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Whether a person is deemed to be afflicted by a disease or a disorder governs their ability to access health care, be it free at the point of use or provided by an insurer; it also influences the treatment of individuals by the judicial system and employers; it even affects one's own perception of self.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>All existing philosophical definitions of disease struggle with coherency, causing much confusion and strife, and leading to inconsistencies in real\u2010world practice. Hence, there is a real need for an alternative.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>In the present article I analyse the variety of contemporary views of disease, showing them all to be inadequate and lacking in firm philosophical foundations, and failing to meet the desideratum of patient\u2010driven care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Illuminated by the insights emanating from the said analysis, I introduce a novel approach with firm ethical foundations, which foundations are rooted in sentience, that is the subjective experience of sentient beings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>I argue that the notion of disease is at best superfluous, and likely even harmful in the provision of compassionate and patient\u2010centred care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using a series of presently contentious cases illustrate the power of the proposed framework which is capable of providing actionable and humane solutions to problems that leave the current theories confounded.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.13973","type":"journal-article","created":{"date-parts":[[2024,2,18]],"date-time":"2024-02-18T16:59:17Z","timestamp":1708275557000},"page":"817-830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Disease: An ill\u2010founded concept at odds with the principle of patient\u2010centred medicine"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9314-194X","authenticated-orcid":false,"given":"Ognjen","family":"Arandjelovi\u0107","sequence":"first","affiliation":[{"name":"North Haugh University of St Andrews Fife Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.2003.01242.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20725"},{"key":"e_1_2_7_4_1","article-title":"Obesity is not a disease\u2010and neither is alcoholism","volume":"102","author":"Ablow K","year":"2013","journal-title":"Fox News"},{"key":"e_1_2_7_5_1","article-title":"Pub\u2010licAffairs","author":"Lewis M","year":"2015","journal-title":"The biology of desire: why addiction is not a disease"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.278.5335.45"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2013.00024"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.291.5508.1488"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2015.1091293"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.589155"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1300\/J004v17n03_05"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7232.397"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.71.1.135"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/00455091.1980.10715720"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000039"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797613516981"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3798\/tia.1937-0237.15008"},{"key":"e_1_2_7_18_1","first-page":"117","volume-title":"Layers of Dying and Death","author":"Cushing S","year":"2007"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.5840\/ijap2022422169"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13411-014-0029-2"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155614"},{"issue":"3","key":"e_1_2_7_22_1","first-page":"264","article-title":"Love promotes health","volume":"26","author":"Esch T","year":"2005","journal-title":"Neuro Endocrinol Lett"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0604475103"},{"key":"e_1_2_7_24_1","unstructured":"AddisonJ. 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