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By Imre Lakatos, John Worrall, Gregory Currie

Imre Lakatos' philosophical and clinical papers are released the following in volumes. quantity I brings jointly his very influential yet scattered papers at the philosophy of the actual sciences, and contains one vital unpublished essay at the influence of Newton's medical fulfillment. quantity II offers his paintings at the philosophy of arithmetic (much of it unpublished), including a few serious essays on modern philosophers of technological know-how and a few well-known polemical writings on political and academic matters. Imre Lakatos had a power out of all share to the size of his philosophical profession. This assortment indicates and confirms the originality, diversity and the basic team spirit of his paintings. It demonstrates too the strength and spirit he dropped at each factor with which he engaged, from his such a lot summary mathematical paintings to his passionate 'Letter to the director of the LSE'. Lakatos' principles at the moment are the focal point of common and lengthening curiosity, and those volumes may still make attainable for the 1st time their research as an entire and their right evaluation.

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The sick person, of course, may The Sick Role and the Role of the Physician Reconsidered 25 himself be a physician, but in his role as a patient he stands, relative to non-sick physicians, very much as do patients who medically speaking are lay people. The most general basis of that superiority of health agency personnel generally, and physicians in particular, seems to me to rest in their having been endowed with special responsibilities for the health of persons defined as ill or as suffering threats to their future health who have come under their jurisdiction, that is, who have become in some sense patients of the individual physician or of the health care organization in which he performs a role.

It may not, however, be confined to this passive level. In many different degrees and respects, patients are asked to, and they often do, take the initiative in assuming the responsibility for a more active role in the care of their own health. The case of diabetics, cited above, is very much to the point. It should not be forgotten that other known sick people, who medically speaking are lay people, may often be involved as well. A striking case is that of family members, particularly a spouse, in the case of the very demanding techniques of home dialysis for patients with severe cases of renal failure.

G. ), Experimentation with Human Subjects (New York: Braziller, 1970), pp. 178-196. 38 SOCIOLOGY OF HEALTH AND ILLNESS seek "remedy" in the courts and thereby hold accountable those who have injured or might injure his interests. Both these modes of control have serious limitations for many classes of cases, but they are, nevertheless, of great importance in establishing a broad framework within which expectations of accountability are established. Thus, the importance of the adjudicatory system is by no means confined to the cases in which formal court decisions are made, since anticipation of such decisions serves as an exceedingly important guide to action.

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