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Shared decision-making and argumentation

delete2025-12-04
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PRE
AI
R
Roosmaryn Pilgram *
DOI:10.1075/jaic.25025.pildelete
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Abstract

Abstract

En 中文
Shared decision-making has become the ideal for medical decision-making. Given the pivotal role of argumentation within this process, shared decision-making has increasingly been examined through the lens of argumentation theory, particularly pragma-dialectics. This perspective paper outlines the pragma-dialectical contributions to the analysis of shared decision-making and explores the potential of this theory for addressing current and future challenges in medical decision-making. It aims to show that normative argumentation approaches, particularly the pragma-dialectical approach, are crucial for understanding and possibly improving shared decision-making. First, the paper discusses the alignment between shared decision-making and the ideal of a critical discussion, barriers to shared decision-making as violations of discussion rules and higher-order conditions, and the application of the pragma-dialectical approach to complex decision-making scenarios involving patient companions. Second, it considers how the pragma-dialectical approach may be used to confront the emerging issues of medical misinformation and artificial intelligence in medical decision-making.
Keywords:
shared decision-making
pragma-dialectics
medical argumentation

Journal

J
Journal of Argumentation in Context
IF:
0.2
Papers:
10
Citations:
0

Organization

L
leiden university - excl lumc
Scholars:
3.5W
Papers: 2.9W
Citations: 46