Iconoclast or Creed? Objectivism, pragmatism, and the hierarchy of evidence

Perspectives in Biology and Medicine 52 (2):168-187 (2009)
Abstract
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)
Options
 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 Maya J. Goldenberg, Iconoclast or Creed? Objectivism, pragmatism, and the hierarchy of evidence
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.

Citations of this work BETA

View all 7 citations

Similar books and articles
Analytics

Monthly downloads

Added to index

2009-05-15

Total downloads

187 ( #3,003 of 1,098,129 )

Recent downloads (6 months)

62 ( #909 of 1,098,129 )

How can I increase my downloads?

My notes
Sign in to use this feature


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