The Influence of Edmund D. Pellegrino’s Philosophy of Medicine

1. Front Matter

   Pages i-v

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2. Edmund D. Pellegrino Festschrift

   • David C. Thomasma

   Pages 1-6

3. Edmund D. Pellegrino’s Philosophy of Family Practice

   • Howard Brody

   Pages 7-20

4. The Virtues in Psychiatric Practice

   • David W. Mann

   Pages 21-30

5. The Inadequacy of Role Models for Educating Medical Students in Ethics with Some Reflections on Virtue Theory

   • Edmund L. Erde

   Pages 31-45

6. A Dialogue between Virtue Ethics and Care Ethics

   • Patricia Benner

   Pages 47-61

7. Futility and the Varieties of Medical Judgment

   • Daniel P. Sulmasy

   Pages 63-78

8. Finding an Appropriate Ethic in a World of Moral Acquaintances

   • Erich H. Loewy

   Pages 79-97

9. Philosophy of Medical Practice: A Discursive Approach

   • Evert Van Leeuwen, Gerrit K. Kimsma

   Pages 99-112

10. “Damaged Humanity”: The Call for a Patient-Centered Medical Ethic in the Managed Care Era

    • Larry R. Churchill

    Pages 113-126

11. Antifoundationalism and the Possibility of a Moral Philosophy of Medicine

    • David C. Thomasma

    Pages 127-143

12. Why Bioethics Needs the Philosophy of Medicine: Some Implications of Reflection on Concepts of Health and Disease

    • George Khushf

    Pages 145-163

13. The Crisis of Virtue: Arming for the Cultural Wars and Pellegrino at the Limes

    • H. Tristram Engelhardt Jr.

    Pages 165-172

14. Phronesis, Clinical Reasoning, and Pellegrino’s Philosophy of Medicine

    • F. Daniel Davis

    Pages 173-195

15. Why “Do No Harm”?

    • Virginia A. Sharpe

    Pages 197-215

This volume is dedicated to the philosophy of medicine advanced by Edmund D. Pellegrino, a renowned physician educator and philosopher. Pellegrino's thinking about the philosophy of medicine centers on the importance of illness in the life of the patient, and the professional relationship established by promising to alleviate suffering. From this relationship norms are established that contribute to the staying power of medicine as a moral enterprise.
Chapters are included from established thinkers and newcomers to the field, all of whom have been influenced by Pellegrino. Some chapters expand upon his thinking for primary care, managed care, and other delivery systems. Other chapters explain in more detail certain key concepts in Pellegrino's thought, like beneficence, doing no harm, and clinical phronesis or prudential decision making. Still others explore areas of difficulty like the reliance on role modeling and virtue ethics, the problem of pluralism and a loss of professional normative ethics, and the search for the foundations of the philosophy of medicine.
Constructing a viable philosophy of medicine for the next century is an essential task for grounding the morality of medicine during enormous social and economic change. Pellegrino's thinking and the ideas of those he has influenced will contribute immensely to this challenge.

• Virtue Ethics
• beneficence
• bioethics
• ethics
• health
• morality

• Stritch School of Medicine, Loyola University Chicago, Maywood, USA

  David C. Thomasma

Policies and ethics