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• W172036094 abstract "BRAUDE, Hillel. Intuition in Medicine: A Philosophical Defense of Clinical Reasoning. Chicago: University of Chicago Press, 2012. xxiv + 232 pp. Cloth, $45.00--Medical ethicists have long noted the dangers of the depersonalizing forces of modern medicine that efface the patient. The medical technology that has improved the health and ameliorated the suffering of human beings also threatens to dehumanize the very persons it helps. Endeavoring to protect the humanity of the patient--and the physician--in the clinical encounter, Hillel Braude explores the role of intuition in clinical reasoning. Intuition in Medicine is divided into two somewhat distinct parts: the first half explores the nature of clinical reasoning by focusing on the relationship of intuition to phronesis; the second is devoted to medical epistemological topics, including induction, causality, and statistical correlation, all of which have intuitive aspects. He claims that intuition can unite the logical, ethical, and epistemological aspects of clinical reasoning and bridge the dichotomies of medicine and philosophy, clinical experience and theoretical reflection. Braude claims that rationalist philosophers have neglected intuition's role in practical reasoning and its commonsense character, and instead have focused on intuition as a form of direct certainty. They dismiss intuition as unscientific because it does not depend on inductive logic, which is the cornerstone of modern science. Braude examines clinical reasoning because it combines philosophical and practical intuition, that is, direct certainty with a commonsense reasoning about the world. Practical intuitions arise from interactions with individuals, such as the clinical intuitions the doctor experiences in his daily practice. Such intuitions are a type of instinctual certainty. Braude focuses on the relationship of Aristotelian nous to phronesis because he thinks the latter is paradigmatic for clinical reasoning, which focuses on the individual and the variable. Phronesis combines a corporeal aspect, similar to the appetitive soul, with an intellectual aspect, intuition. It is a nondualistic form of knowledge. The practical syllogism exemplifies phronesis by integrating knowledge acquired by intuition with the individual case, which generates a particular action. Braude seeks to insulate intuition from the criticism that it is unscientific when applied to individual medical cases. Braude contrasts his view of intuition with that of Edmund Pellegrino and David Thomasma, who exclude nous from phronesis in favor of an account of phronesis focused on the facts acquired by the scientific method. Their understanding threatens a holistic view of medicine in favor of the scientific and thereby threatens to dehumanize medicine, which is precisely what Pellegrino and Thomasma seek to avoid. …" @default.
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• W172036094 date "2012-12-01" @default.
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• W172036094 title "Braude, Hillel. Intuition in Medicine: A Philosophical Defense of Clinical Reasoning" @default.
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