be appropriated by non-Anthroposophic systems?
Integration: Meaning 5Holism • Frequently claimed by many services but little analysed AND Anthroposophic Medicine and Care has a (partial?) model. Can elements of this model be appropriated by non-Anthroposophic models?
A Centre for Anthroposophic Medicine and Integrative Care? • Invitation to Tender drafted for establishment in a Medical School in a British University with strong education and social work Faculties • £1.5m pledged (to be raised) The aim of such a Centre would be: • To act as a centre of excellence for anthroposophic medicine and integrative care in the English speaking world, liaising with the extensive network of continental European universities, hospitals and practices
A Centre for Anthroposophic Medicine and Integrative Care? The core objectives of such a centre will be: • To develop strategic research in anthroposophic medicine and integrative care, gaining funding from Research Councils and relevant charities • To subject anthroposophic medicine and integrative care practices to critical evaluation using contemporary research methods, elaborating innovative methods as appropriate • To make a distinctive contribution to current developments in medical policy, practice and education especially in terms of integrative care, the individualisation of medicine and the role of spirituality in health • To offer postgraduate degrees and diplomas specializing in anthroposophic medicine and integrative care, contributing to other postgraduate and undergraduate degrees as appropriate
Five Meanings of Integration:Strategic Implications for Anthroposophic Medicine and Integrative Care • Critically assess the completeness of the Anthroposophic system • Critically assess the holism of Anthroposophic practice • Explore the developing political economy of CAM and the place of Anthroposophic Medicine and Integrative Care in this • Evaluate the legitimacy, value and effectiveness of Anthroposophic Medicine and Integrative Care