Narrative, Literature, and The Clinical Exercise of Practical Reason  

Oleh:

Montgomery Hunter, Kathryn

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 21 no. 3 (Jun. 1996), page 303-320.
Topik: Clinical Judgment; Literature; Narrative; Medical Ethics; Practical Reason

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Although science supplies medicine's "gold standard," knowledge exercised in the care of patients is, like moral knowing, a matter of narrative, practical reason. Physicians draw on case narrative to store experience and to apply and qualify the general rules of medical science. Literature aids in this activity by stimulating moral imagination and by requring its leaders to engage in the retrospective construction of a situated, subjective account of events. Narrative truths are provosial, uncertain, derived from narrators whose standpoints are always situated, particular, and uncertain, but poen to comparison and reinterpretation. Reading is thus a model for knowing in both morality and clinical science must always inform good clinical practice, the tendency to collapse morality into principles and medicine into science impoverishes both practices. Moral knowing is not separable from clinical judgement. While ethics must be open to discussion and interpretation by patients, families, and society, its neverthless subtantively and epistemologically an inextricable part of a physician's clinical practice.

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