David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Perspectives in Biology and Medicine 52 (2):168-187 (2009)
Because “evidence” is at issue in evidence-based medicine (EBM), the critical responses to the movement have taken up themes from post-positivist philosophy of science to demonstrate the untenability of the objectivist account of evidence. While these post-positivist critiques seem largely correct, I propose that when they focus their analyses on what counts as evidence, the critics miss important and desirable pragmatic features of the evidence-based approach. This article redirects critical attention toward EBM’s rigid hierarchy of evidence as the culprit of its objectionable epistemic practices. It reframes the EBM discourse in light of a distinction between objectivist and pragmatic epistemology, which allows for a more nuanced analysis of EBM than previously offered: one that is not either/or in its evaluation of the decision-making technology as either iconoclastic or creedal.
|Keywords||Evidence Evidence-based medicine philosophy of medicine medical epistemology|
|Categories||categorize this paper)|
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.
Citations of this work BETA
Maya J. Goldenberg (2010). From Popperian Science to Normal Science. Commentary on Sestini (2009) 'Epistemology and Ethics of Evidence‐Based Medicine'. Journal of Evaluation in Clinical Practice 16 (2):306-309.
Jacob Stegenga (2014). Down with the Hierarchies. Topoi 33 (2):313-322.
Jonathan Fuller (2013). Rhetoric and Argumentation: How Clinical Practice Guidelines Think. Journal of Evaluation in Clinical Practice 19 (3):433-441.
Leah M. McClimans & John Browne (2011). Choosing a Patient-Reported Outcome Measure. Theoretical Medicine and Bioethics 32 (1):47-60.
Mark R. Tonelli (2009). A Late and Shifting Foundation: A Commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158–168. [REVIEW] Journal of Evaluation in Clinical Practice 15 (6):907-909.
Similar books and articles
Mona Gupta (2007). Does Evidence-Based Medicine Apply to Psychiatry? Theoretical Medicine and Bioethics 28 (2):103.
John Worrall (2010). Evidence: Philosophy of Science Meets Medicine. Journal of Evaluation in Clinical Practice 16 (2):356-362.
Adam la Caze (2011). The Role of Basic Science in Evidence-Based Medicine. Biology and Philosophy 26 (1):81-98.
Brian Hazelton Walsh (2010). The Spatialisation of Disease: Foucualt and Evidence-Based Medicine (Ebm). [REVIEW] Journal of Bioethical Inquiry 7 (1):31-42.
Ian Kerridge, Stacy M. Carter & Wendy Lipworth (2008). The “EBM Movement”: Where Did It Come From, Where is It Going, and Why Does It Matter? Social Epistemology 22 (4):425-431.
Wendy Lipworth, Stacy M. Carter & Ian Kerridge (2008). The “Ebm Movement”: Where Did It Come From, Where is It Going, and Why Does It Matter? Social Epistemology 22 (4):425 – 431.
Adam La Caze (2008). Evidence-Based Medicine Can't Be…. Social Epistemology 22 (4):353 – 370.
A. la Caze (2009). Evidence-Based Medicine Must Be .. Journal of Medicine and Philosophy 34 (5):509-527.
Maya J. Goldenberg (2006). On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science. Social Science and Medicine 62 (11):2621-2632.
Added to index2009-05-15
Total downloads210 ( #2,558 of 1,102,926 )
Recent downloads (6 months)65 ( #911 of 1,102,926 )
How can I increase my downloads?