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When I use a word . . . . Medical counterfactuals
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When I use a word . . . . Medical counterfactuals
When I use a word . . . . Medical counterfactuals
Journal Article

When I use a word . . . . Medical counterfactuals

2022
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Overview
A counterfactual statement or narrative, originally a philosophical concept, expresses an assessment of what might have happened if certain unfulfilled conditions had actually occurred. “If this happened [instead of what actually happened] that would have occurred as a result [instead of what actually occurred].” In this statement, the protasis [“If this happened”] is false and the apodosis [“that would have occurred …”] is therefore indeterminable. The use of counterfactual ideas is a popular device in fiction, and there are many examples. However, some regard counterfactual speculation as more than just an entertaining game, considering it also a mode of historical analysis, which might, for example, promote reflection on past actions, suggest possible causes of outcomes, and lead to different actions in the future, or lead to the repetition of previously successful strategies, avoiding other possibilities. In medical practice counterfactual considerations are relevant to the testing of hypotheses, the conduct of clinical trials, and the use of the Precautionary Principle when contemplating preventive or therapeutic interventions.
Publisher
British Medical Journal Publishing Group,BMJ Publishing Group LTD