Epistemic causality and evidence-based medicine

Russo, Frederica and Williamson, Jon (2011) Epistemic causality and evidence-based medicine. History and Philosophy of the Life Sciences, 33 (4). pp. 563-582. ISSN 0391-9714. (The full text of this publication is not available from this repository)

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Abstract

Causal claims in biomedical contexts are ubiquitous albeit they are not always made explicit. This paper addresses the question of what causal claims mean in the context of disease. It is argued that in medical contexts causality ought to be interpreted according to the epistemic theory. The epistemic theory offers an alternative to traditional accounts that cash out causation either in terms of “difference-making” relations or in terms of mechanisms. According to the epistemic approach, causal claims tell us about which inferences (e.g., diagnoses and prognoses) are appropriate, rather than about the presence of some physical causal relation analogous to distance or gravitational attraction. It is shown that the epistemic theory has important consequences for medical practice, in particular with regard to evidence-based causal assessment.

Item Type: Article
Uncontrolled keywords: Bradford Hill’s Guidelines, Causality, Disease Causation, Epistemic Causality, Evidence-Based Medicine, Russo-Williamson Thesis
Subjects: B Philosophy. Psychology. Religion > B Philosophy (General)
R Medicine > R Medicine (General)
Divisions: Faculties > Humanities > School of European Culture and Languages
Depositing User: Jon Williamson
Date Deposited: 20 Mar 2012 16:20
Last Modified: 05 Jun 2014 15:22
Resource URI: http://kar.kent.ac.uk/id/eprint/29181 (The current URI for this page, for reference purposes)
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