A patient-physician relationship provides a milieu for a patient to achieve healing, solace, and reintegration of personhood. A patient's primary physician assumes a leadership role in that regard, coordinating and facilitating a regimen of analysis and therapy. The quality, quantity, and rapidity of technological advancements in the delivery of medical care, render any individual physician incomplete in terms of his ability to provide total care. Consequently, a succession of professional and paraprofessional personnel must be involved to maximize the care rendered. (...) Nevertheless, a patient's primary physician must fulfill a leadership role as he coordinates consultations and interprets the data they provide, placing it in the appropriate situational context for his patient as part of a collective and mutual decision-making process. A patient's primary physician must be acknowledged to possess the power and authority to effect the care provided, as he must also accept the accountability, duty, obligation, and responsibility for the result of that care. By these means ambiguity and uncertainty are mitigated. (shrink)

A methodology of argumentation and a perspective of incredulity are essential ingredients of all intellectual endeavor, including that associated with the art and science of medical care.Traditio argumentum respectus (tradition of respectful argumentation) as a principled system of assessing the validity of beliefs, opinions, perceptions, data, and knowledge, is worthy of practice and perpetuation, because assessments of validity are susceptible to incompleteness, incorrectness, and misinterpretation. Since the latter may lead to ambiguity, uncertainty, anxiety, and animosity among the individuals (patients and (...) physicians) involved in such dialogue, objective analyses and criteria are desirable. A tradition of respectful argumentation is a means to this end—to maximize objectivity and minimize subjectivity as part of decision-making processes and to preserve the integrity of the participants in a patient-physician relationship. During such discourse one must always be cognizant of fallacious arguments—material, verbal, and formal fallacies—since they compromise the validity of assertions. This essay summarizes a classification of fallacious arguments, by definition and by example, predicated upon the intellectual tradition of Occidental Society; and advocates a tradition of respectful argumentation to nullify them. (shrink)

Since beliefs, interests, needs and values vary among individuals, potential for conflict or dispute exists in all areas of human endeavor, including a patient-physician relationship. Conflict- or dispute-resolution requires diligent and directed negotiation, which ideally is amicable, efficient, and sustainable, if the participants acknowledge the identity, individuality, and integrity of all parties involved. In this essay a concept ofprincipled negotiation is extrapolated to a patient-physician relationship and is exemplified by a case study. In addition, the validity of a concept oftract (...) two diplomacy is discussed, relevant from the perspective of strained or fractured primary relationships. (shrink)