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Rethinking palliative careA social role valorisation approach$
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Paul Sinclair

Print publication date: 2007

Print ISBN-13: 9781861349217

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349217.001.0001

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Paradigm of care

Paradigm of care

(p.11) two Paradigm of care
Rethinking palliative care

Paul Sinclair

Policy Press

This chapter develops a brief historical analysis of the development in western civilisation of the social organisation of care in order to identify the general patterns that recur in this recent palliative care development. It argues that an overarching paradigm of care can be constructed from this historical analysis. Furthermore, this paradigm consists of features or parameters that constrain the way specific types of care, such as palliative care, are conceptualized. Palliative care literally develops in accordance with these restrictive parameters. The chapter begins by introducing the key question asked in this book: does palliative care work towards or against its social ideal to make death and dying a natural or normal part of living? The section ‘Paradigmatic approach’ then examines the main terms of reference for the historical analysis. It derives an analytical framework from four fundamental questions that generate the four key features or parameters of the paradigm of care. Each of the four key features of the paradigm is explored, from the high and late medieval (1050–1550) period through to the modern (1550–2000) period.

Keywords:   historical analysis, social organisation, palliative care, death, dying, paradigmatic approach

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