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Cultural Influences on Medical Knowledge

David Hughes

Handbook of the Philosophy of Medicine, Volume: 2nd edition, Pages: 1 - 20

Swansea University Author: David Hughes

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DOI (Published version): 10.1007/978-94-017-8706-2_73-3

Abstract

This chapter examines how culture influences the content and application of medical knowledge. The current state of knowledge about pathology and treatment is not simply the outcome of a neutral process of scientific investigation and discovery, but is shaped by changing conceptual frameworks affect...

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Published in: Handbook of the Philosophy of Medicine
ISBN: 9789401787062 9789401787062
Published: Dordrecht Springer Netherlands 2024
URI: https://cronfa.swan.ac.uk/Record/cronfa66972
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Abstract: This chapter examines how culture influences the content and application of medical knowledge. The current state of knowledge about pathology and treatment is not simply the outcome of a neutral process of scientific investigation and discovery, but is shaped by changing conceptual frameworks affected by more general cultural perspectives. The disease classification systems utilized by doctors emerge in a social context, and diagnostic categories are subject to social framing or construction. Lay health beliefs too reflect local cultural perspectives, and medical practice involves mediating between expert and lay belief systems. Moreover, medical practice is itself conditioned by the subcultural perspectives associated with the medical profession, its constituent specialisms, and the diverse hospital and community settings where healthcare is provided. The dual nature of medicine as both a scientific and practice-based discipline has resulted in tensions between the art and science of practice, with some doctors putting more weight on clinical judgment based on experience rather than the standardized application of codified knowledge.
Keywords: Disease categories; Scientific paradigms; Scientific advance; Technology; Social construction; Framing;Diagnosis; Expert knowledge; Lay health beliefs; Illness behavior; Medical subcultures; Art and science of medicine
College: Faculty of Medicine, Health and Life Sciences
Start Page: 1
End Page: 20