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Ole Isacson: Development of New Therapies for Parkinson's Disease
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Ex nihilo nihil fit? Medicine rests on solid foundations.

Miles Little1

  • 1Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, New South Wales, Australia. miles.little@sydney.edu.au

Journal of Evaluation in Clinical Practice
|May 23, 2013
PubMed
Summary
This summary is machine-generated.

Modest foundationalism offers support for person-centered medicine, clarifying misunderstandings about its nature. Emergence in medicine is complex and does not preclude foundationalist approaches.

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Area of Science:

  • Philosophy of Medicine
  • Epistemology
  • Medical Ethics

Background:

  • Literature contains misunderstandings regarding medical epistemology and person-centered medicine.
  • Vagueness exists concerning 'modest' or aetiological foundationalism and 'emergence' in medical contexts.

Purpose of the Study:

  • Advocate for greater acceptance of modest, Humean foundationalism.
  • Highlight the support modest foundationalism provides for person-centered medicine.
  • Encourage a detailed examination of emergence as a medical explanation, as it does not rule out foundationalism.

Main Methods:

  • Comprehensive review of literature on foundationalism, emergence, and person-centered medicine.
  • Critical reflection on the arguments presented in the relevant literature.

Main Results:

  • Foundationalism has been prematurely dismissed without acknowledging its various forms.
  • Emergence has been incorrectly used to negate the need for medical foundations.
  • Different forms of emergence exist, some compatible with modest foundationalism.
  • Modest or aetiological foundationalism is flexible and aligns with modern understandings of emergence, unlike Cartesian foundationalism.

Conclusions:

  • Modest foundationalism provides a robust ontological and epistemological basis for person-centered medicine.
  • A specific interpretation of emergence complements modest foundationalism in underpinning person-centered medicine.