Document Detail


Wisdom in clinical reasoning and medical practice.
MedLine Citation:
PMID:  19551491     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exploring informal components of clinical reasoning, we argue that they need to be understood via the analysis of professional wisdom. Wise decisions are needed where action or insight is vital, but neither everyday nor expert knowledge provides solutions. Wisdom combines experiential, intellectual, ethical, emotional and practical capacities; we contend that it is also more strongly social than is usually appreciated. But many accounts of reasoning specifically rule out such features as irrational. Seeking to illuminate how wisdom operates, we therefore build on Aristotle's work on informal reasoning. His account of rhetorical communication shows how non-formal components can play active parts in reasoning, retaining, or even enhancing its reasonableness. We extend this account, applying it to forms of healthcare-related reasoning which are characterised by the need for wise decision-making. We then go on to explore some of what clinical wise reasoning may mean, concluding with a case taken from psychotherapeutic practice.
Authors:
Ricca Edmondson; Jane Pearce; Markus H Woerner
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Theoretical medicine and bioethics     Volume:  30     ISSN:  1573-0980     ISO Abbreviation:  Theor Med Bioeth     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-02     Completed Date:  2009-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9805378     Medline TA:  Theor Med Bioeth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  231-47     Citation Subset:  E; IM    
Affiliation:
School of Political Science and Sociology, National University of Ireland, Galway, Galway, Ireland. Ricca.Edmondson@nuigalway.ie
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MeSH Terms
Descriptor/Qualifier:
Clinical Medicine*
Communication
Decision Making*
Humans
Judgment
Models, Psychological
Problem Solving*
Thinking*

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