Intended for healthcare professionals

Letters Qualitative methods

Competing philosophies?

BMJ 2011; 342 doi: (Published 17 May 2011) Cite this as: BMJ 2011;342:d3038
  1. Sally L Read, general practitioner1
  1. 1Harrogate HG2 7LW, UK
  1. sallylread{at}

Paley and Lilford are correct that many disciplines have adopted the “either positivism or constructivism” approach.1 As a GP training in integrative psychotherapy, I have been subject to this insistence that I must choose my paradigm (and it had better be constructivism).

I was encouraged to find other thinkers, including psychotherapists and philosophers, …

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