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Strategies in Abduction: Generating and Selecting Diagnostic Hypotheses.

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cam.issuedOnline2020-01-07
dc.contributor.authorStanley, Donald E
dc.contributor.authorNyrup, Rune
dc.contributor.orcidNyrup, Rune [0000-0002-9880-6912]
dc.date.accessioned2018-09-10T22:15:55Z
dc.date.available2018-09-10T22:15:55Z
dc.date.issued2020-03-19
dc.description.abstractWe distinguish three aspects of medical diagnosis: generating new diagnostic hypotheses, selecting hypotheses for further pursuit, and evaluating their probability in light of the available evidence. Drawing on Peirce's account of abduction, we argue that hypothesis generation is amenable to normative analysis: physicians need to make good decisions about when and how to generate new diagnostic hypothesis as well as when to stop. The intertwining relationship between the generation and selection of diagnostic hypotheses is illustrated through the analysis of a detailed clinical case study. This interaction is not adequately captured by the existing probabilistic, decision-theoretic models of the threshold approach to clinical decision-making. Instead, we propose to conceptualize medical diagnosis in terms of strategic reasoning.
dc.format.mediumPrint
dc.identifier.doi10.17863/CAM.27397
dc.identifier.eissn1744-5019
dc.identifier.issn0360-5310
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/280033
dc.languageeng
dc.language.isoeng
dc.publisherOxford University Press (OUP)
dc.publisher.urlhttp://dx.doi.org/10.1093/jmp/jhz041
dc.subjectC. S. Peirce
dc.subjectabduction
dc.subjectclinical diagnosis
dc.subjectstrategic reasoning
dc.subjectthreshold approach
dc.subjectClinical Decision-Making
dc.subjectDecision Support Techniques
dc.subjectEthical Theory
dc.subjectHumans
dc.subjectPhilosophy, Medical
dc.subjectProbability
dc.subjectProblem Solving
dc.titleStrategies in Abduction: Generating and Selecting Diagnostic Hypotheses.
dc.typeArticle
dcterms.dateAccepted2017-06-16
prism.endingPage178
prism.issueIdentifier2
prism.publicationDate2020
prism.publicationNameJ Med Philos
prism.startingPage159
prism.volume45
rioxxterms.licenseref.startdate2020-03
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionAM
rioxxterms.versionofrecord10.1093/jmp/jhz041

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