Theoretical Medicine and Bioethics 9 (2) (1988)
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)|
|Categories||categorize this paper)|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Self-Concept Through the Diagnostic Looking Glass: Narratives and Mental Disorder.Serife Tekin - 2011 - Philosophical Psychology 24 (3):357-380.
Hypothetico-Nomological Aspects of Medical Diagnosis Part I: General Structure of the Diagnostic Process and its Hypothesis-Directed Stage.Jan Doroszewski - 1980 - Theoretical Medicine and Bioethics 1 (2):177-194.
Three Paradoxes of Medical Diagnosis.G. William Moore & Grover M. Hutchins - 1987 - Theoretical Medicine and Bioethics 2 (2):197-215.
Diagnosis and Management of Dementia in Primary Care at an Early Stage: The Need for a New Concept and an Adapted Procedure.Jan De Lepeleire & Jan Heyrman - 1999 - Theoretical Medicine and Bioethics 20 (3):213-226.
Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis.Marx W. Wartofsky - 1986 - Journal of Medicine and Philosophy 11 (1):81-92.
Conceptual Issues in Computer-Aided Diagnosis and the Hierarchical Nature of Medical Knowledge.Marsden S. Blois - 1983 - Journal of Medicine and Philosophy 8 (1):29-50.
Hypothetico-Nomological Aspects of Medical Diagnosis Part II: Formal Model of the Explanation and Testing Procedures.Maria Korab-Laskowska - 1980 - Theoretical Medicine and Bioethics 1 (2):195-205.
What is Diagnosis? Some Critical Reflections.Caroline Whitbeck - 1981 - Theoretical Medicine and Bioethics 2 (3):319-329.
Foundations of Clinical Praxiology Part II: Categorical and Conjectural Diagnoses.Kazem Sadegh-Zadeh - 1982 - Theoretical Medicine and Bioethics 3 (1):101-114.
On Assessing the Validity of the Main Diagnosis in Patient Data Bases: The Impact of Aims for Making Diagnosis.Lars Elffors - 1988 - Theoretical Medicine and Bioethics 9 (2).
Added to index2009-01-28
Total downloads19 ( #258,566 of 2,169,111 )
Recent downloads (6 months)1 ( #345,850 of 2,169,111 )
How can I increase my downloads?