2006
DOI: 10.1080/03605310600860809
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The Logic of Diagnosis: Peirce, Literary Narrative, and the History of Present Illness

Abstract: This essay presents a theoretical construct upon which to base a working--"pragmatic"--definition of the History of Present Illness (HPI). The major thesis of this essay is that analysis of both the logic of hypothesis formation and literary narrative--especially detective stories--facilitates understanding of the diagnostic process. The essay examines three elements necessary to a successful development of a patient's HPI: the logic of hypothesis formation, based upon the work of the philosopher-logician, Cha… Show more

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Cited by 18 publications
(13 citation statements)
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“…As Schleifer and Vannatta [14] as well as Fischer [13] and Feinstein [5] state, hypothesis in clinical judgment runs from the effect (speckles, chest pain, unexplained abnormal behavior or experience, insomnia) to putative causes (measles, angor pectoris, schizophrenia). In classical logic, this would be an example of fallacious reasoning called fallacia consequentis , but this is the very feature called ‘retroduction’ by Peirce [[16], 5.276, 6.479].…”
Section: Peircean Characterization Of Clinical Judgmentmentioning
confidence: 99%
See 3 more Smart Citations
“…As Schleifer and Vannatta [14] as well as Fischer [13] and Feinstein [5] state, hypothesis in clinical judgment runs from the effect (speckles, chest pain, unexplained abnormal behavior or experience, insomnia) to putative causes (measles, angor pectoris, schizophrenia). In classical logic, this would be an example of fallacious reasoning called fallacia consequentis , but this is the very feature called ‘retroduction’ by Peirce [[16], 5.276, 6.479].…”
Section: Peircean Characterization Of Clinical Judgmentmentioning
confidence: 99%
“…Schleifer and Vannatta [14] have proposed three elements as constituent to the epistemic core of clinical judgment: first, some ‘knowledge base’, which comprises the current body of empirical knowledge about symptoms and disorders. It also includes descriptive definitions of signs and symptoms, either operationalized or not, demographic data concerning syndromes and pertinent laboratory or neuroimaging results [5].…”
Section: Peircean Characterization Of Clinical Judgmentmentioning
confidence: 99%
See 2 more Smart Citations
“…However, what happens in practice is that physicians seek 'an explanation of a particular fact by finding some salient features of the particular that allow it to be explained by some more general causative principles,' a process that the American philosopher Charles Sanders Peirce described as 'abduction'. 5 The following simple examples adapted from Rapezzi, Ferrari and Branzi may help to clarify what is meant by the terms. 6 Deduction is reasoning from the general to the particular: > All the marbles in the jar are white.…”
Section: Introductionmentioning
confidence: 99%