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A consideration of both means and ends : values based medicine and the problem of changing values
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Epstein, Jonathan, Griffiths, Frances and Gunn, Jane (2018) A consideration of both means and ends : values based medicine and the problem of changing values. Philosophy, Psychiatry, & Psychology, 25 (1). pp. 33-43. doi:10.1353/ppp.2018.0007 ISSN 1086-3303.
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Official URL: https://doi.org/10.1353/ppp.2018.0007
Abstract
Values-based medicine (VBM) represents the most influential and sophisticated attempt to theorize the place of values within medical practice. It responds to competing value perspectives through a balancing procedure, termed “dissensus,” which seeks to keep multiple values in play. We argue, however, that VBM focuses on a static and cross-sectional picture of values, and does not provide an account of how values may change over time. We promote reasoning about values as an additional means of resolving conflicts within health care, which can manage dynamic values. We advocate for Hilary Putnam’s influential conception of the entanglement of fact and value to form the theoretical basis for values reasoning, which could operate alongside the balancing procedures advocated by VBM.
| Item Type: | Journal Article | ||||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Philosophy, Psychiatry, & Psychology | ||||||
| Publisher: | John Hopkins University Press | ||||||
| ISSN: | 1086-3303 | ||||||
| Official Date: | March 2018 | ||||||
| Dates: |
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| Volume: | 25 | ||||||
| Number: | 1 | ||||||
| Page Range: | pp. 33-43 | ||||||
| DOI: | 10.1353/ppp.2018.0007 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) |
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