Clinical Judgment: A Critical Appraisal: Proceedings of the Fifth Trans-Disciplinary Symposium on Philosophy and Medicine Held at Los Angeles, California, April 14–16, 1977H. Tristram Engelhardt Jr., S.F. Spicker, B. Towers Over a period of a year, the symposium on clinical judgment has taken shape as a volume devoted to the analysis of how knowledge claims are framed in medicine and how choices of treatment are made. We hope it will afford the reader, whether layman, physician or philosopher, a useful perspective on the process of knowing what occurs in medicine; and that the results of the dis cussions at the Fifth Symposium on Philosophy and Medicine will lead to a better understanding of how philosophy and medicine can usefully challenge each other. As the interchange between physicians, philosophers, nurses and psychologists recorded in the major papers, the commentaries and the round table discussion shows, these issues are truly interdisciplinary. In particular, they have shown that members of the health care professions have much to learn about themselves from philosophers as well as much of interest to engage philosophers. By making the structure of medical reasoning more apparent to its users, philosophers can show health care practitioners how better to master clinical judgment and how better to focus it towards the goods and values medicine wishes to pursue. Becoming clearer about the process of knowing can in short teach us how to know better and how to learn more efficiently. The result can be more than (though it surely would be enough!) a powerful intellectual insight into a major cultural endeavor, medicine. |
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Page xiii
... scientific principles of practice . " ( [ 17 ] , p . vii ) . Oesterlen was seeking a way of rendering more explicit , rational , and empirical the pro- cesses of medical observation and clinical judgment . " Thus , when we speak of ...
... scientific principles of practice . " ( [ 17 ] , p . vii ) . Oesterlen was seeking a way of rendering more explicit , rational , and empirical the pro- cesses of medical observation and clinical judgment . " Thus , when we speak of ...
Page xvii
... scientific undertaking . ( [ 25 ] , p . 37 ) Once clinical judgment is no longer viewed as an unanalysable art but rather as a set of skills in problem - solving like our ordinary everyday skills in prob- lem - solving , one can ...
... scientific undertaking . ( [ 25 ] , p . 37 ) Once clinical judgment is no longer viewed as an unanalysable art but rather as a set of skills in problem - solving like our ordinary everyday skills in prob- lem - solving , one can ...
Page xx
... scientific information in therapeutics is scanty . " One has only to recall the sad history of anticoagulants in myocardial infarction , the recent national dilemma about influenza vaccination , or the belated appreciation of the long ...
... scientific information in therapeutics is scanty . " One has only to recall the sad history of anticoagulants in myocardial infarction , the recent national dilemma about influenza vaccination , or the belated appreciation of the long ...
Page xxv
... scientific advances , especially in the last half century . There are now sometimes judgments in the penumbra between life and death . Is a particular decision more in the light or more in the eternal darkness , and how does this ...
... scientific advances , especially in the last half century . There are now sometimes judgments in the penumbra between life and death . Is a particular decision more in the light or more in the eternal darkness , and how does this ...
Page 4
... scientific method in the twentieth century include a large number of demonstrations that accepted scientific or expert practices are , not to put too fine a point on it , bogus . 1. FOREGROUND It is our task in this session and at this ...
... scientific method in the twentieth century include a large number of demonstrations that accepted scientific or expert practices are , not to put too fine a point on it , bogus . 1. FOREGROUND It is our task in this session and at this ...
Contents
Discus | 17 |
EDMOND A MURPHY Classification and Its Alternatives | 59 |
MORTON BECKNER Comments on Murphys Classification and | 86 |
An Essay in Tech | 93 |
ERNAN MCMULLIN A Clinicians Quest for Certainty | 115 |
GEDYE A Reply to Ernan McMullin 131 | 130 |
Bayesian | 145 |
MARTIN E LEAN Suppes on the Logic of Clinical Judgment 161 | 160 |
WIKLER Subjectivity and the Scope of Clinical Judgment | 217 |
Stuart F Spicker 229 | 228 |
E James Potchen Paul Wahby William R Schonbein and Linda | 238 |
Sally Gadow | 248 |
Thomas E Hill | 254 |
H TRISTRAM ENGELHARDT JR Closing Remarks | 265 |
NOTES ON CONTRIBUTORS | 273 |
MARJORIE GRENE Comments on Pellegrinos Anatomy of Clinical | 195 |
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84 patients abnormal action alternative ampliative inference analysis approach arguments assigner of understandings Barr bodies Bayes Bayesian behavior Cassell claim classification clinical inference clinical judgment clinical practice clinician concepts Copyright 1979 correlation course Critical Appraisal decision decision theory dementia diagnosticians dialectic disease Dordrecht entropy error ethical evaluation evidence example experience fact formula Gedye H. T. Engelhardt Hippocrates human hypertension hypothesis important individual intuitive judicial kind knowledge logic McMullin means measure medical ethic medicine method models nature nosologies objective pain paper particular philosophers Philosophy of Science physician possible probability problem psychology quantitative question rational rCBF regression analysis Reidel Publishing Company relevant reliability reports rules S. F. Spicker schizophrenia scientific scientific models scientist sense simulation situation statistical subjective Suppes symptoms techniques tests theory thought tion Towers eds treatment Umbrella effects unique University