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Mikhel D. V. Philosophy of Therapeutic Choice: Medical Decision Making in the Context of Social and Cultural Transformations . Izvestiya of Saratov University. Philosophy. Psychology. Pedagogy, 2016, vol. 16, iss. 2, pp. 155-?. DOI: 10.18500/1819-7671-2016-16-2-155-161

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Philosophy of Therapeutic Choice: Medical Decision Making in the Context of Social and Cultural Transformations

The article is devoted to the understanding of discussions in medical humanities about such a multidimensional issue as the relationship of doctor and patient. Sequential reconstruction of sociological, anthropological and ethical aspects of this problem can also detect its philosophical core that is concentrated around the issues of medical decision making. Contemporary studies in medical humanities reveal an interactive structure of the processes involved in it medical professionals and individuals who do not have professional knowledge. Attempted analysis allows us to conclude, that the practice of medical decision making opens the field for the development of specific philosophy of therapeutic choice that is relevant to the condition of contemporary social and cultural transformations.


1. Bynum W. F., Hardy A., Jacyna S., Lawrence C., Tansey E. M. The western medical tradition 1800 to 2000. Cambridge, 2006. 614 p.

2. Mikhel D.V. Medikalizatsiya kak social’nyiy fenomen (Medicalization as a social phenomenon). Vestnik Sarat. gos. tekhn. un-ta (Vestnik Saratov State Technical University), 2011, no. 4, pp. 256‒263.

3. Parsons T. The social system: the major exposition of the author’s conceptual scheme for the analysis of the  dynamics of the social system. New York, 1951. 575 p.

4. Jewson N. The Disappearance of the sick-man from medical cosmology, 1770‒1870. International journal of epidemiology, 2009, vol. 38, no. 3, pp. 622‒633.

5. Mikhel D. V. Sotsial’naya istoriya meditsiny: stanovlenie i problematika (Social history of medicine: development and problemacy). Zhurnal issledovaniy sotsial’noy politiki (The journal of social policy studies), 2009, vol. 7, no. 3, pp. 295‒312.

6. Mikhel D. V. Izuchaya kul’turu, zdorov’e i bolezn’ (Studying the culture, health and illness: medical anthropology as a fi eld of knowledge). Vestn. Sarat. gos. tekhn. un-ta (Vestnik Saratov State Technical University), 2013, no. 2, pp. 205‒217.
7. Eisenberg L. Disease and illness: distinctions between professional and popular ideas of sickness. Culture, medicine, and psychiatry, 1977. vol. 1, no. 1, pp. 9‒23.

8. Kleinman A. Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry. Berkeley, Ca., 1980. 427 p.

9. Pellegrino E.D. The caring ethic: the relation of physician to patient. Caring, curing, coping. Eds. A. H. Bishop, J. R. Jr. Scudder Lynchburg, Va., 1985. pp. 8-30.

10. Rothman D. J. Strangers at the bedside: a history of how law and bioethics transformed medical decision making. New York, 1991. 303 p.

11. Reich W. T. The care-based ethic of nazi medicine and the moral importance of what we care about. American Journal of Bioethics, 2001, vol. 1, no. 1, pp. 64‒74.

12. Mikhel D. V. Razvitie fi lozofi i meditziny na Zapade: osnovnye epizody (Development of medical philosophy in the West: the main stages). Filozofskie problemy biologii i meditziny. Vyp. 6. Svoboda i otvetstvennost’: sbornik statey (Philosophical problems of biology and medicine. Iss. 6. Freedom and responsibility: a collection of essays). Moscow, 2012, pp. 339‒342.

13. Pellegrino E. D., Thomasma D. C. Helping and healing: religious commitment in health care. Washington D.C., 1997. 167 p.

14. Derner K. Khoroshiy vrach: uchebnik osnovnoy pozitsii vracha (Good physician. A handbook of main position for a physician). Moscow, 2006. 543 p.

15. Sargent C. F. The cultural context of therapeutic choice: obstetrical care decisions among the Bariba of Benin. Dordrecht, 1982. 192 p.

16. Schuster S. C. Philosophy practice: an alternative to counseling and psychotherapy. Westport, CT., 1999. 224 p. 17. Seifert J. The philosophical diseases of medicine and their cure: philosophy and ethics of medicine. Vol. 1. Foundations (philosophy and medicine). Dordrecht, 2004. 406 p.

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