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7 - Why Outcomes Vary

from Part II - Outcomes after Concussion

Published online by Cambridge University Press:  22 February 2019

Jeff Victoroff
Affiliation:
University of Southern California, Torrance
Erin D. Bigler
Affiliation:
Brigham Young University, Utah
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Summary

More than a century ago, physicians began to reconceptualize disease. Rather than a discrete and uniform insult from an invasive process, disease might be considered the truly unique interaction between a perturbing phenomenon and an individual. That philosophical advance has been slow to inform nosology. As a result, concussion scholars spent much of the twentieth century fruitlessly working to characterize the clinical and pathological nature of CBI as a homogeneous disorder. It is not. This chapter attempts to summarize the literally innumerable variables that distinguish one CBI from another. That perspective, and the empirical evidence supporting it, seems extremely useful in rectifying and reconciling the diverse opinions about concussion. Respect for and attention to human individuality liberates scholars and practitioners from the straitjacket of nineteenth-century medical thought, and opens the door to what is sometimes called precision medicine.
Type
Chapter
Information
Concussion and Traumatic Encephalopathy
Causes, Diagnosis and Management
, pp. 285 - 382
Publisher: Cambridge University Press
Print publication year: 2019

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