Competing conceptions of diagnostic reasoning – is there a way out?

Diagnostic errors are more frequently a result of the clinician's failure to combine medical knowledge adequately than of data inaccuracy. Diagnostic reasoning studies are valuable to understand and improve diagnostic reasoning. However, most diagnostic reasoning studies are characterized by some limitations which make these studies seem more simple than diagnostic reasoning in real life situations actually is. These limitations are connected both to the failure to acknowledge components of knowledge used in clinical practice as well as to acknowledge the physician-patient relationship's influence on clinical knowledge and on the reasoning process itself. In addition the modes of reasoning described in these studies frequently is oversimplified. In this paper three simplistic and competing models of diagnostic reasoning are analyzed and criticized, followed by an evaluation of two alternative models proposing a combined view.
Keywords diagnostic reasoning  emotions  non-verbal communication  uncertainty  physician-patient relationship
Categories (categorize this paper)
DOI 10.1023/A:1009978315185
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
Download options
PhilPapers Archive

Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 23,201
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA

No references found.

Add more references

Citations of this work BETA
William E. Stempsey (2009). Clinical Reasoning: New Challenges. Theoretical Medicine and Bioethics 30 (3):173-179.
Sandro Tsang (2013). Quantifying Judicious Use of Health Information Technology. Journal of Evaluation in Clinical Practice 19 (2):393-399.

Add more citations

Similar books and articles
James G. Mazoué (1990). Diagnosis Without Doctors. Journal of Medicine and Philosophy 15 (6):559-579.
Caroline Whitbeck (1981). What is Diagnosis? Some Critical Reflections. Theoretical Medicine and Bioethics 2 (3):319-329.
Dominick A. Rizzi (1994). Causal Reasoning and the Diagnostic Process. Theoretical Medicine and Bioethics 15 (3):315-333.

Monthly downloads

Added to index


Total downloads

42 ( #113,101 of 1,940,976 )

Recent downloads (6 months)

20 ( #30,402 of 1,940,976 )

How can I increase my downloads?

My notes
Sign in to use this feature

Start a new thread
There  are no threads in this forum
Nothing in this forum yet.