Authors
Tim Thornton
University of Central Lancashire
Abstract
Medicine involves specific practical expertise as well as more general context-independent medical knowledge. This raises the question, what is the nature of the expertise involved? Is there a model of clinical judgement or understanding that can accommodate both elements? This paper begins with a summary of a published account of the kinds of situation-specific skill found in anaesthesia. It authors claim that such skills are often neglected because of a prejudice in favour of the ‘technical rationality’ exemplified in evidence-based medicine but they do not themselves offer a general account of the relation of practical expertise and general medical knowledge. The philosopher Hubert Dreyfus provides one model of the relation of general knowledge to situation-specific skilled coping. He claims that the former logically depends on the latter and provides two arguments, which I articulate in the second section, for this. But he mars those arguments by building in the further assumption that such situation-specific responses must be understood as concept-free and thus mindless. That assumption is held in place by three arguments all of which I criticize in the next section to give a unified account of clinical judgement as both practical and conceptually structured and thus justified in the face of a prejudice in favour of ‘technical rationality’
Keywords tacit knowledge  coping  clinical judgement  expertise  Dreyfus
Categories (categorize this paper)
DOI 10.1111/j.1365-2753.2010.01386.x
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 64,185
Through your library

References found in this work BETA

Empiricism and the Philosophy of Mind.Wilfrid S. Sellars - 1956 - Minnesota Studies in the Philosophy of Science 1:253-329.
Critique of Pure Reason.Immanuel Kant - 1991 - In Elizabeth Schmidt Radcliffe, Richard McCarty, Fritz Allhoff & Anand Vaidya (eds.), Philosophy and Phenomenological Research. Blackwell. pp. 449-451.
Nicomachean Ethics.H. Aristotle & Rackham - 1968 - Harvard University Press.

View all 16 references / Add more references

Citations of this work BETA

Psychopathy: Morally Incapacitated Persons.Heidi Maibom - 2017 - In Thomas Schramme & Steven Edwards (eds.), Handbook of the Philosophy of Medicine. Dordrecht: Springer. pp. 1109-1129.
Clinical Judgement and the Medical Profession.Gunver S. Kienle & Helmut Kiene - 2011 - Journal of Evaluation in Clinical Practice 17 (4):621-627.

View all 6 citations / Add more citations

Similar books and articles

Clinical Judgement and the Medical Profession.Gunver S. Kienle & Helmut Kiene - 2011 - Journal of Evaluation in Clinical Practice 17 (4):621-627.
A New Rejection of Moral Expertise.Christopher Cowley - 2005 - Medicine, Health Care and Philosophy 8 (3):273-279.
An Ethics Expertise for Clinical Ethics Consultation.Lisa M. Rasmussen - 2011 - Journal of Law, Medicine and Ethics 39 (4):649-661.
Tacit Knowledge: New Theories and Practices. [REVIEW]Evan Selinger - 2013 - Phenomenology and the Cognitive Sciences 12 (2):247-249.
Evidence and Clinical Judgement.R. Jane Macnaughton - 1998 - Journal of Evaluation in Clinical Practice 4 (2):89-92.
Tacit Clues and the Science of Clinical Judgement [a Commentary on Henry Et Al.].Hillel D. Braude - 2011 - Journal of Evaluation in Clinical Practice 17 (5):940-943.
Experts, Practitioners, and Practical Judgement.Onora O'Neill - 2007 - Journal of Moral Philosophy 4 (2):154-166.
The Core of Expertise.Harry Collins - 2013 - Phenomenology and the Cognitive Sciences 12 (2):399-416.

Analytics

Added to PP index
2013-11-24

Total views
81 ( #134,349 of 2,455,131 )

Recent downloads (6 months)
2 ( #303,290 of 2,455,131 )

How can I increase my downloads?

Downloads

My notes