On the Teleological Structure of Medicine: A Phenomenological Contribution

Aladin Research Commons

On the Teleological Structure of Medicine: A Phenomenological Contribution

Show simple item record

dc.contributor.advisor Sokolowski, Robert en_US
dc.contributor.author Rosen, Jacob Niel en_US
dc.contributor.other Hassing, Richard F. en_US
dc.contributor.other Pellegrino, Edmund D. en_US
dc.date.accessioned 2011-02-24T20:48:58Z
dc.date.available 2011-02-24T20:48:58Z
dc.date.created 2009 en_US
dc.date.issued 2011-02-24T20:48:58Z
dc.identifier.other Rosen_cua_0043D_10025 en_US
dc.identifier.uri http://hdl.handle.net/1961/9224
dc.description Degree awarded: Ph.D. Philosophy. The Catholic University of America en_US
dc.description.abstract This dissertation has two parts, each of which contains three chapters. Part I recapitulates Pellegrino's philosophy of medicine and Part II answers Robert Veatch's critique of Pellegrino's position.Chapter One presents Edmund Pellegrino's phenomenology of the clinical encounter: the practice of medicine comes about in response to the need for healing generated by the experience of illness; accordingly, persons who are ill (patients) and persons who profess to heal (physicians) come together for the sake of healing. Chapter Two shows that Pellegrino blends physician beneficence with patient autonomy by tracing medical morality back to the deliberations that shape the clinical encounter. Persons become patients when they seek help from physicians to answer the questions raised by illness: What is wrong? What can be done? What should be done? Physicians have the expertise required to answer the first two questions, but Pellegrino argues that physicians must come to appreciate the patient's good before they help patients determine what should be done. Chapter Three unpacks Pellegrino's complex and hierarchically structured description of the patient's good. Chapter Four asks whether a technically competent physician can practice medicine in the manner described by Pellegrino. Robert Veatch thinks not. In a pluralist society, patients and physicians do not have common values; so they cannot deliberate together. Chapter Five addresses Veatch's view of the patient-physician relationship. Theorized within the frame of pluralism, this relationship becomes a forum for conflict, which Veatch resolves by reducing the physician to the role of a technician who takes directions from the patient. Chapter Six draws on the work of S. Kay Toombs and Drew Leder to clarify Pellegrino's basic claim that illness establishes both the origin (arche) and the end (telos) of medicine. Not only does Veatch ignore the moral significance of illness emphasized by Pellegrino, but Veatch also denies Pellegrino's insight that medical ethics should respond to the patient's need to trust the physician. In sum, the contrast between Veatch and Pellegrino highlights Pellegrino's contribution to medical ethics. His phenomenology of the clinical encounter displays the teleological structure of medicine. en_US
dc.format.extent 275 p. en_US
dc.format.mimetype application/pdf en_US
dc.language eng en_US
dc.publisher The Catholic University of America en_US
dc.subject Philosophy en_US
dc.subject.other healing en_US
dc.subject.other illness en_US
dc.subject.other medicine en_US
dc.subject.other Pellegrino en_US
dc.subject.other phenomenology en_US
dc.subject.other Veatch en_US
dc.title On the Teleological Structure of Medicine: A Phenomenological Contribution en_US
dc.type Text en_US
dc.type Dissertation en_US

Files in this item

Files Size Format View
Rosen_cua_0043D_10025display.pdf 1.644Mb PDF View/Open

This item appears in the following Collection(s)

Show simple item record

Search DSpace

Advanced Search


My Account