261022 Philosophy of Medicine (S) (SoSe 2016)

This course provides an introduction to the central themes in the philosophy of medicine. The aim is to discuss ontological, epistemological, and ethical questions that arise when medical research is conducted and applied to clinical decision-making. The course comprises three parts. In the first part, we shall discuss the concepts of health and disease, examine the problems of causation and explanation, and consider the meaning of placebo. The second part focuses on the practice of medicine and medical research. We shall begin with examining different methods of producing medical knowledge and analyzing their epistemic strengths and weaknesses. The central questions of evidence-based medicine are discussed. The problem of alternative medicine is introduced. The part ends with an introduction to questions related to diagnosis. The part three of the course concerns the relationship between medicine and society: We shall ask how to secure the public’s trust in medical research and how to safeguard the objectivity of medical knowledge. Questions of risks in medicine and the relevance of discussing race and gender in the context of medicine are considered. The course ends with a short introduction to medical ethics.

Literaturangaben

- Loughlin et al (2010). Philosophy, ethics, medicine and health care: the urgent
need for critical practice. Journal of evaluation in clinical practice. 16: 249-259
- Cooper, R (2002). Disease. Studies in history and philosophy of biological and
biomedical sciences. 33(2): 263-282
- Rosenberg, C. (2002). The Tyranny of Diagnosis: Specific Entities and Individual Experience. Milbank Quarterly 80.2: 237–260.
- Solomon, M. (2011) Just a Paradigm: Evidence-Based Medicine Meets Philosophy of Science. European Journal of Philosophy of Science 1(3): 451–466.
- Kerry, R., T. E. Eriksen, Lie S. A. Noer, S. D. Mumford, and R. L. Anjum. (2012). Causation and Evidence-Based Practice: An Ontological Review. Journal of Evaluation in Clinical Practice 18.5: 1006–1012.
- Osimani, B. (2013). Until RCT proven? On the asymmetry of evidence requirements for risk assessment. Journal of Evaluation in Clinical Practice. 19(3): 454-462.
- McClimans, L. (2013). The role of measurement in establishing evidence. The Journal of Medicine and Philosophy. 8 (5): 520-538.
- Howick, J (2009). Questioning the Methodologic Superiority of
‘Placebo’ Over ‘Active’ Controlled Trials. The American journal of bioethics. 9(9): 34-48
- Jerkert, J (2013): Why alternative medicine can be scientically evaluated. In: M.Pigliucci& M.Boudry (eds), Philosophy of Pseudoscience: Reconsidering the Demarcation Problem. Universityof Chicago Press
- Sismondo, S. & Doucet, M. (2010). Publication Ethics and the Ghost
Management of Medical Publications. Bioethics 24(6), 273–283
- Biddle, J (2007). Lessons from the Vioxx Debacle: What the Privatization of
Science Can Teach Us About Social Epistemology. Social Epistemology 21(1), 21–39.
- Reiss, J. & Kitcher, P. (2009). Biomedical Research, Neglected diseases, and Well-ordered Science. Theoria 66, 263–282.
- Rogers, W. (2004). Evidence-Based Medicine and Women. Bioethics 18.1: 50–71.