| Four alternatives to a reductive view of knowledge (seeing with a squint). | |
| | |
MedLine Citation:
|
PMID: 21815970 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Following my own involvement in the rise of evidence-based medicine in General Practice in the UK, and having seen how this tide has led to a relative devaluation of other kinds of knowing this paper sets out four alternative approaches to the problem of knowledge in a way which both undermines the predominance of a strictly evidence-based approach and re-emphasizes these other means through which we come to know the world. Philosophically, this brings together the works of Heidegger, Sebald, Bachelard and Gadamer and shows how these apparently disparate authors suggest that there is, underlying our empirical understanding of the world, a more primordial relationship between consciousness and world which supports empirical or evidence-based knowledge and without which evidence-based knowledge cannot be applied in practice. The implications for clinical practice of this kind of thinking should be a more cautious approach to the use of evidence and a greater emphasis and reliance on the discretion and judgement of clinical professionals. |
| | |
Authors:
|
Derek Mitchell |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-8-4 |
Journal Detail:
|
Title: Journal of evaluation in clinical practice Volume: - ISSN: 1365-2753 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-8-5 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
© 2011 Blackwell Publishing Ltd. |
Affiliation:
|
Tutor for Workers Educational Association, London and Southern Region, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Evidence-based medicine and epistemological imperialism: narrowing the divide between evidence and i...
Next Document: Mere anecdote: evidence and stories in medicine.