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MEDICAL NIHILISM

9780198747208 ::  MEDICAL NIHILISM
ISBN:

9780198747208

EditorialOXFORD UNIVERSITY PRESS
Edicion:
Páginas:248
Idioma:INGLES
P.V.P.: 22,38 € + 4% IVA = 23,28 €
Importe final iva incl. 23,28 €
PLAZO DE ENTREGA 15 DIAS
Otras versiones :

1: INTRODUCTIONPART I. CONCEPTS2: EFFECTIVENESS OF MEDICAL INTERVENTIONS3: EFFECTIVENESS AND MEDICALIZATION4: MAGIC BULLETSPART II. METHODS5: DOWN WITH THE HIERARCHIES6: MALLEABILITY OF META-ANALYSIS7: ASSESSING MEDICAL EVIDENCE8: MEASURING EFFECTIVENESS9: HOLLOW HUNT FOR HARMSPART III. EVIDENCE AND VALUES10: BIAS AND FRAUD11: MEDICAL NIHILISM12: CONCLUSIONAPPENDIX 1. BAYES' THEOREM AND SCREENINGAPPENDIX 2. MEASUREMENT SCALESAPPENDIX 3. EPISTEMIC PROOF OF SUPERIORITY OF RD OVER RRAPPENDIX 4. DECISION-THEORETIC PROOF OF SUPERIORITY OF RD OVER RRAPPENDIX 5. MODELING THE MEASUREMENT OF EFFECTIVENESS

MEDICAL NIHILISM IS THE VIEW THAT WE SHOULD HAVE LITTLE CONFIDENCE IN THE EFFECTIVENESS OF MEDICAL INTERVENTIONS. THIS VOLUME ARGUES THAT MEDICAL NIHILISM IS A COMPELLING VIEW OF MODERN MEDICINE. IF WE CONSIDER THE FREQUENCY OF FAILED MEDICAL INTERVENTIONS, THE EXTENT OF MISLEADING EVIDENCE IN MEDICAL RESEARCH, THE THIN THEORETICAL BASIS OF MANY INTERVENTIONS, AND THE MALLEABILITY OF EMPIRICAL METHODS IN MEDICINE, AND IF WE EMPLOY OUR BEST INDUCTIVEFRAMEWORK, THEN OUR CONFIDENCE IN THE EFFECTIVENESS OF MEDICAL INTERVENTIONS OUGHT TO BE LOW. PART I ARTICULATES THEORETICAL AND CONCEPTUAL GROUNDWORK, IN WHICH JACOB STEGENGA OFFERS A DEFENCE OF A HYBRID THEORY OF DISEASE, WHICH FORMS THE BASIS OF A NOVEL ACCOUNT OF EFFECTIVENESS, AND APPLIES THIS TO PHARMACOLOGICALSCIENCE AND TO ISSUES SUCH AS MEDICALIZATION. PART II CRITICALLY EXAMINES DETAILS OF MEDICAL RESEARCH. EVEN THE VERY BEST METHODS IN MEDICAL RESEARCH, SUCH AS RANDOMIZED TRIALS AND META-ANALYSES, ARE MALLEABLE AND SUFFER FROM VARIOUS BIASES. METHODS OF MEASURING THE EFFECTIVENESS OF MEDICAL INTERVENTIONS SYSTEMATICALLY OVERESTIMATE BENEFITS AND UNDERESTIMATE HARMS. PART III SUMMARIZES THE ARGUMENTS FOR MEDICAL NIHILISM AND WHAT THIS POSITION ENTAILS FOR MEDICAL RESEARCH AND PRACTICE. TOEVALUATE MEDICAL NIHILISM WITH CARE, STEGENGA STATES THE ARGUMENT IN FORMAL TERMS. MEDICAL NIHILISM SUGGESTS THAT MEDICAL RESEARCH MUST BE MODIFIED, THAT CLINICAL PRACTICE SHOULD BE LESS AGGRESSIVE IN ITS THERAPEUTIC APPROACHES, AND THAT REGULATORY STANDARDS SHOULD BE ENHANCED.

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