Research Article

Beyond Reductionism or Wishful Thinking? Tensions between Evidence Based Practice and Spiritual Frameworks in Contemporary Healthcare

Authors: Julian Ungar-Sargon.

DOI: 10.33425/2771-5906.1037

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Abstract

While my work attempts to transcend Cartesian dualism through the integration of hermeneutic philosophy, phenomenology, and theological perspectives, it raises significant epistemological and practical questions. This paper provides a critical analysis of these core concepts—including the sacred-profane dialectic, hermeneutic approaches to medicine, and covenantal models of care—evaluating them against prevailing biomedical frameworks, evidence-based practice standards, and implementation challenges. The analysis reveals fundamental tensions between my spiritually-oriented framework and the methodological requirements of contemporary healthcare. While the critique of reductionism identifies legitimate limitations in biomedical approaches, the proposed alternatives often lack empirical validation and may inadvertently reintroduce prescientific thinking into clinical practice. This critical assessment highlights both the potential contributions and problematic aspects of integrating spiritual dimensions into evidence-based healthcare.

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