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PubMed1985

Drug information roots: the influence of education and training on the philosophy and activities of hospital- and pharmacy school-based drug information services.

The objective of this project was to assess influences of past and present educational and training experiences on the development of drug information services. A questionnaire was used to collect information concerning the respondent's location, educational background, and relationship to others in the field. Next, demographic characteristics of the service were collected. The final section had respondent's rank 26 activities for both current scope of activities and the individual's philosophy of practice. Respondent's were asked to prioritize each activity according to contribution, directly or indirectly, to patient care. This study did not identify a major potential source of educational or training influence. However, despite the apparent lack of a major educational or training influence on the profession there is evidence to suggest that such influences can affect the scope of activities within services or the philosophy of practice of individuals. The differences in rankings commonly observed for the scope of activities support the observation of lack of equivalence in earlier studies.

Drug Information Services↗
PubMedDate not supplied

Primary nursing: a new philosophy.

Primary nursing is dynamic. To reflect belief and working practices accurately, the philosophy of primary nursing needs to be updated regularly. To maintain ownership of the philosophy it should be reformulated by the nursing staff themselves. Commonly shared beliefs about primary nursing are essential if it is to be practised successfully.

Humans↗
PubMed2006

Medicine, natural philosophy, and the influence of Melanchthon in reformation Denmark and Norway.

In the sixteenth and early seventeenth centuries, all intellectual pursuits in Europe were colored by the religious conditions of the age. Accordingly, investigations into nature were unable to avoid issues dealing with the workings of divine power. The reestablishment of the University of Copenhagen after the Reformation of 1536 in the joint kingdom of Denmark and Norway prompted the formulation of an official Lutheran program for the study of medicine and natural philosophy (including anatomy). This program was wholly based on the ideas of the German reformer Philip Melanchthon, the aim being to apply knowledge of, for example, anatomy in support of the newly reformed Lutheran society. Thus, the crown and the church officially sanctioned Melanchthon's thoughts on natural philosophy as a means to apprehend, first, the majestic glory of divine providence; second, that man was truly created and assigned his place by God; and third, that it was demanded of all men and women that they submit themselves to the will of God and the laws of the public authorities.

Anatomy↗
PubMed2001

Plato's conception of the relations between moral philosophy and medicine.

The first part of this article construes crucial passages from the Platonic dialogues as evidence that Plato takes medicine as a model for moral philosophy and as one of the organizing principles for his writing of the dialogues. The second part reflects upon the significance of one of the most debatable implications of the model: the comparison between health and illness, on the one hand, and moral virtue and moral vice, on the other. It articulates 10 illuminating aspects of this comparison and two potentially serious objections to it. The third part of this article examines what the model implies about the roles of medicine and moral philosophy in the political community and about the natures of doctor-patient and philosopher-interlocutor relationships. It highlights Socrates' criticisms of a kind of politics that covers over moral causes of social disorders by means of Band-Aid legislation, and emphasizes that according to the model, both the doctor and the moral teacher confront agents who must cooperate in the process of reform and accept whatever responsibility they have for their conditions.

Ethics, Medical↗
PubMed2004

How the philosophies, styles, and methods of family medicine affect the research agenda.

Family physicians provide person-centered, continuous, comprehensive care that is accessible and available at the time of need. Although this core philosophy is shared around the world, its translation into actual practice can vary greatly with time and from place to place as family physicians adapt to local constraints and conditions. Factors driving these local variations include entrenched habits and patterns of care, funding systems, patient expectations, public policy, and the availability and quality of other critical health system components. This diversity provides both an opportunity and a challenge for family medicine research. The potential for fruitful comparisons and contrasts arising from natural experiments may require investigators to use multiple research methods capable of evaluating complex interventions and comparisons. Family medicine has the capacity to be an excellent laboratory in which research in representative populations can offer the pragmatic answers needed by practicing physicians. The nature of the research questions and interventions require the involvement of clinicians in the formulation of research questions and evaluation of the applicability of research results. The variations in implementation of the family medicine philosophy can be a potential asset because of the research opportunities they provide.

Biomedical Research↗
PubMed2001

On painting and philosophy: Sir Henry Raeburn.

This article considers the 18 century European Enlightenment as an example of the cross-fertilization between philosophy propounding rationalist-empirical approach, and arts. The example of Sir Henry Raeburn, a Scottish portraitist, is given to illustrate the influence of the concepts of perception developed by Thomas Reid, the founder of the Scottish school of common sense philosophy, on the style of painting.

History, 17th Century↗
PubMed2000

Kant's philosophy and its relationship with the thought of Bion and Money-Kyrle.

The authors assess the significance of the rediscovery of Kant's philosophy of mind, which in their view offers valuable insights into the basis of conscious and unconscious mental life, protomental structures and the organisation of the internal world. They draw attention to the importance of distinguishing between brain culture, as represented by the neurosciences in particular, and mind culture. The process of internalisation begun by Kant is stated to have been continued by present-day psychoanalysis, whose theories furnish some additional categories of the intellect. The ideas of Bion and Money-Kyrle are considered in the light of Kantian philosophy. The authors show how Kant's revolutionary shift from enquiring into things to enquiring into our mode of knowing them implied that the objects of experience were determined by the transcendental functions of the mind, seen as a priori elements. Space and time as pure intuitions, together with the categories of the intellect organised by the 'I think', were held by Kant to make knowledge possible. Noting that the unconscious is not to be equated with the Kantian noumenon, the authors contend that Kant's epistemology can help psychoanalysis today to reflect on the epistemic status of its own referent, the conscious and unconscious mind, as well as of its procedures and predicates.

Awareness↗
PubMed2005

Trial and error: the Supreme Court's philosophy of science.

Apparently equating the question of whether expert testimony is reliable with the question of whether it is genuinely scientific, in Daubert v Merrell Dow Pharmaceuticals, Inc (1993) the US Supreme Court ran together Karl Popper's and Carl Hempel's incompatible philosophies of science. But there can be no criterion discriminating scientific, and hence reliable, testimony from the unscientific and unreliable; for not all, and not only, scientific evidence is reliable. In subsequent rulings (General Electric Co v Joiner, 1997; Kumho Tire Co v Carmichael, 1999) the Court has backed quietly away from Daubert's confused philosophy of science, but not from federal judges' responsibilities for screening expert testimony. Efforts to educate judges scientifically, and increased use of court-appointed experts are, at best, only partial solutions to the problems with scientific testimony.

Drug Industry↗
PubMed2006

An argument for pragmatism as a foundational philosophy of occupational therapy.

BACKGROUND: In 1986, Estelle Breines argued that occupational therapy identity problems could be resolved by acquiring tools that enable therapists to analyze their profession in a sophisticated manner. Breines identified philosophical inquiry as one of these tools. PURPOSE: This study examined how pragmatism can provide a philosophical framework for occupational therapy practice and knowledge. METHOD: An analysis of a sample of occupational therapy literature, philosophy of pragmatism literature, and Slagle lectures delivered between 1955 and 1995 was completed. Themes underlying the assumptions, principles, and values articulated in the literature and the Slagle lectures were identified and compared. RESULTS: Findings of the analysis indicate that some of the core assumptions, principles, and values of occupational therapy as identified in occupational therapy literature and the Slagle lectures are conceptually consistent with those of the philosophy of pragmatism. PRACTICE IMPLICATIONS: Pragmatism may provide a philosophical framework to organize the knowledge and practice of occupational therapy and assist with clarifying the profession's identity.

Humans↗
PubMed2005

Associations of demographic information and philosophies of human nature.

A sample of 1117 students (53% women, 47% men; 50% 18-20 yr. old, 41% 21-23, 9% over 23 years) in classes on two university campuses completed a questionnaire comprised of the Philosophies of Human Nature Scale and demographic items. Factor analysis was conducted on the scale scores. Multiple linear regression was used to examine the strength of association between each factor and the 6 demographic traits. One-way analysis of variance comparing subjects' scale scores for each factor indicated significant association for demographic traits. The Scheffé test was used to identify differences among groups. Sex, age, employment status, year in school, and consistency in practicing faith orientation were associated with factors of the Philosophies of Human Nature Scale.

Adolescent↗
PubMed1999

Using reflective thinking to develop personal professional philosophies.

Reflective thinking, closely related to critical thinking, is discussed as an essential teaching-learning process to help students in introductory professional courses develop personal professional philosophies. Reflective thinking opportunities used by nurse educators and teacher educators include students' own experiences, actual case studies, and media presentations. Using reflective thinking to develop personal professional philosophies helps students view themselves as future participants in their chosen professions.

Education, Nursing, Baccalaureate↗
PubMed2003

Research philosophy: towards an understanding.

In this paper, Frank Crossan argues that the distinction between quantitative and qualitative philosophies and research methods is sometimes overstated, and that triangulation of methods in contemporary research is common. It is, therefore, important to understand the strengths and weaknesses of each approach, and this paper aims to provide the novice researcher with a basis for developing that understanding. A descriptive analysis of the philosophies of positivism and post-positivist thinking in relation to research methodology is presented both as an introduction to the philosophical basis of research, and as a sound basis from which to discuss the 'quantitative-qualitative' debate.

Bias↗
PubMed1990

Nursing models as philosophies of care.

The value of nursing models, especially the well-published works of many of the American theorists, has been debated and argued at length. Indeed the topic was the subject of the July debate at the Royal Marsden Hospital in London, which is an indication itself of the interest post-registration nurses working in cancer care have in the subject. Nurses have talked about using models of care for many years. There are even those who, for example, equate Florence Nightingale's work and writings with a nursing model. I would prefer to interpret Nightingale's work as a nursing philosophy and it is nursing philosophies rather than nursing models that are explored further in the context of cancer in this paper.

Humans↗
PubMed1999

Developing a mission, vision, and philosophy in the new context of cultural diversification.

This article is about the blending of a mission, vision, and philosophy of care by two systems of health care that are both rich in history and vision. The unique qualities of each hospital are described. The diversified cultures of each organization are discussed in terms of reaching a final decision regarding the joint vision, philosophy of care, and mission of the system that has been redesigned.

Academies and Institutes↗
PubMed1999

The philosophy of nursing.

The purpose of this article is to provide an overview of the philosophy of nursing. First, the ontological, epistemological, and ethical issues that comprise the field of inquiry are identified. Second, we discuss how some of these issues are being addressed as demonstrated by the articles in this issue of Scholarly Inquiry for Nursing Practice. Finally, suggestions are made for the further development of the philosophy of nursing in the 21st century.

Ethics, Nursing↗
PubMed2000

Laudan's normative naturalism: a useful philosophy of science for psychology.

Logical positivism, widely regarded as the received epistemology of psychology in the first half of the 20th century, was supplanted in the 1960s by various postpositivistic, relativistic philosophies of science, most notably that of Kuhn. Recently, Laudan, a major figure in the philosophy of science, developed a novel approach called normative naturalism that provides an alternative to positivism and relativism. His central thesis is that the two are not always on opposite ends of a continuum but rather have many assumptions in common. This article brings Laudan's important views to the attention of psychologists and describes some of the unique implications of these views for the conduct of research and theory in psychology. These implications, which follow from a number of closely reasoned pragmatic arguments, include more realistic and appropriate evaluation of theory and methodology than has been suggested by logical positivism or relativism.

History, 20th Century↗
PubMed2000

Philosophy of psychology at the turn of the century.

The philosophy of psychology at the turn of the century was an amalgam of perspectives and commitments--experimental science, Darwinian theory, positivism--forged partly out of achievements in experimental science and partly in response to transcendentalist (Hegelian) challenges. The amalgam itself appeared as an early version of the positivism that became developed and dominant early in the 20th century. For many psychologists at the turn of the century, experimental science, as practiced chiefly in physics and chemistry, was tantamount to a philosophy of science and one stripped of what were taken to be distracting and useless metaphysical quibbles. The assets and liabilities of this allegiance were recognized even as it was forming.

History, 19th Century↗
PubMed2000

Philosophy of mind in the clinic: the relation between causal and meaningful explanation in psychiatry.

Conceptual dichotomies between mind and brain, psychology and neuroscience, meaning and causation, and fact and value confound thinking in philosophy of mind, clinical psychiatry, and psychiatric ethics. Paul Churchland's theory of eliminative materialism highlights these dichotomies, stating that advances in neuroscience have restricted, and eventually will eliminate, any need for psychology. The core principles of this theory are questionable, because psychiatrists still need psychology and perhaps always will. The main argument in this essay is that even in cases of well-defined brain pathology (where eliminative materialism seems most plausible), psychological concepts remain critical. Thus, philosophers and psychiatrists should generate conceptual models that lead not to eliminativism but to explanatory pluralism, which is the pragmatic integration of diverse concepts toward the end of better handling clinical challenges. The contributions of Karl Jaspers in opposition to eliminative materialism and in support of pluralism are discussed. Jaspers delineated the role of meaningful psychological explanation in a psychiatry rooted in neuroscientific explanation. However, his notion that meaningful states do not have causal power is disputable and has come under fire in recent philosophy of mind and cognitive neuroscience, which highlight the possibility that meaningful psychological states can be causally significant. This idea has implications for psychiatric ethics and the fact/value debate.

Humans↗