Journal of Medicine and Philosophy最新文献

Practical Wisdom, Clinical Judgments, and the Agential View.

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-11 DOI: 10.1093/jmp/jhae046

Fabrice Jotterand, Arthur Derse, Ryan Spellecy, Chris Stawski, Adina Kalet

引用次数: 0

Is There a "Best" Way for Patients to Participate in Pharmacovigilance? 患者参与药物警戒有 "最佳 "方法吗？

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-04 DOI: 10.1093/jmp/jhae038

Austin Due

引用次数: 0

The WEIRD Trio: The Cultural Gap between Physicians, Learners, and Patients in Pluralistic Societies. WEIRD三人组：多元社会中医生、学习者和患者之间的文化差距。

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-04 DOI: 10.1093/jmp/jhae040

Lester Liao

{"title":"The WEIRD Trio: The Cultural Gap between Physicians, Learners, and Patients in Pluralistic Societies.","authors":"Lester Liao","doi":"10.1093/jmp/jhae040","DOIUrl":"10.1093/jmp/jhae040","url":null,"abstract":"Physicians are shaped by sociological and philosophical factors that often differ from those of their patients. This is of particular concern in pluralistic societies when navigating ethical disagreements because physicians often misunderstand or even dismiss patient perspectives as being irrational. This paper examines these factors and why many physicians approach ethics as they do while elucidating various patient perspectives and demonstrating how they make sense when considered from a different cultural worldview. Many physicians are trained in contexts that are WEIRD: Western, educated, industrialized, rich, and democratic. These sociological characteristics tend to go hand in hand with the trio of individualism, secularism, and existentialism. These then shape an approach to ethics that focuses on the individual patient, makes no reference to the divine, and focuses on a patient's personal desires. This contrasts significantly with many patients who are collectivistic or religious, and then make rational decisions based on other values. The social fact of pluralism implores physicians to temper confidence in their own cultures while considering others to promote mutual understanding and improved care. This paper concludes with a discussion of how bridges can be built across cultures without sliding into relativism, beginning with recognizing and communicating our shared moral intuitions.","PeriodicalId":47377,"journal":{"name":"Journal of Medicine and Philosophy","volume":" ","pages":"25-35"},"PeriodicalIF":1.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Journal After Fifty Years. 五十年后的期刊

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-04 DOI: 10.1093/jmp/jhae041

引用次数: 0

Communicating Genetic Information: An Empathy-based Framework. 遗传信息交流：基于移情的框架。

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-04 DOI: 10.1093/jmp/jhae036

Riana J Betzler, Jonathan Roberts

引用次数: 0

Where There's Hope, There's Life 1 : On the Importance of Hope in Health Care. 哪里有希望，哪里就有生命 1：论希望在医疗保健中的重要性。

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-04 DOI: 10.1093/jmp/jhae037

Steve Clarke, Justin Oakley

引用次数: 0

The Role of Hospice and Palliative Medicine in the Ars Moriendi. 安宁疗护与姑息治疗在《莫尔迪之歌》中的作用。

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-04 DOI: 10.1093/jmp/jhae039

Levi Durham

引用次数: 0

Changing the Paradigm: Practical Wisdom as True North in Medical Education.

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-01 DOI: 10.1093/jmp/jhae048

Margaret L Plews-Ogan

{"title":"Changing the Paradigm: Practical Wisdom as True North in Medical Education.","authors":"Margaret L Plews-Ogan","doi":"10.1093/jmp/jhae048","DOIUrl":"https://doi.org/10.1093/jmp/jhae048","url":null,"abstract":"The practice of medicine is a complex endeavor requiring high levels of knowledge and technical capability, and the capacity to apply the skills and knowledge to do the right thing in the right way, for the right reason, in a particular context. The orchestration of the virtues, managing uncertainty, applying knowledge and technical skills to a particular individual in a particular circumstance, and exercising the virtues in challenging circumstances, are the tasks of practical wisdom. Centuries ago, Aristotle suggested that capacities for wise action are developed through practice, experience, and reflection. Neuroscience and cognitive psychology are now beginning to contribute to our understanding of the complex interplay between emotion, cognition, and behavior that is necessary for wise action, and how this capacity for wise action can be developed. In this paper, I propose that wisdom offers an appropriate true north for medical education. Wisdom shifts the focus beyond the simple acquisition of knowledge and technical skills and integrates essential virtues like compassion, trustworthiness, humility, and the balancing of the virtues, into the professional formation for medical students. Informed by the humanities, the neurosciences, and the social sciences, we must now integrate the skills and practices necessary to the development of practical wisdom into medical education at all levels.","PeriodicalId":47377,"journal":{"name":"Journal of Medicine and Philosophy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtue Monism and Medical Practice: Practical Wisdom as Cross-Situational Ethical Expertise.

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-02-01 DOI: 10.1093/jmp/jhae051

Mario De Caro, Federico Bina, Sofia Bonicalzi, Riccardo Brunetti, Michel Croce, Skaistė Kerusauskaite, Claudia Navarini, Elena Ricci, Maria Silvia Vaccarezza

{"title":"Virtue Monism and Medical Practice: Practical Wisdom as Cross-Situational Ethical Expertise.","authors":"Mario De Caro, Federico Bina, Sofia Bonicalzi, Riccardo Brunetti, Michel Croce, Skaistė Kerusauskaite, Claudia Navarini, Elena Ricci, Maria Silvia Vaccarezza","doi":"10.1093/jmp/jhae051","DOIUrl":"https://doi.org/10.1093/jmp/jhae051","url":null,"abstract":"This article defends the centrality of practical wisdom in medical practice by building on a monistic view of moral virtue, termed the \"Aretai model,\" according to which possession of practical wisdom is necessary and sufficient for virtuousness, grounding both moral growth and effective moral behavior. From this perspective, we argue that practical wisdom should be conceived as a cross-situational ethical expertise consisting of four skills:moral perception, moral deliberation, emotion regulation, and moral motivation. Conceiving of practical wisdom as both overall virtuousness and ethical expertise makes it possible to deal adequately with the uniqueness of concrete ethically relevant situations. We contend that this becomes particularly evident in the context of medical practice, both in terms of decision-making and action-taking, especially in the most challenging or contentious clinical cases. We conclude the article by suggesting the potential implications of the Aretai model for continuing education in medical and healthcare professions.","PeriodicalId":47377,"journal":{"name":"Journal of Medicine and Philosophy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Psychology of Practical Wisdom.

IF 1.3 3区哲学

Journal of Medicine and Philosophy Pub Date : 2025-01-22 DOI: 10.1093/jmp/jhae050

Howard Nusbaum

{"title":"Understanding the Psychology of Practical Wisdom.","authors":"Howard Nusbaum","doi":"10.1093/jmp/jhae050","DOIUrl":"https://doi.org/10.1093/jmp/jhae050","url":null,"abstract":"The longstanding view of doctors as scientists has been an emphasis in the MCAT and medical school training. However, the AAMC recommended recognizing the importance of social and behavioral science for medicine. There is also a growing realization that being a smart problem solver and the physician as scientist model emphasizes a cold cognitive problem-solving paradigm that overlooks other human capacities that may be critical to medical reasoning and decision-making. Considering a smart physician versus a wise physician, intelligence and problem-solving are important, but a wise physician can use other important capacities beyond intelligence and rationality. This could benefit patients by introducing patient and family perspective taking, as well as compassion in doctor-patient interaction. By reconceptualizing professions from the perspective of practical wisdom, this may increase resilience to problems such as burnout. I outline some psychological capacities viewed as important in wise reasoning that are not about traditional views of intelligence. I argue that wise reasoning is not a native talent but a skill that can be developed. I argue that different kinds of experiences can increase aspects of empathy, epistemic humility, perspective taking, and wise reasoning and I examine evidence that wise reasoning may increase resilience.","PeriodicalId":47377,"journal":{"name":"Journal of Medicine and Philosophy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0