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Case method and casuistry: the problem of bias
1Department of Medical Humanities, East Carolina University School of Medicine, Greenville, nc 27858-4354.
Summary
Case-based reasoning is prone to bias at every step. Addressing these biases is crucial for achieving morally justifiable conclusions and ensuring reliable moral reasoning.
Area of Science:
- Ethics
- Philosophy of Science
Background:
- Case-based reasoning is a persuasive method for moral argumentation.
- However, its application is susceptible to various forms of bias.
- Bias can manifest in the description, framing, selection, and comparison of cases.
Purpose of the Study:
- To analyze the inherent problems of bias in case-based reasoning.
- To question the foundational reliability of casuistry when biases are present.
- To explore the implications for claims of case-based reasoning's superiority.
Main Methods:
- Conceptual analysis of bias in reasoning processes.
- Examination of the role of general views in identifying relevant features.
- Comparison with scientific methods for bias mitigation (e.g., clinical trials).
Main Results:
- Bias can occur at all stages of case-based reasoning.
- Reliance on potentially biased general views compromises objectivity.
- The claim of case-based reasoning's primacy is challenged without bias mitigation.
- Bias is a recognized issue in other fields, like medical science.
Conclusions:
- Case-based reasoning requires rigorous methods to address bias for moral justification.
- The reliance on subjective general views undermines claims of casuistry's inherent reliability.
- Further research is needed to establish the foundational status of case-based moral reasoning.