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The Nature of Clinical MedicineThe Return of the Clinician$
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Eric Cassell

Print publication date: 2014

Print ISBN-13: 9780199974863

Published to Oxford Scholarship Online: November 2014

DOI: 10.1093/acprof:oso/9780199974863.001.0001

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Separate and Examine the Values at Issue

Separate and Examine the Values at Issue

(p.155) Chapter 7 Separate and Examine the Values at Issue
The Nature of Clinical Medicine

Eric J. Cassell

Oxford University Press

Values are poorly understood. Value conflicts are very common but usually are seen as being about other problems-personality, stubbornness, ignorance, facts. A case of a malignant hypothalamic lesion is used as illustration. Various physician ways of thinking usually really are about values-for example, some value aggressiveness and others value thoughtfulness. Value issues seem present as part of every decision. This is often not recognized in medicine, in part because of the history of the concept of values. Medicine was thought to be value-free in the 1950s because science was believed to be free of values, but these beliefs are both false. Values are not merely idiosyncratic or individual. The relationship of facts to values and reasoning about values is discussed, in part through a case demonstrating irresolvable value conflicts.

Keywords:   values, value conflicts, hypothalamic lesion, facts, reasoning

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