Causation, complexity and health – the scope of explanation

Loughlin, Michael ORCID: 0000-0002-2234-2146 (2015) Causation, complexity and health – the scope of explanation. In: First meeting of the CAUSEHEALTH project, 12-14 October 2015, Norwegian University of Life Sciences, Oslo. (Unpublished)

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Address to the first meeting of the CAUSEHEALTH project, Norwegian University of Life Sciences, Oslo:

Defenders of the 'CauseHealth' project have identified and criticised an implicitly Humean account of causality in the work of many authors in evidence-based medicine (EBM). They argue persuasively (and in line with many other critics of mainstream EBM) that the model of clinical reasoning suggested by this account fails to incorporate an understanding of the complexity and uniqueness of individual cases. They propose instead a dispositional model of causality as the basis for a new approach to clinical reasoning. This seems to differ from both mechanistic and bio-psychosocial models, but the extent of the overlaps and differences still needs clarification. If the protagonists of 'CauseHealth' are defending a broadly Aristotelian approach to understanding health and well being then this suggests a return to an explicitly teleological account of health, one which revises our understanding of the role of value judgement in diagnosis and challenges modern dichotomies between 'fact' and 'value', epsitemology and ethics.

Item Type: Conference or Workshop Item (Lecture)
Subjects: Medicine and health
Depositing User: Michael Loughlin
Date Deposited: 01 Jul 2018 16:18
Last Modified: 02 Jul 2018 10:02

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