N.º 69 (2024): Mayo-agosto
Filosofía en el espacio público

The Search for Objectivity without Perspective: Historical-Epistemological Notes on Clinical Judgment in Medicine

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  • Diego Alejandro Estrada-Mesa
Diego Alejandro Estrada-Mesa
Universidad Cooperativa de Colombia
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DOI: https://doi.org/10.21555/top.v690.2612

Publicado 2024-04-04

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Estrada-Mesa, D. A. (2024). The Search for Objectivity without Perspective: Historical-Epistemological Notes on Clinical Judgment in Medicine. Tópicos, Revista De Filosofía, (69), 447–483. https://doi.org/10.21555/top.v690.2612

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Resumo

El juicio clínico se ha convertido en un tópico capital para la filosofía de la medicina y la profesión médica desde los sesenta. Tras el desarrollo de la medicina basada en la evidencia en los noventa, se espera una mayor sensibilidad en el juicio clínico frente a las necesidades y preferencias de los pacientes ante las amenazas de enfoques positivistas, que, se considera, descuidan la individualidad. Este artículo aborda este problema a la luz de una filosofía de la medicina más sensible a los componentes históricos de la epistemología, la ontología y la ética. Se dirige la mirada al siglo XIX para dilucidar las tensiones en torno al lugar de los conocimientos médicos y la apuesta por dotar al juicio clínico de nuevos métodos para la mejora profesional. Este retorno al pasado ayuda a comprender las transformaciones actuales del campo de la medicina, especialmente en cuanto a cómo ayudan a constituir nuevos tipos de pacientes, nuevos tipos de ethos profesional y nuevas formas de relación entre dichos actores.

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