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Intuition in Medicine: A Philosophical Defense of Clinical Reasoning 1st Edition
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Top Customer Reviews
Braude's main goal is to defend the role of intuition (properly understood) in modern clinical judgment. To make this argument, he charts how conceptions of intuition have changed in philosophical and clinical reasoning from Hippocrates to modern times. Braude begins by reviewing the conflicting definitions of intuition in philosophy. He argues that intuition is properly understood as a kind of pre-reflective practical wisdom rooted in the physical body. He analyzes Hippocrates and especially Aristotle to defend this understanding of intuition over and against the belief that intuition refers to absolute intellectual certainty or mystical revelation.
Braude then builds on this foundation to show how the concept of intuition changed with the development of modern medicine and statistics. He gives a fascinating account of how Francis Galton's obsession with eugenics led him to discover statistical correlation and regression. Braude argues that clinical reasoning came eventually to be seen as grounded in mathematical abstractions rather than (as Aristotle had argued) in practical knowledge and the body. Modern pathology reinforced the disruption between clinical reasoning and human experience by focusing on the correlation between (dead) tissue and disease.
Finally, Braude reviews modern developments in clinical reasoning, especially evidence-based medicine.Read more ›
It is trying to make the point that clinical medicine unlike pure scientific experiments have concerns which can't be easily settled by the type of controlled experiments that basic scientist love - there are simply too many factors which are uncontrollable. So what to do? This is where accumulated prior experience can help.