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Practical wisdom in medicine

Defending a multidimensional, integrated view of an indispensable virtue

Datos Bibliográficos

ID21702377
AutoresLauris C Kaldjian (0000-0002-9170-6986, University of Iowa, autor de correspondencia), Kristján Kristjánsson (0000-0002-8584-4178, University of Birmingham), Shane Mcloughlin (0000-0002-2354-5439, University of Birmingham)
Año2026
Fecha de publicación2026-05-23
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMetamedicine (JOURNAL)
Identificadores de la revistaISSN: 0166-2031 • E-ISSN: 1573-1200
EditorialSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11017-026-09760-7
PMID42174335
OpenAlexW7162106266
IdiomaEN
Referencias citadas42

By defending practical wisdom ( phronesis ) as a multidimensional virtue that complements the moral virtues, we offer a critique of “practical wisdom eliminativism”, with special attention to the context of medicine, arguing that the core dimensions of practical wisdom enjoy broad consensus. As the meta-virtue that demonstrates excellence in ethical decision-making, practical wisdom recognizes and employs the best means to achieve good and worthwhile ends by integrating goals, perception of context, moral virtues, deliberation, reason-guided emotion, and motivation. In medicine, practical wisdom encompasses patient-centered deliberation directed toward ends of health and flourishing that promote the patient’s good. To counter the notion that practical wisdom is a redundant concept (the eliminativist view), we provide philosophical arguments, evidence from medical practitioners, and psychometric data from a detailed empirical study of US and UK adults. Practical wisdom has survived for more than 2300 years as a unified and unifying intellectual meta-virtue that guides the moral virtues. We believe the reasons we put forward explain why phronesis should be expected to endure as a meaningful, multidimensional concept reflecting the nature of moral deliberation in response to practical challenges in life and medicine

Deliberation · Excellence · Flourishing · Phronesis · Practical wisdom · Virtue · Virtue ethics · Aging and Gerontology Research · Empathy and Medical Education · Patient Dignity and Privacy

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