Why Do We Care More About Disease than Health?

作     者：Martin Picard 

作者机构：Department of PsychiatryDivision of Behavioral MedicineColumbia University Irving Medical CenterNew YorkNY 10032USA Department of NeurologyMerritt CenterColumbia Translational Neuroscience InitiativeColumbia University Irving Medical CenterNew YorkNY 10032USA New York State Psychiatric InstituteNew YorkNY 10032USA 

出 版 物：《Phenomics》 (表型组学（英文）)

年 卷 期：2022年第2卷第3期

页      面：145-155页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：M.P.is supported by NIH grants R01MH119336 R01MH122706 R01AG066828 R21MH123927 and the Wharton Fund 

主　　题：Health Medical care Genomics Personalized medicine Energetics Preventative medicine 

摘      要：Modern Western biomedical research and clinical practice are primarily focused on *** disease-centric approach has yielded an impressive amount of knowledge around what goes wrong in ***,in comparison,researchers and physicians know little about *** is health?How do we quantify it?And how do we improve it?We currently do not have good answers to these *** lack of fundamental knowledge about health is partly driven by three main factors:(i)a lack of understanding of the dynamic processes that cause variations in health/disease states over time,(ii)an excessive focus on genes,and(iii)a pervasive psychological bias towards additive *** I briefly discuss potential reasons why scientists and funders have generally adopted a gene-and disease-centric framework,how medicine has ended up practicing“diseasecarerather than healthcare,and present cursory evidence that points towards an alternative energetic view of *** the basis of human health with a similar degree of precision that has been deployed towards mapping disease processes could bring us to a point where we can actively support and promote human health across the lifespan,before disease shows up on a scan or in bloodwork.