title: [Clinical decisions in a philosophical perspective].
abstract: Medicine is both a scientific and a humanistic discipline. The foundation for clinical decisions has four components (two scientific and two humanistic). 1) The biological component (reasoning based on biological theory). Biological thinking is currently being revolutionised, partly through the development of systems theory. 2) The empirical component (reasoning based on experience from earlier patients), which comprises both uncontrolled and controlled experience. 3) The empathic-hermeneutic component (reasoning based on an understanding of the patient as a fellow human being). Empathy requires hermeneutic knowledge which can be acquired through personal experience and by qualitative research. 4) The ethical component which comprises both utilitarian and deontological considerations.
authors.affiliation: Institut for Medicinsk Statistik og Videnskabsteori Panum Instituttet, København N.
authors.forename: H R
authors.initials: HR
authors.lastname: Wulff
mesh_terms: D002983:Clinical Competence; D003657:Decision Making; D004645:Empathy; D004992:Ethics, Medical; D006801:Humans; D010686:Philosophy, Medical
vernacular_title: Kliniske beslutninger i et filosofisk perspektiv.