Abstract
Richard Cabot, one of the most celebrated of American diagnosticians, labelled his attempts to anatomize the process of diffential diagnosis “a very dangerous topic — dangerous to the reputation of physicians for wisdom. … Physicians are naturally reluctant on such matters, slow to put their thoughts to paper, and very suspicious of any attempts to tabulate their methods of reasoning” ([8], p. 19).
For it is uneducated not to have an eye for when it is necessary to look for proof and when this is not necessary.
Aristotle ([4], Metaphysics IV, 1006a)
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Bibliography
Abercrombie, M. L. J.: 1974, The Anatomy of Judgment, Penguin Books, London.
Adler, M. J.: 1927, Dialectic, Harcourt, Brace & Co., New York, p. 243, 247.
Aquinas, T., Summa Theologiae, transl. by W. P. Hughes, Leonine text, la 2ae, Question 57, art, 3–4.
Aristotle: 1940, Metaphysics, transl. by W. D. Ross, The Clarendon Press, Oxford.
Bernard, C.: 1927, An Introduction to the Study of. Experimental Medicine, Macmillan, New York, p. 203.
Black, D. A. K.: 1968, The Logic of Medicine, Oliver & Boyd, Edinburgh.
Buchanan, S.: 1938, The Doctrine of Signatures: A Defense of Theory in Medicine, Keegan, Paul, London, p. 174.
Cabot, R.: 1916, Differential Diagnosis, W. B. Saunders Co., Philadelphia, vol. 1, p. 19.
Chambers, E. E., Inciardi, J. A., Siegal, H. A.: 1975, Chemical Coping: A Report on Legal Drug Use in the U.S.A., Spectrum Publ., New York, p. 141.
Einstein, A.: 1974, Out of My Later Years, Citadel Press, Secaucus, New Jersey, p. 24.
Elstein, A. S.: 1976, ‘Clinical Judgment: Psychological Research and Medical Practice’ Science 194, 696–700.
Feinstein, A. R.: 1967, Clinical Judgment, Williams Wilkins, Baltimore, Maryland, p. 214.
Feinstein, A. R.: forthcoming, ‘The Haze of Bayes, the Aerial Palaces of Decision Analysis, and the Computerized Ouija Board,’ Clinical Bio-statistics 39.
Feinstein, A. R., and Wells, C. K.: forthcoming, ‘Randomized Trials vs. Historical Controls: The Scientific Plagues of Both Houses,’ Association of American Physicians, Washington, D. C.
Jacquez, J. A. (ed.): 1964, The Diagnostic Process, University of Michigan Press, Ann Arbor, Michigan.
Jaeger, W.: 1944, Paideia: The Ideals of Greek Culture, transl. by G. Highet, Oxford, New York, I II, 17–19.
Koran, L. J.: 1975, ‘The Reliability of Clinical Methods, Data and Judgments, first of two parts,’ New England Journal of Medicine 293, No. 13, 642–646.
Koran, L. M.: 1975, ‘The Reliability of Clinical Methods, Data and Judgments, second of two parts,’ New England Journal of Medicine 293, No. 14, 695–701.
Kroger, J.: 1977, ‘Polanyi and Lonergan on Scientific Method,’ Philosophy Today, Spring, 2–20.
Ledley, R. S.: and Lusted, L. B.: 1959,“Reasoning Foundation of Medical Diagnosis,” Science 130, 9–21.
Maclntyre, A.: 1977, ‘Patients as Agents,’ Philosophical Medical Ethics, ed. by S. Spicker and H. Engelhardt, Reidel, Dordrecht, Holland, pp. 197–212.
Maritain, J.: 1949, Art and Scholasticism With Other Essays, Charles Scribner & Sons, New York, p. 7, notes 4 and 5.
McMullin, E.: 1974, ‘Two Faces of Science,’ Review of Metaphysics 27, No. 4, 655–676.
McNeil, B. J., Keeler, E., Adelstein, S. J.: 1975, ‘Primer on Certain Elements of Medical Decision-Making,’ New England Journal of Medicine 293, No. 5, 211–215.
Murphy, E. A.: 1976, The Logic of Medicine, Johns Hopkins Press, Baltimore Maryland.
Pellegrino, E. D.: 1974, ‘Educating the Humanist Physician: An Ancient Ideal Reconsidered,’ Journal of the American Medical Association 227, No. 11, 1288–1294.
Pellegrino, E. D.: 1977, ‘Moral Agency and Professional Ethics: Some Notes on Transformation of the Physician-Patient Encounter,’ commentary on Alasdair Maclntyre, ‘Patients as Agents,’ in S. Spicker and H. T. Engelhardt (eds.), Philosophical Medical Ethics, D. Reidel, Dordrecht, pp. 213–220.
Pellegrino, E. D.: 1976, Philosophy of Medicine: Problematic and Potential, Journal of Medicine and Philosophy 1, No. 1, 5–3 1.
Pellegrino, E. D.: 1976, ‘Preface’ in T. K. McElhinney (ed.), Human Values Teaching Programs for Health Professionals, Society for Health and Human Values, Philadelphia, pp. ix–x.
Raiffa, H.: 1968, Decision Analysis: Introductory Lectures on Choices Under Uncertainty, Addison-Wesley, Reading.
Schwartz, W. B.,Gorry,G. A., Kassirer, J. P., and Essig, A.: 1973, ‘Decision Analysis and Clinical Judgment,’ The American Journal of Medicine 55, 459–472.
Sober, E.: 1978, ‘Learning Theory and Clinical Practice,’ in this volume, pp. 29–44.
Sokal, R. R.: 1964, ‘Numerical Taxonomy and Disease Classification’ in J. A. Jacquez (ed.), The Diagnostic Process, University of Michigan Press, Ann Arbor, pp. 51–68.
Tversky, A.: 1972, ‘Elimination by Aspects: A Theory of Choice’ Psychological Review 79, No. 4, 281–299.
Weaver, R.: 1968, The Ethics of Rhetoric, Henry Regnery Co., Chicago, Ch. 2, pp. 27–28;
Wulff, H. R., 1976, Rational Diagnosis and Treatment, Blackwell Scientific Publications, Oxford, England.
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Pellegrino, E.D. (1979). The Anatomy of Clinical Judgments. In: Engelhardt, H.T., Spicker, S.F., Towers, B. (eds) Clinical Judgment: A Critical Appraisal. Philosophy and Medicine, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-9399-0_12
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