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The Patient

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Handbook of Analytic Philosophy of Medicine

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Abstract

Medicine is concerned with the treatment of sick people, the promotion and protection of health, and the prevention of maladies and human suffering. This wide-ranging task is accomplished through medical practice and medical research, though no sharp boundary between them can be drawn. For the purposes of our discussion in the present Part II, we shall focus on medical practice . The term “practice” derives from the Greek word πραξις (praxis) that means “doing ”, “acting ”, and “action ”. Thus, by the term “medical praxiology ” we understand the theory of medical practice , i.e., the philosophy, methodology, and logic of medical doing and acting (Sadegh-Zadeh, 1981d, 183) .

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References

  1. Ader R (ed.). Psychoneuroimmunology. Burlington, MA: Elsevier Academic Press, 2007.

    Google Scholar 

  2. Andersen H. Kuhn’s account of family resemblance: A solution to the problem of wide-open texture. Erkenntnis 2000; 52:313–337.

    Article  Google Scholar 

  3. Anderson JA. Automata Theory with Modern Applications. Cambridge: Cambridge University Press, 2006.

    Book  Google Scholar 

  4. Aristotle. Politics. Oxford: Oxford University Press, 2009.

    Google Scholar 

  5. Baars BJ. A Cognitive Theory of Consciousness. Cambridge: Cambridge University Press, 1988.

    Google Scholar 

  6. Barro S & Marin R (eds.). Fuzzy Logic in Medicine. Heidelberg: Physika-Verlag, 2002.

    Google Scholar 

  7. Black M. Vagueness. An exercise in logical analysis. Philosophy of Science 1937; 4: 427–455.

    Article  Google Scholar 

  8. Black M. Reasoning with loose concepts. Dialogue 1963; 2:1–12.

    Article  Google Scholar 

  9. Block N. Consciousness. In: Guttenplan S (ed.), A Companion to the Philosophy of Mind, pp. 210–219. Oxford: Blackwell Publishers Ltd., 1997.

    Google Scholar 

  10. Bloor D. Wittgenstein: A Social Theory of Knowledge. London: The Macmillan Press Ltd., 1983.

    Google Scholar 

  11. Boorse. A rebuttal on health. In: Humber JM, and Almeder RF (eds.), What Is Disease? pp. 3–134. Totowa, NJ: Humana Press, 1997.

    Google Scholar 

  12. Brinck I. The Indexical ‘I’. The First Person in Thought and Language. Dordrecht: Kluwer Academic Publishers, 1997.

    Google Scholar 

  13. Brock TD. Robert Koch: A Life in Medicine and Bacteriology. Madison, WI: Science Tech Publishers, 1988.

    Google Scholar 

  14. Buja LM. Does atherosclerosis have an infectious etiology? Circulation 1996; 94:872–873.

    Google Scholar 

  15. Carnap R. Logical Foundations of Probability. Chicago: The University of Chicago Press, 1962.

    Google Scholar 

  16. Cartwright SA. Report on the diseases and physical peculiarities of the Negro Race. (Originally published in 1851.) Reprinted in: Caplan AL, McCartney JJ, and Sisti DA (eds.). Health, Disease, and Illness. Concepts in Medicine, pp. 28–39. Washington, D.C.: Georgetown University Press, 2004.

    Google Scholar 

  17. Cassell, EJ. The Nature of Suffering and the Goals of Medicine. New York: Oxford University Press, 2004.

    Book  Google Scholar 

  18. Collins J. Counterfactuals, causation, and preemption. In: Jacquette D (ed.), Philosophy of Logic, pp. 1127–1143. Amsterdam: Elsevier, 2007.

    Chapter  Google Scholar 

  19. Descartes R. Meditationes de prima philosophia. Meditationen über die erste Philosophie. Lateinisch-Deutsch. Übersetzt und herausgegeben von Gerhart Schmidt. Stuttgart: Reclam, 1986.

    Google Scholar 

  20. Dragulinescu S. Diseases as natural kinds. Theoretical Medicine and Bioethics, 2010; 31:347–369.

    Article  Google Scholar 

  21. Eells E. Probabilistic Causality. Cambridge: Cambridge University Press, 2008.

    Google Scholar 

  22. Engel GL. The need for a medical model: A challenge for biomedicine. Science 1977; 196:129–136.

    Article  Google Scholar 

  23. Engelhardt HT Jr (1975). The concepts of health and disease. In: Engelhardt HT, Jr., and Spicker SF (eds.), Evaluation and Explanation in the Biomedical Sciences, pp. 125–141. Dordrecht: D. Reidel Publishing Company, 1975.

    Chapter  Google Scholar 

  24. Engelhardt HT, Jr. Ideology and etiology. The Journal of Medicine and Philosophy 1976; 1:256–268.

    Google Scholar 

  25. Engelhardt HT, Jr. The Foundations of Bioethics. New York: Oxford University Press, 1986.

    Google Scholar 

  26. Foucault M. The Birth of the Clinic. An Archaeology of Medical Perception New York: Vintage Books, 1994.

    Google Scholar 

  27. Grayston JT. Immunisation against trachoma. Pan American Health Organization Scientific Publications 1965; 147:549.

    Google Scholar 

  28. Groopman J. How Doctors Think. Boston: Houghton Mifflin Company, 2007.

    Google Scholar 

  29. Hesslow G. Two notes on the probabilistic approach to causality, Philosophy of Science 1976; 43:290–292.

    Article  Google Scholar 

  30. Hinkley AE. Metaphysical problems in the philosophy of medicine and bioethics. The Journal of Medicine and Philosophy 2008; 33:101–105.

    Article  Google Scholar 

  31. Humber JM, Almeder RF (eds.). What Is Disease? Totowa, NJ: Humana Press, 1997.

    Google Scholar 

  32. Hume D. An Enquiry Concerning Human Unterstanding. Modern Edition by LA Selby-Bigge. Oxford: The Clarendon Press, 1894.

    Google Scholar 

  33. Kane R (ed.). The Oxford Handbook of Free Will. New York: Oxford University Press, 2002.

    Google Scholar 

  34. Kane R (ed.). Free Will. Malden, MA: Blackwell Publishing Ltd., 2003.

    Google Scholar 

  35. Kitchen M. Kaspar Hauser: Europe’s Child. Houndmills, UK: Palgrave, 2001.

    Book  Google Scholar 

  36. Kleene SC. Introduction to Metamathematics. Groningen: Wolters-Noordhoff Publishing, 1952.

    Google Scholar 

  37. Kleinman A. Patients and Healers in the Context of Culture. An Exploratin of the Borderland between Anthropology, Medicine, and Psychiatry. Berkeley: University of California Press, 1981.

    Google Scholar 

  38. Kleinman A. The Illness Narratives. Suffering, Healing, and the Human Condition. New York: Basic Books, 1988.

    Google Scholar 

  39. Kleinman A. What Really Matters. Living a Moral Life Admidst Uncertainty and Danger. Oxford: Oxford University Press, 2006.

    Google Scholar 

  40. Klir GJ, and Yuan B. Fuzzy Sets and Fuzzy Logic. Theory and Applications. Upper Saddle River, NJ: Prentice Hall, 1995.

    Google Scholar 

  41. Koch, Richard. Die ärztliche Diagnose. Beitrag zur Kenntnis des ärztlichen Denkens. Wiesbaden: Verlag J.F. Bergmann, 1920.

    Google Scholar 

  42. Kosko B. Neural Networks and Fuzzy Systems. A Dynamical Systems Approach to Machine Intelligence. Englewood Cliffs, NJ: Prentice Hall, 1992.

    Google Scholar 

  43. Lakoff G. Women, Fire, and Dangerous Things. Chicago: The University of Chicago Press 1987.

    Google Scholar 

  44. Lewes GH. Problems of Life and Mind. Five volumes. London: Trübner & Co., 1874–1879.

    Google Scholar 

  45. Lewis DK. Causation. Journal of Philosophy 1973; 70:556–567.

    Article  Google Scholar 

  46. Lewis DK. Counterfactuals. Oxford: Blackwell, 1973.

    Google Scholar 

  47. Lewis DK. Causation as influence. The Journal of Philosophy 2000; 97 (4):182–197.

    Article  Google Scholar 

  48. Libet B. Unconscious cerebral initiative and the role of conscious will in voluntary action. Behavioral and Brain Sciences 1985; 8:529–566.

    Article  Google Scholar 

  49. Libet B. Do we have free will? Journal of Consciousness Studies 1999; 6/8–9:47–57.

    Google Scholar 

  50. Libet B. Mind Time: The Temporal Factor in Consciousness. Cambridge, MA: Harvard University Press, 2004.

    Google Scholar 

  51. Locke J. An Essay Concerning Human Understanding. Oxford: Oxford University Press, 2008. (Reprint. First published in 1690.)

    Google Scholar 

  52. Łukasiewicz J. Philosophische Bemerkungen zu mehrwertigen Systemen des Aussagenkalküls. Comptes Rendus des Séances de la Société de Sciences et des Lettres de Varsovie, Classe III 1930; 23:51–77. (English translation in: McCall S (ed.), Polish Logic 1920–1939. With an Introduction by Tadeusz Kotarbinski, pp. 40–65. Oxford: Oxford University Press, 2005.)

    Google Scholar 

  53. Lyon A. Causality. Brit. J. Phil. Sci., 1967; 18:1–20.

    Article  Google Scholar 

  54. Mackie JL. The Cement of the Universe. A Study of Causation. Oxford: The Clarendon Press, 1974.

    Google Scholar 

  55. Margolis J. Illness and medical values. Philosophy Forum 1969; 8:55–76.

    Google Scholar 

  56. Margolis J. The concept of disease. The Journal of Medicine and Philosophy 1976; 1:238–255.

    Google Scholar 

  57. Mill JS. A System of Logic. London: John W. Parker, 1843.

    Google Scholar 

  58. Money J. The Kaspar Hauser Syndrome of “Psychological Dwarfism”: Deficient Statural, Intellectual, and Social Growth Induced by Child Abuse. Amherst, NY: Prometheus Books, 1992.

    Google Scholar 

  59. Montgomery K. How Doctors Think. Clinical Judgment and the Practice of Medicine. New York: Oxford University Press, 2006.

    Google Scholar 

  60. Mordeson JN, and Malik DS. Fuzzy Automata and Languages: Theory and Applications. Boca Raton, FL: Chapman & Hall/CRC 2002.

    Book  Google Scholar 

  61. Nietzsche F. Beyond Good and Evil: Prelude to a Philosophy of the Future. (In German.) In: Werke in drei Bänden. Vol. 2, pp. 563–759. München: Carl Hanser Verlag, 1954 (1), 1955 (2), 1966 (3).

    Google Scholar 

  62. O’Connor T. Persons and Causes: The Metaphysics of Free Will. New York: Oxford University Press, 2000.

    Google Scholar 

  63. Ouellette SP, and Byrne GI. Chlamydia pneumoniae: Prospects and predictions for an emerging pathogen. In: Friedman H, Yamamoto Y, and Bendinelli M (eds.), Chlamydia pneumoniae: Infection and Disease, pp. 1–9. New York: Kluwer Academic / Plenum Publishers, 2004.

    Google Scholar 

  64. Peirce CS. Vague. In: Baldwin JM (ed.), Dictionary of Philosophy and Psychology, p. 748. New York: Macmillan, 1902.

    Google Scholar 

  65. Penfield WG, and Jasper HH. Epilepsy and the functional Anatomy of the Human Brain. Boston: Little Brown, 1954.

    Google Scholar 

  66. Perry J. The Problem of the Essential Indexical and Other Essays, Expanded Edition. Stanford, CA: Center for the Study of Language and Information, 2000.

    Google Scholar 

  67. Post EL. Introduction to a general theory of elementary propositions. American Journal of Mathematics 1921; 43:163–185.

    Article  Google Scholar 

  68. Reed SK. Pattern recognition and categorization. Cognitive Psychology 1972; 3:382–407.

    Article  Google Scholar 

  69. Reichenbach H. Philosophical Foundations of Quantum Mechanics. Berkeley: University of California Press, 1944.

    Google Scholar 

  70. Reichenbach H. The Direction of Time. Berkeley: University of California Press, 1956.

    Google Scholar 

  71. Reisner TA. De Quincey’s palimpsest reconsidered. Modern Language Studies 1982; 12:93–95.

    Article  Google Scholar 

  72. Rosch EH. Natural categories. Cognitive Psychology 1973; 4:328–350.

    Article  Google Scholar 

  73. Rosch E. Cognitive representations of semantic categories. Journal of Experimental Psychology: General 1975; 104:192–233.

    Article  Google Scholar 

  74. Rosch E. Principles of categorization. In: Rosch E, and Lloyd BB (eds.), Cognition and Categorization, pp. 27–48. Hillsdale, NJ: Lawrence Erlbaum Associates, 1978.

    Google Scholar 

  75. Rosch E. Principles of Categorization. In: Collins A, and Smith EE (eds.), Readings in Cognitive Science: A Perspective from Psychology and Artificial Intelligence, pp. 312–322. San Mateo: Morgan Kaufmann, 1988.

    Google Scholar 

  76. Rosch E, and Mervis CB. Family resemblances: Studies in the internal structure of categories. Cognitive Psychology 1975; 7:573–605.

    Article  Google Scholar 

  77. Roth G. Fühlen, Denken, Handeln. Frankfurt: Suhrkamp, 2003.

    Google Scholar 

  78. Roth G, and Vollmer G. Es geht ans Eingemachte. Spektrum der Wissenschaft 2002, Issue No. 2, pp. 60–63.

    Google Scholar 

  79. Rothschuh KE. Theorie des Organismus. Bios, Psyche, Pathos. München: Urban & Schwarzenberg, 1963. (First published 1958.)

    Google Scholar 

  80. Rothschuh KE (ed.). Was ist Krankheit? Erscheinung, Erklärung, Sinngebung. Darmstadt: Wissenschaftliche Buchgesellschaft, 1975.

    Google Scholar 

  81. Russell, Bertrand. Vagueness. Australasian Journal of Psychology and Philosophy 1923; 1:84–92.

    Article  Google Scholar 

  82. Sadegh-Zadeh K. The organism as a cyclic-causal system. Ärztekolloquium 1970; No. 1, pp. 26–39, edited by Duensing F. Department of Clinical Neurophysiology, University of Göttingen. (In German.)

    Google Scholar 

  83. Sadegh-Zadeh K. Psyche and self-consciousness by cerebral representation and metarepresentation of the organism. Ärztekolloquium 1970; No. 3, pp. 11–18, edited by Duensing F. Department of Clinical Neurophysiology, University of Göttingen. (In German.)

    Google Scholar 

  84. Sadegh-Zadeh K. Concepts of disease and nosological systems. Metamed 1977; 1:4–41. (In German.)

    Google Scholar 

  85. Sadegh-Zadeh K. Problems of Causality in Clinical Practice. University of Münster Clinicum, 1979. (In German.)

    Google Scholar 

  86. Sadegh-Zadeh K. Wissenschaftstheoretische Probleme der Medizin. In: Speck J (ed.), Handbuch wissenschaftstheoretischer Begriffe, pp. 406–411. Göttingen: Vandenhoeck & Ruprecht, 1980.

    Google Scholar 

  87. Sadegh-Zadeh K. Normative systems and medical metaethics. Part 2: Health-maximizing and persons. Metamedicine 1981; 2:343–359.

    Article  Google Scholar 

  88. Sadegh-Zadeh K. Foundations of clinical praxiology. Part I: The relativity of medical diagnosis. Metamedicine 1981; 2:183–296.

    Article  Google Scholar 

  89. Sadegh-Zadeh K. Organism and disease as fuzzy categories. Paper presented at the conference on Medicine and Philosophy, Humboldt University of Berlin, 21 July 1982, Berlin.

    Google Scholar 

  90. Sadegh-Zadeh K. Fundamentals of clinical methodology: 2. Etiology. Artif Intell Med 1998; 12:227–270.

    Article  Google Scholar 

  91. Sadegh-Zadeh K. Fuzzy health, illness, and disease. The Journal of Medicine and Philosophy 2000; 25:605–638.

    Article  Google Scholar 

  92. Sadegh-Zadeh K. When Man Forgot How to Think. The Emergence of Machina Sapiens. (In German.) Tecklenburg, Germany: Burgverlag, 2000.

    Google Scholar 

  93. Sadegh-Zadeh K. The prototype resemblance theory of disease. The Journal of Medicine and Philosophy 2008; 33:106–139.

    Article  Google Scholar 

  94. Salmon WC (ed.). Statistical Explanation and Statistical Relevance. Pittsburgh: University of Pittsburgh Press, 1971.

    Google Scholar 

  95. Salmon WC. Probabilistic Causality. Pacific Philosophical Quarterly 1980; 61:50–74.

    Google Scholar 

  96. Schiener A. Der Fall Kaspar Hauser. Regensburg: Verlag Friedrich Pustet, 2010.

    Google Scholar 

  97. Singer W. Ein neues Menschenbild? Frankfurt: Suhrkamp, 2003.

    Google Scholar 

  98. Singer W, and Metzinger T. Ein Frontalangriff auf unser Selbstverständnis und unsere Menschenwürde. Gehirn und Geist 2002, Issue No. 4, pp. 32–35.

    Google Scholar 

  99. Smith EE, and Medin DL. Categories and Concepts. Cambridge, MA: Harvard University Press, 1981.

    Google Scholar 

  100. Sommerhoff G. Understanding Consciousness. Its Function and Brain Processes. London: SAGE Publications, 2000.

    Google Scholar 

  101. Standring S (ed.). Gray’s Anatomy: The Anatomical Basis of Clinical Practice. Edinburgh: Churchill Livingstone, 2005.

    Google Scholar 

  102. Stegmüller W. Probleme und Resultate der Wissenschaftstheorie und Analytischen Philosophie. Band II: Theorie und Erfahrung. Berlin: Springer-Verlag, 1970.

    Google Scholar 

  103. Steimann F (ed.). Fuzzy Theory in Medicine, Vol. 21 of the journal Artificial Intelligence in Medicine. Festschrift for Lotfi A. Zadeh on the occasion of his 80th birthday. Amsterdam: Elsevier, 2001.

    Google Scholar 

  104. Suppes P. A Probabilistic Theory of Causality. North-Holland Publishing Company, Amsterdam, 1970.

    Google Scholar 

  105. Szasz T. The myth of mental illness. American Psychologist 1960; 15:113–118.

    Article  Google Scholar 

  106. Szasz T. The Manufacture of Madness. New York: Harper and Row, 1970.

    Google Scholar 

  107. Szasz T. The Myth of Mental Illness: Foundations of a Theory of Personal Conduct. New York: Harper Perennial, 1984.

    Google Scholar 

  108. Walter H. Neurophilosophy of Free Will: From Libertarian Illusions to a Concept of Natural Autonomy. Translated by Cynthia Klohr. Cambridge, MA: MIT Press, 2001.

    Google Scholar 

  109. Watson G (ed.). Free Will. Oxford: Oxford University Press, 2003.

    Google Scholar 

  110. Wittgenstein L. Philosophical Investigations. Translated by GEM Anscombe and edited by GEM Anscombe and R Rhees. Oxford: Basil Blackwell, 1953.

    Google Scholar 

  111. Worall J, and Worall JG. Defining disease: Much ado about nothing? In: Tymieniecka A-T, and Agazzi E (eds.), Analecta Husserliana, Vol. LXXII: Life - Interpretation of the Sense of Illness within the Human Condition, pp. 33–55. Dordrecht: Kluwer Academic Publishers, 2001.

    Chapter  Google Scholar 

  112. Zadeh LA. Fuzzy sets. Information and Control 1965; 8:338–353.

    Article  Google Scholar 

  113. Zadeh LA. Fuzzy sets and systems. In Fox J (ed.), System Theory. Brooklyn, NY: Polytechnic Press, 1965, pp. 29–39.

    Google Scholar 

  114. Zadeh LA. Toward a theory of fuzzy systems. In: Kalman RE, and DeClairis RN (eds.), Aspects of Networks and Systems Theory, pp. 469-490. New York: Holt, Rinehart & Winston, 1971.

    Google Scholar 

  115. Libet B, Wright EW, and Gleason CA. Readiness-potentials preceding unrestricted ‘spontaneous’ vs. pre-planned voluntary acts. Electroencephalography and Clinical Neurophysiology 1982; 54:322–35.

    Article  Google Scholar 

  116. Libet B, Gleason CA, Wright EW, and Pearl DK. Time of conscious intention to act in relation to onset of cerebral activity (readiness-potential). The unconscious initiation of a freely voluntary act. Brain 1983; 106:623–42.

    Article  Google Scholar 

  117. Libet B, Freeman A, and Sutherland K (eds.). The Volitional Brain: Toward a Neuroscience of Free Will. Exeter, UK: Imprint Academic, 1999.

    Google Scholar 

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Sadegh-Zadeh, K. (2012). The Patient. In: Handbook of Analytic Philosophy of Medicine. Philosophy and Medicine(), vol 113. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2260-6_6

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