Abstract

Goldstein’s conceptions of pathological states as specific relationships to the milieu, based on his clinical work and observations with First World War soldiers with brain injuries, pay unprecedented attention to chronicity as a particular form of the pathological, capable of stabilizing in forms of health. From this stems a concept of holistic care which pays attention to the person as a whole and to the possibilities for restructuring his or her relationship with the milieu. While the directions he took in his clinical approach of brain-injured patients make him a pioneer of Physical and Rehabilitation Medicine, his reflection on norms and normality, and on the limits of medical action, rooted in a conception of health as “latitude de vie”, nevertheless distinguish him from the rehabilitation paradigm as it is sometimes described and criticized. In this respect, Goldstein’s conceptions seem to be fruitfully extended to the care and support of chronic illnesses and certain situations of disability today.