Wisdom in clinical reasoning and medical practice

Theoretical Medicine and Bioethics 30 (3):231-247 (2009)
Abstract
Exploring informal components of clinical reasoning, we argue that they need to be understood via the analysis of professional wisdom. Wise decisions are needed where action or insight is vital, but neither everyday nor expert knowledge provides solutions. Wisdom combines experiential, intellectual, ethical, emotional and practical capacities; we contend that it is also more strongly social than is usually appreciated. But many accounts of reasoning specifically rule out such features as irrational. Seeking to illuminate how wisdom operates, we therefore build on Aristotle’s work on informal reasoning. His account of rhetorical communication shows how non-formal components can play active parts in reasoning, retaining, or even enhancing its reasonableness. We extend this account, applying it to forms of healthcare-related reasoning which are characterised by the need for wise decision-making. We then go on to explore some of what clinical wise reasoning may mean, concluding with a case taken from psychotherapeutic practice
Keywords Wisdom  Clinical reasoning  Healthcare-professional judgement
Categories (categorize this paper)
DOI 10.1007/s11017-009-9108-2
Options
 Save to my reading list
Follow the author(s)
Edit this record
My bibliography
Export citation
Find it on Scholar
Mark as duplicate
Request removal from index
Revision history
Download options
Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 30,248
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
The Practice of Health Care: Wisdom as a Model. [REVIEW]Ricca Edmondson & Jane Pearce - 2007 - Medicine, Health Care and Philosophy 10 (3):233-244.

Add more references

Citations of this work BETA

Add more citations

Similar books and articles
Added to PP index
2009-06-27

Total downloads
43 ( #124,095 of 2,192,212 )

Recent downloads (6 months)
4 ( #59,667 of 2,192,212 )

How can I increase my downloads?

Monthly downloads
My notes
Sign in to use this feature