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Ideas address@hidden been proposed

by theoreticians in the

fundamental sciences (Maturana and Varela for instance) and by praxiologists (LeShan and his The Mechanic and the

Gardener). These attempts have remained isolated and

marginal. An inventarisation of the existing attempts and

a further elaboration of

them is needed in collaboration

with all actors involved in health care.

Action sciences change more slowly than theoretical disciplines.

An adequate

model for

integration should meet the needs of physicians, patients, and socio-political activists. It will require generations to develop.