Medicine, Health Care and Philosophy 19 (3):423-430 (2016)
AbstractOver the last decade, personalized medicine has become a buzz word, which covers a broad spectrum of meanings and generates many different opinions. The purpose of this article is to achieve a better understanding of the reasons why personalized medicine gives rise to such conflicting opinions. We show that a major issue of personalized medicine is the gap existing between its claims and its reality. We then present and analyze different possible reasons for this gap. We propose an hypothesis inspired by the Windelband’s distinction between nomothetic and idiographic methodology. We argue that the fuzzy situation of personalized medicine results from a mix between idiographic claims and nomothetic methodological procedures. Hence we suggest that the current quandary about personalized medicine cannot be solved without getting involved in a discussion about the complex epistemological and methodological status of medicine. To conclude, we show that the Gadamer’s view of medicine as a dialogical process can be fruitfully used and reveals that personalization is not a theoretical task, but a practical one, which takes place within the clinical encounter.
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References found in this work
The Structure of Scientific Revolutions.Thomas Samuel Kuhn - 1962 - Chicago: University of Chicago Press.
Truth and Method.Hans-Georg Gadamer, Garrett Barden, John Cumming & David E. Linge - 1977 - International Journal for Philosophy of Religion 8 (1):67-72.
The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Medical Practice.Fredrik Svenaeus - 2000 - Kluwer Academic Publishers.
Citations of this work
Evidence for Personalised Medicine: Mechanisms, Correlation, and New Kinds of Black Box.Mary Jean Walker, Justin Bourke & Katrina Hutchison - 2019 - Theoretical Medicine and Bioethics 40 (2):103-121.
Conceptual and Terminological Confusion Around Personalised Medicine: A Coping Strategy.Giovanni De Grandis & Vidar Halgunset - 2016 - BMC Medical Ethics 17 (1):1-12.
From Art to Science: A New Epistemological Status for Medicine? On Expectations Regarding Personalized Medicine.Urban Wiesing - 2018 - Medicine, Health Care and Philosophy 21 (4):457-466.
E-Health Beyond Technology: Analyzing the Paradigm Shift That Lies Beneath.Tania Moerenhout, Ignaas Devisch & Gustaaf C. Cornelis - 2018 - Medicine, Health Care and Philosophy 21 (1):31-41.
Precision Medicine in an Imprecise and Complex World: Magic Bullets, Hype, and the Fuzzy Line Between Health and Disease.David Clark Aron - 2020 - Journal of Evaluation in Clinical Practice 26 (5):1534-1538.
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