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Visualism and technification-the patient behind the screen.

At stake in this study is the patient's credibility. The Cartesian philosophical standpoint, which holds sway in western thinking, questions with scepticism whether the reported symptoms are "real." Do they reside in the body, or are they mentally concocted. However, from the caring perspective any symptom must be both listened and attended to in its own right, not just scrutinized as evidence for an accurate diagnosis.In cognitively and emotionally complex high-tech units caregivers are juggling a precarious handful of cards. Technical tasks take precedence or have more urgency than caring behaviour. Assuming an irremediable tension between object-subject and care-cure in nursing is futile dualism. By addressing the essence of technology-the non-neutral and highly visual technology-this paper aims to find, from a philosophical point of view, a more comprehensive understanding for the dominance visualism and technification within intensive care.Screens give us access to vital signs. Screens record numbers and lines that relate to a graph and afford superfine spiked "readings." However, the most relevant vital signs may be missing.