The Ethics of Diagnosis
A major focus of the philosophy of medicine and, in general, of the philosophy of science has been the interplay of facts and values. Nowhere is an evaluation of this interplay more important than in the ethics of diagnosis. Traditionally, diagnosis has b
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Philosophy and Medicine VOLUME 40 Editors H. Tristram Engelhardt, Jr., The Center for Ethics, Medicine and Public Issues, Baylor College of Medicine, Houston, Texas Stuart F. Spicker, School of Medicine, University of Connecticut Health Center, Farmington, Connecticut Editorial Board George J. Agich, School of Medicine, Southern Illinois University, Springfield, Illinois Edmund Erde, University of Medicine and Dentistry of New Jersey, Camden, New Jersey Patricia A. King, J.D., Georgetown University Law Center, Washington, D.C. E. Haavi Morreim, Department of Human Values and Ethics, College of Medicine, University of Tennessee, Memphis, Tennessee Kevin W. Wildes, S.J., The Center for Ethics, Medicine and Public Issues, Baylor College of Medicine, Houston, Texas
The titles published in this series are listed at the end of this volume.
THE ETHICS OF DIAGNOSIS Edited by JOSE LUIS PESET Instituto Arnau de Vilanova Condejo Superior de Investigaciones Cientificas, Madrid and DIEGO GRACIA Complutensis University of Madrid
w KLUWER ACADEMIC PUBLISHERS DORDRECHT / BOSTON / LONDON
Library of Congress Cataloguing-in-Publication Data The E t h i c s of diagnosis / e d i t e d by Jose Luis Reset, Diego Gracia< p. cm. — (Philosophy and medicine ; v. 40) Includes index. ISBN 0-7923-1544-8 (HB : a l k . paper) 1. Diagnosis—Moral and e t h i c a l aspects. I . Reset R e i g , Jose Luis. I I . G a r c i a . Diego. I I I . Series. [DNLM: 1. Diagnosis. 2. Ethics. Medical. W3 PH609 v. 40 / WB 141 E84] RC71.3.E8 1992 174' .2—dc20 DNLM/DLC for L i b r a r y of Congress 91-35370
ISBN 0-7923 1544-8
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TABLE OF CONTENTS
PREFACE H. TRISTRAM ENGELHARDT, JR./Introduction
Vll 1
SECTION I / HISTORICAL PERSPECTIVES PEDRO LAfN-ENTRALGO / The Ethics of Diagnosis in Ancient Greek Medicine DIEGO GRA C I A / The Ethics of Diagnosis in Early Christianity and the Middle Ages AGUSTlN ALBARRACfN / The Ethics of Diagnosis in the Modern and Contemporary Worlds JOSE LUIS RESET / Medical Diagnosis and Institutional Settings DARREL AMUNDSEN / Some Conceptual and Methodological Observations on the History of Ethics of Diagnosis H. TRISTRAM ENGELHARDT, JR. / Observer Bias: The Emergence of the Ethics of Dia
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