The logic of diagnosis: Peirce, literary narrative, and the history of present illness

Journal of Medicine and Philosophy 31 (4):363 – 384 (2006)
This essay presents a theoretical construct upon which to base a working - "pragmatic" - definition of the History of Present Illness (HPI). The major thesis of this essay is that analysis of both the logic of hypothesis formation and literary narrative - especially detective stories - facilitates understanding of the diagnostic process. The essay examines three elements necessary to a successful development of a patient's HPI: the logic of hypothesis formation, based upon the work of the philosopher-logician, Charles Sanders Peirce; the organization of knowledge in relation to structures of narrative; and the feedback necessary to the successful physician-interviewer. It concludes with a systematic description of the design of hypothesis formation within diagnoses.
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DOI 10.1080/03605310600860809
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Medical and Nursing Diagnoses: A Critical Comparison.Daniele Chiffi & Renzo Zanotti - 2015 - Journal of Evaluation in Clinical Practice 21 (1):1-6.
Functional Realism: A Defense of Narrative Medicine.S. Vannatta & J. Vannatta - 2013 - Journal of Medicine and Philosophy 38 (1):32-49.

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