Clinical Epistemic Reopening: When Patient Reality Makes Medical Framing Reconsiderable

Modern clinical medicine depends on reducing complex human realities into forms that support knowledge, judgment, and action. Such reduction is indispensable to scientific medicine, but necessarily selective. A medical framing may therefore remain well warranted within medicine while becoming insufficient in relation to the reality of a particular patient. What happens clinically when the adequacy of such a framing itself becomes uncertain remains insufficiently understood. We conducted an abductive, theory-generating qualitative study of 44 patients who attended a supplementary Dialogue-Based

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