Martyn Evans

When a person falls ill, their experience changes - sometimes in a very minor and transient way, sometimes in a decisive and lasting one. 'Diagnosis' is often seen as the process of scientifically and objectively identifying the causes of this subjective experience, but is the process and meaning of 'diagnosis' really as simple as this implies? As this volume of The Medical Humanities Companion argues, diagnoses are an answer to complex human needs that spring from being ill, and are in turn a complex, culturally mediated interaction between individuals, scientific discoveries, social negotiation and historical change. This volume makes visible the complexities and ambiguities involved in giving and receiving diagnoses, and how they shape and are shaped by views on what is real and acceptable, and how people relate to the phenomena of illness.

The phrase 'medical humanities' has a currency that is wider than any agreement as to what it means, though those engaged in the field usually know what they are attempting. This volume examines the idea of 'symptom' as a route to understanding the structure of clinical practice. Actual symptoms are always experienced by real, actual individuals - however much those experiences are mediated by language, culture, expectation and the conventions of the clinical consultation. And this in turn is important because it reminds us that health, illness, well-being, suffering are first and foremost aspects of experience. This book asks questions - and offers answers - about the meaning of actual symptoms and of the concept of 'symptom' as a prelude to a cumulative interdisciplinary understanding of illness as a source of human need, and clinical medicine as a human response to it.

In this book the author argues that human musical understanding is rooted in the traditions of culture and that experience of music depends crucially on what the individual brings to it.