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Virtue and truth in clinical science

G Gillett1

  • 1Bioethics Centre University of Otago Medical School, Dunedin, New Zealand.

The Journal of Medicine and Philosophy
|June 1, 1995
PubMed
Summary

This study reevaluates medical knowledge, advocating for a dynamic interplay between practice and theory. It proposes a post-Kuhnian epistemology grounded in Aristotelian techne and Platonic ideals for evidence-based medical interventions.

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Area of Science:

  • Philosophy of Medicine
  • Epistemology
  • Medical Ethics

Background:

  • Historical pursuit of evidence-based medicine since Hippocrates.
  • Challenges to objective truth in science from postmodern philosophy.
  • Critique of relying solely on opinion in medical practice.

Purpose of the Study:

  • To reappraise the foundation of medical interventions.
  • To propose a new epistemological framework for medical science.
  • To integrate philosophical insights into medical knowledge development.

Main Methods:

  • Philosophical analysis drawing on Foucault, Lacan, and Wittgenstein.
  • Revisiting Aristotelian concepts of techne (practice and conceptualization).
  • Developing a post-Kuhnian epistemology for medicine.
Keywords:
Analytical ApproachBiomedical and Behavioral ResearchPhilosophical ApproachProfessional Patient Relationship

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Main Results:

  • Advocates for a dynamic interplay between medical praxis and conceptualization.
  • Establishes a post-Kuhnian epistemology recognizing the evaluative dimension of knowledge.
  • Integrates a Platonic conception of the good as a constraint on medical thought.

Conclusions:

  • Medical interventions should be based on proven pathophysiological knowledge, not mere opinion.
  • A recovered Aristotelian techne offers a model for medical practice.
  • This framework avoids radically self-contained truth claims, grounding medical knowledge in ethical considerations.