An introductory philosophy of medicine: humanizing modern medicine
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
[Dordrecht]
Springer
2008
|
| Schriftenreihe: | Philosophy and medicine
99 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XV, 369 S. |
| ISBN: | 9781402067976 1402067968 9781402067969 |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Preface v
Acknowledgments ix
Introduction: A Philosophy of Medicine? 1
1 Philosophy and/in/of Medicine 1
2 Does Philosophy of Medicine Exist? 3
3 Philosophy of Medicine: Models of Medical Knowledge
and Practice 8
4 Summary 14
Part I Metaphysics
1 Medical Worldviews 17
1.1 Metaphysical Positions 18
1.1.1 Mechanistic Monism 19
1.1.2 Dualism/Holism 19
1.2 Metaphysical Presuppositions 22
1.2.1 Reductionism 24
1.2.2 Emergentism 25
1.3 Ontological Commitments 27
1.3.1 Physicalism/Materialism 28
1.3.2 Organicism 29
1.4 Summary 30
2 Medical Causation and Realism 33
2.1 Causation 34
2.1.1 Contemporary Causation 35
2.1.2 Medical Causation 36
2.2 Realism and Antirealism 40
2.2.1 Realism 42
xi
xii Contents
2.2.2 Antirealism 46
2.2.3 Medical Realism and Antirealism 47
2.3 Summary 48
3 Patient as Body or Person 49
3.1 Patient as Mechanical Body 49
3.2 Patient as Person 53
3.2.1 Phenomenology s Notion of Embodied Subject 53
3.2.2 Cassell s Notion of Person 56
3.2.3 Tauber s Notion of Self 59
3.3 Summary 61
4 Disease or Illness and Health or Wellbeing 63
4.1 Disease or Illness 64
4.1.1 Disease 65
4.1.2 Illness 70
4.2 Health or Wellbeing 73
4.2.1 Health 73
4.2.2 Wellbeing 75
4.3 Summary 77
5 Diagnosis and Therapeutics 79
5.1 Diagnosis 80
5.1.1 Medical Interview 81
5.1.2 Physical Examination and Laboratory Tests 85
5.1.3 Differential Diagnosis 86
5.2 Therapeutics 87
5.2.1 Pharmaceutical Drugs 87
5.2.2 Surgical Procedures 89
5.2.3 Gene Therapy 90
5.2.4 Physician as Therapeutic Agent 91
5.3 Summary 92
Part II Epistemology
6 Medical Thinking 97
6.1 Objective Thinking 98
6.1.1 Rationalism and Empiricism 100
6.1.2 Logical Reasoning 103
6.2 Subjective Thinking 108
6.2.1 Intuition Ill
6.2.2 Values 112
Contents xiii
6.2.3 Virtues 115
6.2.4 Narrative Reasoning 116
6.3 Summary 118
7 Clinical Judging and Decision Making 121
7.1 Clinical Judging 122
7.1.1 Objective or Subjective? 123
7.1.2 Art or Science? 125
7.1.3 Tacit Dimension 126
7.1.4 Phronetic and Narrative Reasoning 127
7.1.5 Good Clinical Judgment 128
7.2 Clinical Decision Making 129
7.2.1 Decision Analysis 130
7.2.2 Decision Models 131
7.2.3 Example 131
7.2.4 Pruning Decision Trees 132
7.2.5 Advantages of Decision Analysis 133
7.2.6 Criticisms of Decision Analysis 133
7.3 Summary 135
8 Medical Explanations 137
8.1 Covering Law Explanations 139
8.2 Causal Explanation 140
8.3 Inference to the Best Explanations 143
8.4 Functional Explanations 146
8.5 Narrative Explanation 148
8.6 Summary 151
9 Diagnostic Knowledge 153
9.1 Discursive Diagnostic Knowledge 154
9.1.1 Generation of Discursive Diagnostic Knowledge 154
9.1.2 Justification of Discursive Diagnostic Knowledge 157
9.2 Biomedical Technology 159
9.3 Narrative Diagnostic Knowledge 161
9.3.1 Generation of Narrative Knowledge 162
9.3.2 Justification of Narrative Knowledge 163
9.3.3 Medical Narrative Diagnostic Knowledge 166
9.4 Summary 169
10 Therapeutic Knowledge 171
10.1 Biomedical Research 171
10.1.1 Clinical Trials 172
xiv Contents
10.1.2 Randomized, Double-Blind,
Concurrently Controlled Clinical Trials 175
10.1.3 Other Clinical Trails 180
10.2 Biomedical Technology 180
10.3 Narrative Therapeutics 182
10.4 Summary 184
Part III Ethics
11 Medical Axiology and Values 189
11.1 Axiology 190
11.2 Values 193
11.3 Medical Axiology and Values 196
11.3.1 Health and Wellbeing 198
11.3.2 Disease and Illness 202
11.4 Summary 204
12 Origins of Bioethics and Normative Ethics 207
12.1 Origins of Bioethics 208
12.2 Normative Ethics 211
12.2.1 Absolute Ethical Theories 211
12.2.2 Relative Ethical Theories 216
12.2.3 Consequentialism and Situationism 219
12.2.4 Alternative Ethical Theories 224
12.3 Summary 227
13 Principlism and the Future of Bioethics 229
13.1 Principlism 229
13.1.1 The Four Principles 232
13.1.2 Principlism s Impact 240
13.1.3 Alternatives to Principlism 245
13.2 The Future of Bioethics 255
13.3 Summary 256
14 Emotionally Detached Concern or Empathic Care 259
14.1 Emotionally Detached Concern 260
14.2 Empathic Care 265
14.2.1 Empathy 266
14.2.2 Caring 270
14.2.3 Ethic of Care 274
14.3 Summary 276
Contents xv
15 Patient-Physician Relationships 277
15.1 Physician-Centered Models 279
15.1.1 Authoritarian Models 280
15.1.2 Mechanistic Models 284
15.2 Patient-Centered Models 286
15.2.1 Legal Models 286
15.2.2 Business Models 288
15.3 Mutual Models 290
15.3.1 Partnership Models 290
15.3.2 Covenant Model 293
15.3.3 Friendship Model 295
15.4 Summary 297
Conclusion: What Is Medicine? 301
Glossary 327
Bibliography 331
Index 361
|
| adam_txt |
Contents
Preface v
Acknowledgments ix
Introduction: A Philosophy of Medicine? 1
1 Philosophy and/in/of Medicine 1
2 Does Philosophy of Medicine Exist? 3
3 Philosophy of Medicine: Models of Medical Knowledge
and Practice 8
4 Summary 14
Part I Metaphysics
1 Medical Worldviews 17
1.1 Metaphysical Positions 18
1.1.1 Mechanistic Monism 19
1.1.2 Dualism/Holism 19
1.2 Metaphysical Presuppositions 22
1.2.1 Reductionism 24
1.2.2 Emergentism 25
1.3 Ontological Commitments 27
1.3.1 Physicalism/Materialism 28
1.3.2 Organicism 29
1.4 Summary 30
2 Medical Causation and Realism 33
2.1 Causation 34
2.1.1 Contemporary Causation 35
2.1.2 Medical Causation 36
2.2 Realism and Antirealism 40
2.2.1 Realism 42
xi
xii Contents
2.2.2 Antirealism 46
2.2.3 Medical Realism and Antirealism 47
2.3 Summary 48
3 Patient as Body or Person 49
3.1 Patient as Mechanical Body 49
3.2 Patient as Person 53
3.2.1 Phenomenology's Notion of Embodied Subject 53
3.2.2 Cassell's Notion of Person 56
3.2.3 Tauber's Notion of Self 59
3.3 Summary 61
4 Disease or Illness and Health or Wellbeing 63
4.1 Disease or Illness 64
4.1.1 Disease 65
4.1.2 Illness 70
4.2 Health or Wellbeing 73
4.2.1 Health 73
4.2.2 Wellbeing 75
4.3 Summary 77
5 Diagnosis and Therapeutics 79
5.1 Diagnosis 80
5.1.1 Medical Interview 81
5.1.2 Physical Examination and Laboratory Tests 85
5.1.3 Differential Diagnosis 86
5.2 Therapeutics 87
5.2.1 Pharmaceutical Drugs 87
5.2.2 Surgical Procedures 89
5.2.3 Gene Therapy 90
5.2.4 Physician as Therapeutic Agent 91
5.3 Summary 92
Part II Epistemology
6 Medical Thinking 97
6.1 Objective Thinking 98
6.1.1 Rationalism and Empiricism 100
6.1.2 Logical Reasoning 103
6.2 Subjective Thinking 108
6.2.1 Intuition Ill
6.2.2 Values 112
Contents xiii
6.2.3 Virtues 115
6.2.4 Narrative Reasoning 116
6.3 Summary 118
7 Clinical Judging and Decision Making 121
7.1 Clinical Judging 122
7.1.1 Objective or Subjective? 123
7.1.2 Art or Science? 125
7.1.3 Tacit Dimension 126
7.1.4 Phronetic and Narrative Reasoning 127
7.1.5 Good Clinical Judgment 128
7.2 Clinical Decision Making 129
7.2.1 Decision Analysis 130
7.2.2 Decision Models 131
7.2.3 Example 131
7.2.4 Pruning Decision Trees 132
7.2.5 Advantages of Decision Analysis 133
7.2.6 Criticisms of Decision Analysis 133
7.3 Summary 135
8 Medical Explanations 137
8.1 Covering Law Explanations 139
8.2 Causal Explanation 140
8.3 Inference to the Best Explanations 143
8.4 Functional Explanations 146
8.5 Narrative Explanation 148
8.6 Summary 151
9 Diagnostic Knowledge 153
9.1 Discursive Diagnostic Knowledge 154
9.1.1 Generation of Discursive Diagnostic Knowledge 154
9.1.2 Justification of Discursive Diagnostic Knowledge 157
9.2 Biomedical Technology 159
9.3 Narrative Diagnostic Knowledge 161
9.3.1 Generation of Narrative Knowledge 162
9.3.2 Justification of Narrative Knowledge 163
9.3.3 Medical Narrative Diagnostic Knowledge 166
9.4 Summary 169
10 Therapeutic Knowledge 171
10.1 Biomedical Research 171
10.1.1 Clinical Trials 172
xiv Contents
10.1.2 Randomized, Double-Blind,
Concurrently Controlled Clinical Trials 175
10.1.3 Other Clinical Trails 180
10.2 Biomedical Technology 180
10.3 Narrative Therapeutics 182
10.4 Summary 184
Part III Ethics
11 Medical Axiology and Values 189
11.1 Axiology 190
11.2 Values 193
11.3 Medical Axiology and Values 196
11.3.1 Health and Wellbeing 198
11.3.2 Disease and Illness 202
11.4 Summary 204
12 Origins of Bioethics and Normative Ethics 207
12.1 Origins of Bioethics 208
12.2 Normative Ethics 211
12.2.1 Absolute Ethical Theories 211
12.2.2 Relative Ethical Theories 216
12.2.3 Consequentialism and Situationism 219
12.2.4 Alternative Ethical Theories 224
12.3 Summary 227
13 Principlism and the Future of Bioethics 229
13.1 Principlism 229
13.1.1 The Four Principles 232
13.1.2 Principlism's Impact 240
13.1.3 Alternatives to Principlism 245
13.2 The Future of Bioethics 255
13.3 Summary 256
14 Emotionally Detached Concern or Empathic Care 259
14.1 Emotionally Detached Concern 260
14.2 Empathic Care 265
14.2.1 Empathy 266
14.2.2 Caring 270
14.2.3 Ethic of Care 274
14.3 Summary 276
Contents xv
15 Patient-Physician Relationships 277
15.1 Physician-Centered Models 279
15.1.1 Authoritarian Models 280
15.1.2 Mechanistic Models 284
15.2 Patient-Centered Models 286
15.2.1 Legal Models 286
15.2.2 Business Models 288
15.3 Mutual Models 290
15.3.1 Partnership Models 290
15.3.2 Covenant Model 293
15.3.3 Friendship Model 295
15.4 Summary 297
Conclusion: What Is Medicine? 301
Glossary 327
Bibliography 331
Index 361 |
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| index_date | 2024-07-02T21:49:23Z |
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| language | English |
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| spellingShingle | Marcum, James A. An introductory philosophy of medicine humanizing modern medicine Philosophy and medicine Medizin (DE-588)4038243-6 gnd Humanisierung (DE-588)4345685-6 gnd Humanismus (DE-588)4026140-2 gnd Medizinische Ethik (DE-588)4074672-0 gnd |
| subject_GND | (DE-588)4038243-6 (DE-588)4345685-6 (DE-588)4026140-2 (DE-588)4074672-0 |
| title | An introductory philosophy of medicine humanizing modern medicine |
| title_auth | An introductory philosophy of medicine humanizing modern medicine |
| title_exact_search | An introductory philosophy of medicine humanizing modern medicine |
| title_exact_search_txtP | An introductory philosophy of medicine humanizing modern medicine |
| title_full | An introductory philosophy of medicine humanizing modern medicine James A. Marcum |
| title_fullStr | An introductory philosophy of medicine humanizing modern medicine James A. Marcum |
| title_full_unstemmed | An introductory philosophy of medicine humanizing modern medicine James A. Marcum |
| title_short | An introductory philosophy of medicine |
| title_sort | an introductory philosophy of medicine humanizing modern medicine |
| title_sub | humanizing modern medicine |
| topic | Medizin (DE-588)4038243-6 gnd Humanisierung (DE-588)4345685-6 gnd Humanismus (DE-588)4026140-2 gnd Medizinische Ethik (DE-588)4074672-0 gnd |
| topic_facet | Medizin Humanisierung Humanismus Medizinische Ethik |
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