Skip to main content

Medicine: Explanation, Manipulation, and Creativity

  • Chapter
Science, Technology, and the Art of Medicine

Part of the book series: Philosophy and Medicine ((PHME,volume 44))

  • 130 Accesses

Abstract

There is a common view among the authors in this volume that it is misleading to understand modem medicine simply as a science, as a technology, or as an art. Some ([28], [20], [9], [13], [11], [27], [29]) hold that although medicine embraces all three components, it favors one over the other. Others ([24], [1], [9], [13], [11], [27], [211) hold that medicine is not reducible to these components and that it is “more than the sum of its parts”. This essay shares this latter view and continues the dialogue regarding the complexity of medicine by reflecting on the dynamic interplay among science, technology, and art in modern medicine [3]. Moreover, this essay reflects on the grounds and the limits of the medical profession’s legitimate authority and its obligation toward patients through an analysis of the role of values in medicine.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Beauchamp, T. L., and Childress, J. F.: 1991, Principles of Biomedical Ethics, 3rd ed., Oxford, New York.

    Google Scholar 

  2. Blois, M. S.: 1990, ‘Medicine and the Nature of Vertical Reasoning’, New England Journal of Medicine 318 (13), 847–851.

    Article  Google Scholar 

  3. Collingwood, R.G.: 1978, The Principles of Art, Oxford University Press, London.

    Google Scholar 

  4. Cullen, W.: 1772, Synopsis nosologiae methodicae, Charles Elliott, Edinburgh.

    Google Scholar 

  5. Cutter, M. A. G.: 1988, Explanation in Clinical Medicine: Analysis and Critique, doctoral dissertation, Georgetown University, Washington, D.C.

    Google Scholar 

  6. Engelhardt, H.T., Jr.: 1991, Bioethics and Secular Humanism, Trinity Press International, Philadelphia, Pennsylvania.

    Google Scholar 

  7. Engelhardt, H. T., Jr.: 1986, The Foundations of Bioethics, Oxford University Press, New York, Ch. 5.

    Google Scholar 

  8. Engelhardt, D. von: 1992, ‘Causality and Conditionality in Medicine Around 1900’, in this volume, pp. 75–104.

    Google Scholar 

  9. Fagot-Largeault, A. M.: 1992, ‘On Medicine’s Scientificity: Did Medicine’s Accession to Scientific “Positivity” in the Course of the Nineteenth Century Require Giving Up Causal (Etiological) Explanation?’, in this volume, pp. 105–126.

    Google Scholar 

  10. Heck, L.: 1935, Entstehung und Entwicklung einer wissenschaftlichen Tatsache: Einführung in die Lehre vom Denkstil und Denkkollektiv, Benno Schwabe, Basel; English translation: 1981, Genesis and Development of a Scientific Fact, F. Bradley and T.J. Trenn (trs.), University of Chicago Press, Chicago.

    Google Scholar 

  11. Gross, R.: 1992, ‘Intuition and Technology as the Bases of Medical Decision-Making’, in this volume, pp. 183–197.

    Google Scholar 

  12. Healy, B.: 1991, ‘The Nurture of Creativity’, Journal of NIH Research, 3 (8), 33–34.

    Google Scholar 

  13. Juengst, E. T.: 1992, ‘Causation and the Conceptual Scheme of Medical Knowledge’, in this volume, pp. 127–152.

    Google Scholar 

  14. Kant, I.: 1929 (1781/1787), Critique of Pure Reason, St. Martin’s, New York.

    Google Scholar 

  15. Kant, I.: 1990 (1785), Foundations of the Metaphysics of Morals, L.W. Beck (tr.), Macmillan, New York.

    Google Scholar 

  16. Kuhn, T. S.: 1970, The Structure of Scientific Revolutions, 2nd ed., University of Chicago Press, Chicago.

    Google Scholar 

  17. Lie, R. K.: 1992, ‘Ludwik Fleck and the Philosophy of Medicine: A Commentary on Schäfer and Tsouyopoulos’, in this volume, pp. 47–54.

    Google Scholar 

  18. Moulin, A. M.: 1992, ‘The Dilemma of Medical Causality and the Issue of Biological Individuality’, in this volume, pp. 153–162.

    Google Scholar 

  19. Nozick R.: 1974, Anarchy, State, and Utopia, Basic Books, New York.

    Google Scholar 

  20. Peset, J. L.: 1992, ‘On the History of Medical Causality’, in this volume, pp. 57–74

    Google Scholar 

  21. Sass, H.-M.: 1992, ‘Medicine—Beyond the Boundaries of Sciences, Technologies, and Arts’, in this volume, pp. 259–270.

    Google Scholar 

  22. Sassower, R.: 1992, ‘Technoscience and Medicine’, in this volume, pp. 219–228.

    Google Scholar 

  23. Sauvages de la Croix, F. B. de: 1763, Nosologia methodica sistens morborum classes juxta Sydenhami mentem et botanicorum ordinem, 5 vols., Fratrum de Tournes, Amsterdam.

    Google Scholar 

  24. Schäfer, L.: 1992, ‘On the Scientific Status of Medical Research: Case Study and Interpretation According to Ludwik Fleck’, in this volume, pp. 23–37.

    Google Scholar 

  25. Schaffner, K. F.: 1980, ‘Theory Structure in the Biomedical Sciences’, Journal of Medicine and Philosophy 5, 55–97.

    Article  Google Scholar 

  26. Sydenham, T.: 1848, The Works of Thomas Sydenham, R.G. Latham (tr.), Vol. I, The Sydenham Society, London.

    Google Scholar 

  27. Toulmin, S.: 1992, ‘Knowledge and Art in the Practice of Medicine: Clinical Judgment and Historical Reconstruction’, in this volume, pp. 231–248.

    Google Scholar 

  28. Tsouyopoulos, N.: 1992, ‘The Scientific Status of Medical Research: A Reply to Schäfer’, in this volume, pp. 39–46.

    Google Scholar 

  29. Wieland, W.: 1992, ‘The Concept of the Art of Medicine’, in this volume, pp. 165–181.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Cutter, M.A.G. (1993). Medicine: Explanation, Manipulation, and Creativity. In: Delkeskamp-Hayes, C., Cutter, M.A.G. (eds) Science, Technology, and the Art of Medicine. Philosophy and Medicine, vol 44. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-2960-4_16

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-2960-4_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-4177-7

  • Online ISBN: 978-94-017-2960-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics