Logic Structure of Clinical Judgment and Its Relation to Medical and Psychiatric Semiology
نویسنده
چکیده
Background: The logical nature of clinical judgment has been conceptualized in different ways, but a clear connection between the features of clinical judgment and those of semiology is still lacking. Methods: The characteristics of clinical judgment, medical semiology, and psychiatric semiology are described. Connections between them are drawn. Results: Clinical judgment is described as an abductive inference. Abductive inferences are especially useful to balance universal and singular information. In psychiatric semiology, due to some specific features, a careful balance between the information present in descriptive definitions and the information absent from the definition but present in singular symptoms is needed. The main types of out-of-definition information are reviewed. Conclusions: The implications of the results for diagnosis and research are drawn. Copyright © 2012 S. Karger AG, Basel Received: September 30, 2011 Accepted after revision: February 9, 2012 Published online: July 31, 2012 Carlos Rejón Altable, MD, PhD Hospital de Día, Hospital Universitario de La Princesa C/Marqués de Ahumada 11 ES–28028 Madrid (Spain) Tel. +34 917 131 990, ext. 50, E-Mail crejon @ hotmail.com © 2012 S. Karger AG, Basel 0254–4962/12/0456–0344$38.00/0 Accessible online at: www.karger.com/psp D ow nl oa de d by : 54 .7 0. 40 .1 1 11 /1 9/ 20 17 6 :4 8: 15 P M
منابع مشابه
Logic structure of clinical judgment and its relation to medical and psychiatric semiology.
BACKGROUND The logical nature of clinical judgment has been conceptualized in different ways, but a clear connection between the features of clinical judgment and those of semiology is still lacking. METHODS The characteristics of clinical judgment, medical semiology, and psychiatric semiology are described. Connections between them are drawn. RESULTS Clinical judgment is described as an ab...
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