Means, Ends and Medical Care
In this remarkable book, Gary Wright brings his thirty years of experience as a physician in pediatric and family medicine together with his Ph.D. in philosophy to address the important problem of the nature of good medical reasoning. His intimate experie
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Philosophy and Medicine VOLUME 92 Founding Co-Editor Stuart F. Spicker
Senior Editor H. Tristram Engelhardt, Jr., Department of Philosophy, Rice University, and Baylor College of Medicine, Houston, Texas Associate Editor Lisa M. Rasmussen, Department of Philosophy, University of North Carolina at Charlotte, Charlotte, North Carolina Editorial Board George J. Agich, Department of Philosophy, Bowling Green State University, Bowling Green, Ohio Nicholas Capaldi, College of Business Administration, Loyola University New Orleans, New Orleans, Louisiana Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey Christopher Tollefsen, Department of Philosophy, University of South Carolina, Columbia, South Carolina Kevin Wm. Wildes, S.J., President, Loyola University New Orleans, New Orleans, Louisiana
MEANS, ENDS AND MEDICAL CARE H.G. WRIGHT Drury University, Springfield, MO, USA
A C.I.P. Catalogue record for this book is available from the Library of Congress.
ISBN 978-1-4020-5291-0 (HB) ISBN 978-1-4020-5292-7 (e-book)
Published by Springer, P.O. Box 17, 3300 AA Dordrecht, The Netherlands. www.springer.com
Printed on acid-free paper
All Rights Reserved © 2007 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work.
TABLE OF CONTENTS
Overview: Broad Considerations in the Relation of Means and Ends, Treating and Healing Introduction First Line of Argument Second Line of Argument Third Line of Argument Fourth Line of Argument Tying the Four Arguments Together
1 1 3 3 4 5 6
1. Cognitive Semantic Structures in Informal Means/Ends Reasoning How Actual Thinking Differs from Formal Logic “Formal” as Opposed to “Informal” Approaches to Decision Making Imaginative Structures and Their Use in Causal Reasoning Imaginative Structures Used in Informal Clinical Reasoning The Embodied Basis of Valuation Conclusion
9 9 9 12 13 33 36
2. Health and Disease: Fluid Concepts Evolved Non-Literally An Overview Important and Partly Metaphorical Models of Disease and Health Why and (Provisionally) How Disease Is a Radial Category Central Members of the Disease Category Non-Central Members of the Disease Category Conclusion
41 41 43 54 58 63 69
3. John Dewey’s Perspectives on Means and Ends: The Setting Which Makes Informal Deliberation Necessary Naturalism Antifoundationalism Qualities Unquantifiable Qualities Fully Real Values Interactional, Not Rigidly Compartmental Values are Immanent Inquiry and Consummation Broad View of Rationality The Importance of Context Conclusion
73 74 75 76 77 80 83 85 86 89 92
v
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TABLE OF CONTENTS
4. John Dewey’s View Of Situations, Problems, Means And Ends Situations Tertiary Qualities Settled and Unsettled
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