Theoretical Medicine and Bioethics 9 (2) (1988)
|Abstract||In this paper I shall try to analyse appropriate logic and actual methods as a preliminary to developing expert systems that will simulate clinical diagnosis. It is doubtful that all diagnoses address the same kind of problem and hence no one logic will suffice. Sometimes the signs and symptoms manifest an underlying disorder that cannot be observed directly (the substantialist model); sometimes there seems to be no underlying disorder and the diagnosis is a rearrangement of the data (the nominalist model). In deciding their merits in the particular case, we must identify the sources of variation; what is meant by saying that the data are independent; and what can be meant by wrong diagnosis and misclassification. Problems arise in human diagnosis because the data may be false, even lies; because the known list of diseases is not exhaustive; and because the probability of multiple unrelated diseases increases with age. Special difficulties arise from homeostasis (which is fundamental in defining and understanding disease) because the primary disturbances may be hard to distinguish from the homeostatic responses to them.|
|Keywords||No keywords specified (fix it)|
|Through your library||Configure|
Similar books and articles
Serife Tekin (2011). Self-Concept Through the Diagnostic Looking Glass: Narratives and Mental Disorder. Philosophical Psychology 24 (3):357-380.
Jan Doroszewski (1980). Hypothetico-Nomological Aspects of Medical Diagnosis Part I: General Structure of the Diagnostic Process and its Hypothesis-Directed Stage. Theoretical Medicine and Bioethics 1 (2):177-194.
G. William Moore & Grover M. Hutchins (1987). Three Paradoxes of Medical Diagnosis. Theoretical Medicine and Bioethics 2 (2):197-215.
Jan De Lepeleire & Jan Heyrman (1999). Diagnosis and Management of Dementia in Primary Care at an Early Stage: The Need for a New Concept and an Adapted Procedure. Theoretical Medicine and Bioethics 20 (3).
Marx W. Wartofsky (1986). Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis. Journal of Medicine and Philosophy 11 (1):81-92.
Marsden S. Blois (1983). Conceptual Issues in Computer-Aided Diagnosis and the Hierarchical Nature of Medical Knowledge. Journal of Medicine and Philosophy 8 (1):29-50.
Maria Korab-Laskowska (1980). Hypothetico-Nomological Aspects of Medical Diagnosis Part II: Formal Model of the Explanation and Testing Procedures. Theoretical Medicine and Bioethics 1 (2):195-205.
Caroline Whitbeck (1981). What is Diagnosis? Some Critical Reflections. Theoretical Medicine and Bioethics 2 (3):319-329.
Kazem Sadegh-Zadeh (1982). Foundations of Clinical Praxiology Part II: Categorical and Conjectural Diagnoses. Theoretical Medicine and Bioethics 3 (1):101-114.
Lars Elffors (1988). On Assessing the Validity of the Main Diagnosis in Patient Data Bases: The Impact of Aims for Making Diagnosis. Theoretical Medicine and Bioethics 9 (2).
Added to index2009-01-28
Total downloads5 ( #161,910 of 556,837 )
Recent downloads (6 months)0
How can I increase my downloads?