Medicine, Health Care and Philosophy 23 (1):115-124 (2020)

Authors
Mark R. Tonelli
University of Washington
Jon Williamson
University of Kent
Abstract
While the importance of mechanisms in determining causality in medicine is currently the subject of active debate, the role of mechanistic reasoning in clinical practice has received far less attention. In this paper we look at this question in the context of the treatment of a particular individual, and argue that evidence of mechanisms is indeed key to various aspects of clinical practice, including assessing population-level research reports, diagnostic as well as therapeutic decision making, and the assessment of treatment effects. We use the pulmonary condition bronchiectasis as a source of examples of the importance of mechanistic reasoning to clinical practice.
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DOI 10.1007/s11019-019-09915-5
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References found in this work BETA

Models and Analogies in Science.Mary Hesse - 1965 - British Journal for the Philosophy of Science 16 (62):161-163.
Causality and Explanation.Wesley C. Salmon - 1997 - Oxford University Press.
The Philosophy of Evidence-Based Medicine.Jeremy Howick - 2011 - Wiley-Blackwell, Bmj Books.
What is a Mechanism? Thinking About Mechanisms Across the Sciences.Phyllis Illari & Jon Williamson - 2012 - European Journal for Philosophy of Science 2 (1):119-135.

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Citations of this work BETA

Framing the Epistemic Schism of Statistical Mechanics.Javier Anta - 2021 - Proceedings of the X Conference of the Spanish Society of Logic, Methodology and Philosophy of Science.

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