The Lancet: WHO's new vision for traditional medicine (3)

4 September, 2023

Science is fine if the resources are available to provide proven scientific remedies but not so useful when those resources are not available?

Alternatives are attractive and Phronimos is Steering between both models - always leaving hope, transcendence and cognitive comfort? Perhaps this is where Phronimos comes into play that you mentioned previously, Neil?

"CITATION: Becoming a Phronimos: Evidence-Based Medicine, Clinical Decision Making, and the Role of Practical Wisdom in Primary Care

Lisa Cosgrove and Allen F. Shaughnessy

The Journal of the American Board of Family Medicine August 2023, 36 (4)

531-536; DOI:

"ABSTRACT: There has been much discussion about the overmedicalization of human experience and the problems incurred by overzealous action-oriented medical care. In this paper we describe the Aristotelean virtue of phronesis, or practical wisdom, and discuss how it can be developed by interested clinicians. We argue that becoming a phronimos requires conscious attention to one’s practice by using feedback to continually improve. But there must also be judicious adherence to clinical practice

guidelines and advocacy for people-as-patients at individual, community, and national levels.

Maslow's hierarchy of needs touches on this:

Starting from the most basic level and working upwards:



Belonging, community actualization and love***


Cognitive management

Aesthetic drives

Self actualization


*** “Thinking Big”

How the Evolution of Social Life Shaped the Human Mind published by *Thames & Hudson* *by Clive Gamble

<> (Author), John Gowlett

<> (Author), Robin Dunbar

<> (Author)*

“A closer look at social history and the growth of the human brain

“When and how did the brains of our hominin ancestors become human minds? When and why did our capacity for language, art, music and dance evolve? This pathbreaking book proposes that it was the need for early humans to live in ever-larger social groups over greater distances—the ability to “think big”—that drove the enlargement of the human brain

HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data. Email address: richardpeterfitton7 AT