International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Volume 8 Issue 4
July-August 2026

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Hospicing Modernity Systems Therapy (HMST): A Post-Postmodern Clinical Framework for Addiction and Metabolic Care

Author(s) Vir Vikram Singh Kaleka MS RDN, Dr. Amita Puri, Dr. Swati Sindhu
Country India
Abstract Contemporary clinical medicine treats addiction, and increasingly the cluster of cardiometabolic disorders, as deviations from a presumed-healthy baseline to which the patient is to be returned. This paper advances a position: that for a growing share of patients, the baseline itself — the conditions of ordinary late-modern life — is implicated in the pathology, such that a clinical paradigm organised around return-to-normal is structurally incomplete. We propose Hospicing Modernity Systems Therapy (HMST), a clinical framework that reads the addicted body as already engaged in a private, unaccompanied, and incompetent hospicing of a self that cannot inhabit late-modern conditions without anaesthesia. Drawing primarily on Vanessa Machado de Oliveira’s hospicing modernity, and secondarily on Bayo Akómoláfé’s post-activism and the multispecies ecological thought of Donna Haraway and Anna Tsing, we situate HMST as a post-postmodern reconstructive framework: one that accepts the critical exposure of modernity’s harms yet declines both the modern impulse to rescue and the postmodern settlement of ironic paralysis. We outline HMST’s clinical sequence – hospice, compost, recompose – and its grounding in a metabolic-ecological systems model. We illustrate the framework through addiction care, including its bearing on the emerging use of GLP-1 receptor agonists, and we name candidly the central methodological tension: how to operationalise a clinical register for ethics review and replication without manualising the framework into the very thing it refuses to be. This is a position and viewpoint paper; it proposes a framework and a research programme rather than reporting trial outcomes.
Keywords hospicing modernity; addiction; post-postmodernism; metabolic health; clinical philosophy; planetary health; pharmakon; GLP-1 receptor agonists
Field Medical / Pharmacy
Published In Volume 8, Issue 4, July-August 2026
Published On 2026-07-27
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E-ISSN 2582-2160
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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