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Perspectives on clinical possibility: elements of analysis.

Daniele Chiffi1, Renzo Zanotti1

  • 1Department of Molecular Medicine, University of Padova, Padova, Italy.

Journal of Evaluation in Clinical Practice
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PubMed
Summary

Clinical possibility, crucial in medical reasoning, is primarily a potentiality actualized by interventions. Some cases involve mere possibilities due to knowledge gaps, suggesting a normative modality.

Keywords:
clinical possibilityclinical reasoningepistemologyevidencemodal logicmodality

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Clinical Reasoning

Background:

  • The concept of clinical possibility is widely used in medical decision-making.
  • However, a thorough analysis of its meaning and implications is lacking.
  • Existing philosophical discussions on modality do not fully capture clinical nuances.

Purpose of the Study:

  • To critically examine the concept of clinical possibility.
  • To identify desirable features of clinical possibility in medical reasoning.
  • To explore the nature of possibility within the clinical context.

Main Methods:

  • Conceptual analysis of clinical possibility.
  • Argumentation to define key characteristics.
  • Examination of philosophical theories of modality.
  • Introduction of multimodal logic for formalization.

Main Results:

  • Clinical possibilities are predominantly potentialities, achievable through effective interventions.
  • A subset of clinical reasoning involves mere possibilities, dependent on incomplete knowledge.
  • Philosophical concepts of possibility have limitations when applied clinically.

Conclusions:

  • Clinical possibility is best understood as a normative modality.
  • Formalization using epistemic and deontic logic in a multimodal system is proposed.
  • This framework can enhance the understanding and application of clinical possibility.