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Phronesis, clinical reasoning, and Pellegrino's philosophy of medicine. 临床推理，以及佩莱格里诺的医学哲学。
Theoretical medicine Pub Date : 1997-03-01
F D Davis
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引用次数: 0
The virtues in psychiatric practice. 精神病学实践中的美德。
Theoretical medicine Pub Date : 1997-03-01
D W Mann
{"title":"The virtues in psychiatric practice.","authors":"D W Mann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Using as a guide Pellegrino and Thomasma's \"end-oriented beneficence model\" of the virtues in medical practice, the author derives from the cardinal forms of psychiatric treatment a set of virtues particular to this field. Prior work from Jung, Havens and Menzer-Benaron helps to clarify the analysis.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"21-30"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PHILOSOPHY OF MEDICAL PRACTICE: A DISCURSIVE APPROACH 医学实践哲学:一种话语方法
Theoretical medicine Pub Date : 1997-03-01 DOI: 10.1023/A:1005753305407
E. van Leeuwen, G. Kimsma
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引用次数: 11
THE CRISIS OF VIRTUE: ARMING FOR THE CULTURAL WARS AND PELLEGRINO AT THE LIMES 美德的危机:为文化战争和佩莱格里诺做准备
Theoretical medicine Pub Date : 1997-03-01 DOI: 10.1023/A:1005779630791
H. Engelhardt
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引用次数: 0
Edmund D. Pellegrino's philosophy of family practice. 埃德蒙·d·佩莱格里诺的家庭实践哲学。
Theoretical medicine Pub Date : 1997-03-01
H Brody
{"title":"Edmund D. Pellegrino's philosophy of family practice.","authors":"H Brody","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Family medicine has grown as a specialty from its early days of general practice. It was established as a Board Certified specialty in 1969. This growth and maturation can be traced in the philosophy of family medicine as articulated by Edmund D. Pellegrino, M.D. Long before it was popular to do so, Pellegrino supported the development of family medicine. In this essay I examine the development of Pellegrino's philosophical thought about family practice, and contrast it to other thinkers like Ian McWhinney, Kerr White, Walter Spitzer, Donald Ransom, and Hebert Vandervoort. The arguments focus on whether the goals of family medicine and family practice (possibly two distinct entities) can be articulated, especially considering the definitional problems of \"family\" and \"community.\" I conclude by echoing Pellegrino's hope that family medicine can contribute a fresh alternative to isolated, individualistic and technological thinking in medicine.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"7-20"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why "do no harm"? 为什么是“无害”?
Theoretical medicine Pub Date : 1997-03-01 DOI: 10.1023/a:1005757606106
V A Sharpe
{"title":"Why \"do no harm\"?","authors":"V A Sharpe","doi":"10.1023/a:1005757606106","DOIUrl":"https://doi.org/10.1023/a:1005757606106","url":null,"abstract":"<p><p>Edmund Pellegrino has argued that the dramatic changes in American health care call for critical reflection on the traditional norms governing the therapeutic relationship. This paper offers such reflection on the obligation to \"do no harm.\" Drawing on work by Beauchamp and Childress and Pellegrino and Thomasma, I argue that the libertarian model of medical ethics offered by Engelhardt cannot adequately sustain an obligation to \"do no harm.\" Because the obligation to \"do no harm\" is not based simply on a negative duty of nonmaleficence but also on a positive duty of beneficence, I argue that it is best understood to derive from the fiduciary nature of the healing relationship.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"197-215"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/a:1005757606106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20078092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 28
WHY BIOETHICS NEEDS THE PHILOSOPHY OF MEDICINE: SOME IMPLICATIONS OF REFLECTION ON CONCEPTS OF HEALTH AND DISEASE 为什么生命伦理学需要医学哲学:对健康和疾病概念反思的一些含义
Theoretical medicine Pub Date : 1997-03-01 DOI: 10.1023/A:1005730108133
G. Khushf
{"title":"WHY BIOETHICS NEEDS THE PHILOSOPHY OF MEDICINE: SOME IMPLICATIONS OF REFLECTION ON CONCEPTS OF HEALTH AND DISEASE","authors":"G. Khushf","doi":"10.1023/A:1005730108133","DOIUrl":"https://doi.org/10.1023/A:1005730108133","url":null,"abstract":"","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1","pages":"145-163"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/A:1005730108133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57093076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Finding an appropriate ethic in a world of moral acquaintances. 在一个有道德的熟人的世界里找到合适的伦理。
Theoretical medicine Pub Date : 1997-03-01
E H Loewy
{"title":"Finding an appropriate ethic in a world of moral acquaintances.","authors":"E H Loewy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper discusses the possibility of finding an ethic of at least partial and perhaps ever-growing content in a world not that of moral strangers (where we have nothing except our desire to live freely to unite us) and one of moral friends (in which values, goals and ways of doing things are held in common). I argue that both the world of moral strangers which Engelhardt's world view would support, as the world of moral friends which is the one Pellegrino seeks both are untenable and that furthermore both can lead to a similar state of affairs. I suggest a dynamic world of moral acquaintances in which different belief systems and ways of doing things can come to some broad agreements about some essential thing. This is made possible because although we do not share the intimate framework Pellegrino might suggest, yet we are united by a much broader framework than the one moral strangers share.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"79-97"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Futility and the varieties of medical judgment. 无效和各种医学判断。
Theoretical medicine Pub Date : 1997-03-01
D P Sulmasy
{"title":"Futility and the varieties of medical judgment.","authors":"D P Sulmasy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pellegrino has argued that end-of-life decisions should be based upon the physician's assessment of the effectiveness of the treatment and the patient's assessment of its benefits and burdens. This would seem to imply that conditions for medical futility could be met either if there were a judgment of ineffectiveness, or if the patient were in a state in which he or she were incapable of a subjective judgment of the benefits and burdens of the treatment. I argue that a theory of futility according to Pellegrino would deny that latter but would permit some cases of the former. I call this the \"circumspect\" view. I show that Pellegrino would adopt the circumspect view because he would see the medical futility debate in the context of a system of medical ethics based firmly upon a philosophy of medicine. The circumspect view is challenged by those who would deny that one can distinguish objective from subjective medical judgments. I defend the circumspect view on the basis of a previously neglected aspect of the philosophy of medicine-an examination of varieties of medical judgment. I then offer some practical applications of this theory in clinical practice.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"63-78"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Edmund D. Pellegrino festschrift. 埃德蒙·佩莱格里诺。
Theoretical medicine Pub Date : 1997-03-01
D C Thomasma
{"title":"Edmund D. Pellegrino festschrift.","authors":"D C Thomasma","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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