David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 30 (3):215-229 (2009)
A debate has simmered concerning the nature of clinical reasoning, especially diagnostic reasoning: Is it a “science” or an “art”? The trend since the seventeenth century has been to regard medical reasoning as scientific reasoning, and the most advanced clinical reasoning is the most scientific. However, in recent years, several scholars have argued that clinical reasoning is clearly not “science” reasoning, but is in fact a species of narratival or hermeneutical reasoning. The study reviews this dispute, and argues that in a theoretical sense, the dispute rests upon a naïve—but very popular—caricature of what constitutes “science reasoning.” But, if the dispute rests upon just such a caricature, why is it so persistent? The study concludes by suggesting that we, as patients and as physicians, have deep psychological tendencies that incline us to adopt the very naïve “science” concept/model of diagnostic reasoning, even if (or when) we understand its inaptness.
|Keywords||Clinical reasoning Clinical science Narrative Hermeneutics|
|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
Eric J. Cassell (2004). The Nature of Suffering and the Goals of Medicine. Oxford University Press.
David Hume (2009/2004). An Enquiry Concerning Human Understanding. In Steven M. Cahn (ed.), Exploring Philosophy: An Introductory Anthology. Oxford University Press. 112.
Drew Leder (1990). Clinical Interpretation: The Hermeneutics of Medicine. Theoretical Medicine and Bioethics 11 (1).
James D. Lock (1990). Some Aspects of Medical Hermeneutics: The Role of Dialectic and Narrative. Theoretical Medicine and Bioethics 11 (1).
Kathryn Montgomery (2006). How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford University Press.
Citations of this work BETA
Stephen G. Henry (2010). Polanyi's Tacit Knowing and the Relevance of Epistemology to Clinical Medicine. Journal of Evaluation in Clinical Practice 16 (2):292-297.
Similar books and articles
Henrik R. Wulff (1986). Rational Diagnosis and Treatment. Journal of Medicine and Philosophy 11 (2):123-134.
Dominick A. Rizzi (1994). Causal Reasoning and the Diagnostic Process. Theoretical Medicine and Bioethics 15 (3):315-333.
Patricia H. Miller (2001). Developmental Issues in Model-Based Reasoning During Childhood. Mind and Society 2 (2):49-58.
F. Daniel Davis (1997). Phronesis, Clinical Reasoning, and Pellegrino's Philosophy of Medicine. Theoretical Medicine and Bioethics 18 (1-2).
Hillel D. Braude (2009). Clinical Intuition Versus Statistics: Different Modes of Tacit Knowledge in Clinical Epidemiology and Evidence-Based Medicine. Theoretical Medicine and Bioethics 30 (3):181-198.
William E. Stempsey (2009). Clinical Reasoning: New Challenges. Theoretical Medicine and Bioethics 30 (3):173-179.
Caroline Whitbeck (1981). What is Diagnosis? Some Critical Reflections. Theoretical Medicine and Bioethics 2 (3):319-329.
Hillel D. Braude (2012). Intuition in Medicine: A Philosophical Defense of Clinical Reasoning. The University of Chicago Press.
Reidun Førde (1998). Competing Conceptions of Diagnostic Reasoning – is There a Way Out? Theoretical Medicine and Bioethics 19 (1):59-72.
Ineke Widdershoven-Heerding (1987). Medicine as a Form of Practical Understanding. Theoretical Medicine and Bioethics 2 (2).
Added to index2009-06-27
Total downloads31 ( #61,841 of 1,140,344 )
Recent downloads (6 months)1 ( #140,127 of 1,140,344 )
How can I increase my downloads?