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Does the philosophy of medicine exist?

Theoretical Medicine volume 13, pages 67–77 (1992)Cite this article

Abstract

There has been a great deal of discussion, in this journal and others, about obstacles hindering the evolution of the philosophy of medicine. Such discussions presuppose that there is widespread agreement about what it is that constitutes the philosophy of medicine.

Despite the fact that there is, and has been for decades, a great deal of literature, teaching and professional activity carried out explicitly in the name of the “philosophy of medicine”, this is not enough to establish that consensus exists as to the definition of the field. And even if consensus can be obtained as to what constitutes the philosophy of medicine, this does not mean that it exists as a field.

In order to constitute a field, an inquiry must be well-integrated with other cognate inquiries and disciplines, have an established canon of key books, textbooks, anthologies and articles, and a set of distinctive and defining problems. The philosophy of medicine as it currently exists fails to satisfy these criteria and, thus, fails to exist as a field of inquiry.

The non-existence of the philosophy of medicine is unfortunate. Medicine and philosophy would both benefit from the development of the philosophy of medicine as a field. The philosophy of medicine is an essential foundation for bioethics, it should provide insights into some of the key problems of the philosophy of science such as the nature of explanation and theoretical evolution, and, ought help to shape the goals as well as the methods used in both experimentation and research in medicine and the health sciences.

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References

  1. De Cuzzani P, Lie RK. The importance of epistemology for clinical practice. [Letter]. Theor Med 1991; 12:87–90.

    Google Scholar 

  2. Lindahl B I B. Editorial. Theor Med 1990; 11:1–3.

    Google Scholar 

  3. Susser M. Philosophy in epidemiology. [Letter]. Theor Med 1991; 12:271–3.

    Google Scholar 

  4. Yarborough M. On the dearth of philosophical contributions to medicine. Theor Med 1990;11:325–31.

    Google Scholar 

  5. King LS. The Philosophy of Medicine: The Early Eighteenth Century. Cambridge, MA: Harvard University Press, 1978.

    Google Scholar 

  6. Wulff HR, Andur Pedersen S, Rosenberg R. Philosophy of Medicine: An Introduction. Oxford: Blackwell, 1986.

    Google Scholar 

  7. Doroszewski J. Philosophy of medicine in Poland at the turn of the 19th and 20th centuries. Part I: main authors and the field of their study. Metamedicine 1982;3:75–86.

    Google Scholar 

  8. Engelhardt HT, Jr, Erde EL. Philosophy of medicine. In: Durbin PT, ed. A Guide to the Culture of Science, Technology, and Medicine. New York: Free Press, 1980:364–461.

    Google Scholar 

  9. Kenner T. Philosophy of medicine in Austria. Theor Med 1985;6:85–91.

    Google Scholar 

  10. Kottow M. Philosophy of medicine in the Federal Republic of Germany (1945–1984). Theor Med 1985;6:43–64.

    Google Scholar 

  11. Lamb D, Easton SM. Philosophy of medicine in the United Kingdom. Metamedicine 1982;3:3–34.

    Google Scholar 

  12. Lindahl BIB. Philosophy of medicine in Scandinavia. Theor Med 1985;6:65–84.

    Google Scholar 

  13. Qiu R. Philosophy of medicine in China (1930–1980). Metamedicine 1982;3:35–73.

    Google Scholar 

  14. ten Have H, van der Arend A. Philosophy of medicine in the Netherlands. Theor Med 1985;6:1–42.

    Google Scholar 

  15. Thomasma DC. Philosophy of medicine in the USA. [Editorial]. Theor Med 1985;6:239–42.

    Google Scholar 

  16. Walton DN. Philosophy of medicine in Canada. Metamedicine 1982;3:263–77.

    Google Scholar 

  17. Caplan AL. Can philosophy cure what ails the medical model? In: Berg RL, Cassells J, eds. Promoting Health and Preventing Disability. Washington: National Academy of Sciences Press, 1990:291–310.

    Google Scholar 

  18. Caplan AL, Engelhardt HT, Jr, McCartney JJ, eds. Concepts of Health and Disease. Reading, MA: Benjamin Cummings, 1981.

    Google Scholar 

  19. Caplan AL. The concepts of health and disease. In: Veatch R, ed. Medical Ethics. Boston: Jones & Bartlett, 1989:49–63.

    Google Scholar 

  20. Caplan AL. Exemplary reasoning? A comment on theory structure in biomedicine. J Med Philos 1986:11:93–105.

    Google Scholar 

  21. Twain M. Cable from London to the Associated Press (1897) In: Barlett J. Barlett's Familiar Quotations. Rev ed. Boston: Little Brown, 1980:621.

    Google Scholar 

  22. Caplan AL. Seek and ye might find. In: Savage CW, ed. Scientific Theories. Minneapolis: University of Minnesota Press, 1990:22–40.

    Google Scholar 

  23. Pellegrino ED. Philosophy of medicine: problematic and potential. J Med Philos 1976:1:5–31.

    Google Scholar 

  24. Schaffner KF. Theory structure in the biomedical sciences. J Med Philos 1980;5:57–97.

    Google Scholar 

  25. Rosenberg CE. Disease in history: frames and framers. Milbank Q 1989;67(1):1–15.

    Google Scholar 

  26. Scadding J. Health and disease: what can medicine do for philosophy? J Med Ethics 1988;14:118–24.

    Google Scholar 

  27. Bayer R. Homosexuality and American Psychiatry: The Politics of Diagnosis. Rev ed. Princeton: Princeton University Press, 1987.

    Google Scholar 

  28. Szasz T. The Myth of Mental Illness. New York: Harper-Hoeber, 1961.

    Google Scholar 

  29. Foucault M. Madness and Civilization. London: Tavistock, 1965.

    Google Scholar 

  30. Foucault M. The Birth of The Clinic. New York: Random House, 1973.

    Google Scholar 

  31. Callahan D. The WHO definition of health. Hastings Center Studies 1973;1(3):77–87.

    Google Scholar 

  32. Mechanic D. Health and illness in technological societies. Hastings Center Studies 1973;1(3):7–18.

    Google Scholar 

  33. Sedgwick P. Illness — mental and otherwise. Hastings Center Studies 1973;1(3):19–40.

    Google Scholar 

  34. Siegler M, Osmond H. The ‘sick role’ revisited. Hastings Center Studies 1973;1(3):41–58.

    Google Scholar 

  35. Veatch RM. The medical model: its nature and problems. Hastings Center Studies 1973;1(3):59–76.

    Google Scholar 

  36. Wright P, Treacher A, eds. The Problem of Medical Knowledge. Edinburgh: Edinburgh University Press, 1982.

    Google Scholar 

  37. Albert DA, Munson R, Resnik MD. Reasoning in Medicine. Baltimore: The Johns Hopkins University Press, 1988.

    Google Scholar 

  38. Black DAK. The Logic of Medicine. Edinburgh: Oliver and Boyd, 1968.

    Google Scholar 

  39. Callahan D. Setting Limits. New York: Simon and Schuster, 1987.

    Google Scholar 

  40. Canguilhem G. Le Normal et le Pathologique. Paris: Presses Universitaires de France, 1972.

    Google Scholar 

  41. Downie RS, Telfer E. Caring and Curing. London: Methuen, 1980.

    Google Scholar 

  42. Engelhardt HT, Jr, Spicker SF, Towers B, eds. Clinical Judgment: A Critical Appraisal. Dordrecht: D Reidel, 1979.

    Google Scholar 

  43. Gorovitz S, MacIntyre A. Toward a theory of medical fallibility. J Med Philos 1976;1:51–71.

    Google Scholar 

  44. Kraupl Faylor F. The Concepts of Illness, Disease and Morbus. Cambridge: Cambridge University Press, 1979.

    Google Scholar 

  45. Lipkin M. The Care of Patients. Rev ed. New Haven: Yale University Press, 1987.

    Google Scholar 

  46. Murphy EA. The Logic of Medicine. Baltimore: The Johns Hopkins University Press, 1976.

    Google Scholar 

  47. Nordenfelt L. On the Nature of Health: An Action-Theoretic Approach. Dordrecht: D Reidel, 1987.

    Google Scholar 

  48. Pellegrino ED, Thomasma DC. For The Patient's Good: The Restoration of Beneficence in Health Care. New York: Oxford University Press, 1988.

    Google Scholar 

  49. Pellegrino ED, Thomasma DC. A Philosophical Basis of Medical Practice: Toward a Philosophy and Ethic of the Healing Professions. New York: Oxford, 1981.

    Google Scholar 

  50. Reznek L. The Nature of Disease. London: Routledge & Kegan Paul, 1987.

    Google Scholar 

  51. Sox HC, Blatt MA, Higgins MC, Marton KI. Medical Decision Making. Boston: Butterworths, 1988.

    Google Scholar 

  52. Whitbeck C. Causation in medicine: the disease entity model. Philosophy of Science 1977;44:619–37.

    Google Scholar 

  53. Wulff HR. Rational Diagnosis and Treatment. Oxford: Blackwell, 1976.

    Google Scholar 

  54. Berlinghierie FV. La Filosofia Della Medicina. Lucca: aux frais de l'auteur, 1801.

    Google Scholar 

  55. Bieganski W. Logika Medyzyny. Warsaw: Kowalewski, 1894.

    Google Scholar 

  56. King LS. The Growth of Medical Thought. Chicago: University of Chicago Press, 1963.

    Google Scholar 

  57. King LS. Medical Thinking. Princeton, NJ: Princeton University Press, 1984.

    Google Scholar 

  58. Lowy I. The Polish School of Philosophy of Medicine. Dordrecht: Kluwer, 1990.

    Google Scholar 

  59. Cassell EJ. The Healer's Art. New York: JB Lippincott, 1976.

    Google Scholar 

  60. Cassell EJ. The nature of suffering and the goals of medicine. N Engl J Med 1982;306:638–44

    Google Scholar 

  61. Culver CM, Gert B. Philosophy in Medicine: Conceptual and Ethical Issues in Medicine and Psychiatry. New York: Oxford University Press, 1982.

    Google Scholar 

  62. Engel GL. The need for a new medical model: a challenge for biomedicine. Science 1977;196:129–36.

    Google Scholar 

  63. Feinstein AR. Clinical Judgment. Baltimore: Williams and Wilkins, 1967.

    Google Scholar 

  64. Flew A. Crime or Disease? London: Macmillan, 1973.

    Google Scholar 

  65. Kass LR. Toward a More Natural Science. New York: Free Press, 1985.

    Google Scholar 

  66. Lindahl BIB, Glattre E, Lahti R, Magnusson G, Mosbech J. The WHO principles for registering causes of death: suggestions for improvement. J Clin Epidemiol 1990;43:467–74.

    Google Scholar 

  67. Widdershoven-Heerding I. Medicine as a form of practical understanding. Theor Med 1987;8:179–85.

    Google Scholar 

  68. Spike J. The need for teaching philosophy in medical education. Theor Med 1991;12:359–65.

    Google Scholar 

  69. Fulford KWM. The potential of medicine as a resource for philosophy. Theor Med 1991;12:81–5.

    Google Scholar 

  70. Thomasma DC, Pellegrino ED. Philosophy of medicine as the source for medical ethics. Metamedicine 1981;2:5–11.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Center for Biomedical Ethics, University of Minnesota, 3-110 Owre Hall, 420 Delaware Street SE, UMHC Box 33, 55455, Minneapolis, MN, USA

    Arthur L. Caplan

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Caplan, A.L. Does the philosophy of medicine exist?. Theor Med Bioeth 13, 67–77 (1992). https://doi.org/10.1007/BF00489220

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Key words

  • bioethics
  • epistemology
  • field of inquiry
  • philosophy of science
  • philosophy of medicine