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Doctor–patient-interaction is non-holistic

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Abstract

In recent philosophy of mind a non-holistic view on concept possession, originally developed by Tyler Burge, has emerged as an alternative to holistic analyses of language mastery. The article discusses the implications of this view for analyses of communication in doctor—patient-interaction. The central question Burge's theory gives an answer to is this: to what extent must a doctor and a patient understand a medical term in the same way in order to communicate in the sense that they express the same concept by the term? Many empirical studies have shown that patients do not, typically, understand medical terms in the same way as doctors they encounter. Holistic approaches therefore imply that doctors and patients seldom communicate. Burge's position, on the other hand, implies that it is sufficient that patients have a minimal understanding. In an important range of cases doctors can make sure that patients have a minimal understanding by being explicit about common dictionary definitions of the terms in question.

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References

  • Alsvåg, H.: 1997, Sykepleie: Mellom Vitenskap og Pasient. Bergen: Fagbokforlaget.

    Google Scholar 

  • Austin, J.: 1970, ‘Performative Utterances’, in: J. Urmson and G. Warnock (eds.), Philosophical Papers. Oxford: Oxford University Press, pp. 233-252.

    Google Scholar 

  • Bach, K.: 1994, Thought and Language. Oxford: Clarendon Press.

    Google Scholar 

  • Bechtel, W. and G. Graham (eds.): 1998, A Companion to Cognitive Science. Oxford: Blackwell.

    Google Scholar 

  • Bilgrami, A.: 1987, Belief and Meaning. Oxford: Blackwell.

    Google Scholar 

  • Bodeker, G.: 1999, ‘Health Ecology and the Biodiversity of Natural Medicine: Perspectives from Traditional and Complementary Health Systems’, in: M. Honari and T. Boleyn (eds.), pp. 209-223.

  • Broom, J.: 1988, ‘Good, Fairness and QALYs’, in: J. Bell and S. Mendus (eds.), Philosophy and Medical Welfare, pp. 57-73.

  • Burge, T.: 1982, ‘Other Bodies’, in: A. Woodfield (ed.), Thought and Object. Oxford: Clarendon Press, pp. 97-120.

    Google Scholar 

  • Burge, T.: 1986, ‘Intellectual Norms and Foundations of Mind’, The Journal of Philosophy 83, 697-720.

    Article  Google Scholar 

  • Burge, T.: 1992, ‘Philosophy of Language and Mind: 1950–1990’, The Philosophical Review 101(1), 3-51.

    Article  Google Scholar 

  • Burge, T.: 1996, ‘Individualism and the Mental’, in: A. Pessin and S. Goldberg (eds.), The Twin Earth Chronicles. New York/London: M.E. Sharpe, pp. 125-142.

    Google Scholar 

  • Bury, M: 1997, Health and Illness in a Changing Society. London/New York: Routledge.

    Google Scholar 

  • Carnap, R.: 1937, The Logical syntax of Language. London: Routledge and Kegan Paul.

    Google Scholar 

  • Christman, J. and T. Johnson: 1996, ‘Clinically Applied Anthroplogy’, in: Sargent and Johnson (eds.), pp. 88-113.

    Google Scholar 

  • Christman, J. and T. Maretzki (eds.): 1982, Clinically Applied Anthropology: Anthropologists in Health Science Settings. Dordrecht: D. Reidel.

    Google Scholar 

  • Davidson, D.: 1984, Essays on Truth and Interpretation. Oxford: Clarendon Press.

    Google Scholar 

  • Davies, M.: 1996, ‘Philosophy of Mind’, in: C. Crayling (ed.), Philosophy: A Guide through the Subject. Oxford: Oxford University Press, pp. 250-336.

    Google Scholar 

  • Davies, M.: 1987, ‘Tacit Knowledge and Semantic Theory: Can a Five Percent Difference Matter?’, Mind 96, 441-462.

    Google Scholar 

  • Enelow, A., D. Forde and K. Brummel-Smith: 1996, Interviewing and Patient Care. Oxford: Oxford University Press.

    Google Scholar 

  • Featherstone, M. and M. Hepworth: 1991, ‘The Mask of Ageing and the Postmodern Life Course’, in M. Featherstone, M. Hepworth and B.S. Turner (eds.), The Body, Social Processes and Cultural Theory. London: SAGE Publications, pp. 371-389.

    Google Scholar 

  • Foster, G. and B. Anderson: 1978, Medical Anthropology. New York: A. Knopf.

    Google Scholar 

  • Foucault, M.: 1975, The Birth of the Clinic: An Archaeology of Medical Perception. New York: Vintage Books.

    Google Scholar 

  • Fox, N.J.: 1993, Postmodernism, Sociology and Health. Buckingham: Open University Press.

    Google Scholar 

  • Fodor, J. and E. Lepore: 1993, Holism: A Shopper’s Guide. Oxford: Blackwell.

    Google Scholar 

  • Freidson, E.: 1988, Profession of Medicine. Chicago: University of Chicago Press.

    Google Scholar 

  • Gannik, D. and L. Launsø (eds.): 2000, Disease, Knowledge and Society. Denmark/Fredriksberg: Samfundslitteratur.

    Google Scholar 

  • Golde, P.: 1983, ‘Foreword: Clinical Anthropology as a Committed Profession’, in: P. Golde and D. Shimkin (eds.), Clinical Anthropology. Lanham, MD: University Press of America, pp. 75-86.

    Google Scholar 

  • Grice, P.: 1975, ‘Logic and Conversation’, in: P. Cole and J. Morgan (eds.), Syntax and Semantics. New York: Academic Press, pp. 41-58.

    Google Scholar 

  • Guttenplan, S. (ed.): 1996, A Companion to the Philosophy of Mind. Oxford: Blackwell.

    Google Scholar 

  • Hassan, I.: 1985, ‘The Culture of Postmodernism’, Theory of Culture and Society 2, 119-132.

    Google Scholar 

  • Helman, C.G.: 1984, Culture, Health and Illness. Oxford: Butterworth-Heinemann.

    Google Scholar 

  • Hempel, C.G. and P. Oppenheim: 1948, ‘Studies in the Logic of Explanation’, Philosophy of Science 15, 135-175.

    Article  Google Scholar 

  • Hind, C. (ed.): 1997, Communication Skills in Medicine. London: BMJ Publishing Group.

    Google Scholar 

  • Honari, M.: 1999, ‘Health Ecology: An Introduction’, in: Honari and Boleyn, pp. 1-24.

  • Honari, M. and T. Boleyn (eds.): 1999, Health Ecology: Health, Culture and Human-environment Interaction. New York/London Routledge.

  • Jacob, P.: 1987, ‘Thoughts and Belief Ascriptions’, Mind and Language 4, 300-325.

    Google Scholar 

  • Kopelman, L and J. Moskop: 1981, ‘The Holistic Health Movement: A Survey and Critique’, The Journal of Medicine and Philosophy 6(2), 209-235.

    PubMed  CAS  Google Scholar 

  • Kripke, S.: 1982, Wittgenstein on Rules and Private Language. Oxford: Blackwell.

    Google Scholar 

  • Kurtz, S., J. Silverman and J. Draper: 1998, Teaching and Learning Communication Skills in Medicine. Oxford: Radcliffe Medical Press.

    Google Scholar 

  • Lupton, D.: 1994, Medicine as Culture. London: SAGE Publications.

    Google Scholar 

  • Lyotard, J.F.: 1986, Just Gaming. Minneapolis, MN: University of Minnesota Press.

    Google Scholar 

  • Mechanic, D.: 1968, Medical Sociology. New York/London: The Free Press.

    Google Scholar 

  • Medin, D. and S. Waxman: 1998, ‘Conceptual Organization’, in: Bechtel and Graham (eds.), O.C., pp. 168-176.

    Google Scholar 

  • Nersessian, N.: 1998, ‘Conceptual Change’, in: Bechtel and Graham (eds.), O.C., pp. 157-167.

    Google Scholar 

  • Peacocke, C.: 1992, A Study of Concepts. Cambridge, MA: M.I.T. Press.

    Google Scholar 

  • Peacocke, C.: 1997, ‘Holism’, in: B. Hale and C. Wright (eds.), A Companion to the Philosophy of Language. Oxford: Blackwell, pp. 227-247.

    Google Scholar 

  • Putnam, H.: 1975, Mind, Language and Reality, Vol 2. Cambridge: Cambridge University Press.

    Google Scholar 

  • Putnam, H.: 1996, ‘Introduction’, in: A. Pessin and S. Goldberg (eds.), The Twin Earth Chronicles. New York/London: M.E. Sharpe, pp. xv-xxii.

    Google Scholar 

  • Quine, W.: 1960, Word and Object. Cambridge, MA: M.I.T. Press.

    Google Scholar 

  • Quine, W.V.: 1961, From a Logical Point of View. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Richman, J.: 1987, Medicine and Health. London & New York: Longman.

    Google Scholar 

  • Sargent, C. and T. Johnson (eds.): 1996, Medical Anthropology: Contemporary Theory and Method. Westport/London: Praeger Publishers.

    Google Scholar 

  • Schaffner, K.: 1981, ‘Reductionism and Holism in Medicine’, Journal of Medicine and Philosophy 6(2), 94-235.

    Google Scholar 

  • Silverman, D.: 1987, Communication and Medical Practice: Social Relations in the Clinic. London: SAGE Publications.

    Google Scholar 

  • Sinclair, J. (ed. in Chief): 1995, Collins Cobuild English Dictionary. London: HarperCollins Publishers.

    Google Scholar 

  • Starr, P.: 1982, The Social Transformation of American Medicine. New York: Basic Books.

    Google Scholar 

  • Stein, H.F.: 1990, American Medicine as Culture. Colorado: Westview.

    Google Scholar 

  • Wittgenstein, L.: 1953, Philosophical Investigations. Oxford: Blackwell.

    Google Scholar 

  • Wittgenstein, L.: 1969, On Certainty. Oxford: Blackwell.

    Google Scholar 

  • Winch, P.: 1987, Trying to Make Sense. Oxford: Blackwell.

    Google Scholar 

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  1. Department of Philosophy, University of Oslo, P.O. Box 1024 Blindern, 0315, Oslo, Norway

    Halvor Nordby

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  1. Halvor Nordby
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Nordby, H. Doctor–patient-interaction is non-holistic. Med Health Care Philos 6, 145–152 (2003). https://doi.org/10.1023/A:1024195316365

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