Graduate studies at Western
Theoretical Medicine and Bioethics 21 (2):171-189 (2000)
|Abstract||In this article I scrutinize the question whetherclinical medicine, in order to be considered ahermeneutical enterprise, must be thought of as areading of different texts. Three differentproposals for a definition of the concept of text inmedicine, suggested by other hermeneuticians, arediscussed. All three proposals are shown to beunsatisfying in various ways. Instead of attempting tofind a fourth definition of the concept of textsuitable to a hermeneutics of medicine, I then try toshow that the assumption that one needs to operatewith the concept of text in order to develop ahermeneutics of medicine is false. Clinicalinterpretation can be shown to essentially consist ina dialogical hermeneutics, the pattern of which can befound in the philosophy of Hans-Georg Gadamer. Thiskind of hermeneutics is not a methodology of textreading, but an ontological, phenomenologicalhermeneutics in which understanding is a necessaryfeature of the being-together of human beings in theworld. This being-together in and through languagetakes on a peculiar form in the clinical encounter,since the medical meeting is typically characterizedby an asymmetrical enstrangement and has a specificgoal – health for the patient – absent in other formsof hermeneutics. Central issues of Gadamer''sphilosophy, e.g. fusion of horizons, are shown tofit the structure of clinical practice.|
|Keywords||dialogue Gadamer hermeneutics of medicine clinical interpretation philosophy of medical practice Ricoeur textuality|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
David C. Thomasma (1994). Clinical Ethics as Medical Hermeneutics. Theoretical Medicine and Bioethics 15 (2).
I. I. I. Mootz, Gadamer's Rhetorical Conception of Hermeneutics as the Key to Developing a Critical Hermeneutics.
Stephen L. Daniel (1986). The Patient as Text: A Model of Clinical Hermeneutics. Theoretical Medicine and Bioethics 7 (2).
Drew Leder (1990). Clinical Interpretation: The Hermeneutics of Medicine. Theoretical Medicine and Bioethics 11 (1).
Fredrik Svenaeus (2000). The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Medical Practice. Kluwer Academic Publishers.
Wim Dekkers (1998). Hermeneutics and Experiences of the Body. The Case of Low Back Pain. Theoretical Medicine and Bioethics 19 (3):277-293.
Robert J. Dostal (2008). Gadamerian Hermeneutics and Irony: Between Strauss and Derrida. Research in Phenomenology 38 (2):247-269.
Peter Hucklenbroich (1998). Steps Towards a Theory of Medical Practice. Theoretical Medicine and Bioethics 19 (3):215-228.
Fredrik Svenaeus (2003). Hermeneutics of Medicine in the Wake of Gadamer: The Issue of Phronesis. Theoretical Medicine and Bioethics 24 (5):407-431.
Added to index2009-01-28
Total downloads8 ( #131,911 of 741,433 )
Recent downloads (6 months)1 ( #61,802 of 741,433 )
How can I increase my downloads?