A Comparative Perspective on Legal and Clinical Reasonings
Journal cover Comparative Legilinguistics, volume 62, year 2025
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Keywords

legal reasoning
clinical reasoning
comparative analysis
cultural translation

How to Cite

Senechal, C. (2025). A Comparative Perspective on Legal and Clinical Reasonings . Comparative Legilinguistics, 62, 101–122. https://doi.org/10.14746/cl.2025.62.1

Abstract

The increasing encounters of clinical science and the rule of law in and outside the courtrooms is one distinctive characteristic of our modern era. At first glance, legal analysis and clinical reasoning could be either completely different or substantially similar. Should we consider the issue through the lens of our scientific revolution legacy, a common rational framework would be a defining converging point drawing together a step-by-step analysis from proven or known facts to the applicable standards, whether it be of law or medicine. However, key differences cannot be overlooked between two disciplines which purport to answer different sets of “what is” vs “should be” questions. This text provides an in-depth comparative analysis of the premises and processes underlying both the legal and clinical reasonings. It highlights cultural differences between the two disciplines which extend beyond the need to translate between two distinct languages, that of law and of medicine. Rather, it can be fairly stated that a court trial involving medical expertise should be ordering a fair and structured translating process between legal and medical cultures.

https://doi.org/10.14746/cl.2025.62.1
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References

Andreoletti, M., Berchialla, P., Boniolo, G., & Chiffi, D. (2019). Introduction: Foundations of clinical reasoning – An epistemological stance. Topoi, 38, 389–394. DOI: https://doi.org/10.1007/s11245-018-9619-4

Banks, C. P. (1999). Reversals of precedent and judicial policy-making: How judicial conceptions of stare decisis in the U.S. Supreme Court influence social change. Akron Law Review, 32(2), Article 1.

Beaulac, S., & Côté, P.-A. (2006). Driedger’s “Modern Principle” at the Supreme Court of Canada: Interpretation, justification, legitimization. Revue juridique Thémis, 40, 131–172.

Brignardello-Petersen, R., Carrasco-Labra, A., & Guyatt, G.H. (2021). How to interpret and use a clinical practice guideline or recommendation. Users’ guides to the medical literature. JAMA, 326(15), 1516–1523. DOI: https://doi.org/10.1001/jama.2021.15319

Canela, C., Buadze, A., Dube, A., Jackowski, C., Pude, I., Nellen, R., Signorini, P., & Liebrenz, M. (2019). How do legal experts cope with medical reports and forensic evidence? The experiences, perceptions, and narratives of Swiss judges and other legal experts. Frontiers in Psychology, 10, Article 18. DOI: https://doi.org/10.3389/fpsyt.2019.00018

Chakraborty, S., Brijnath, B., Dermentzis, J., & Mazza, D. (2020). Defining key questions for clinical practice guidelines: A novel approach for developing clinically relevant questions. Health Research Policy & Systems, 18(1), Article 113. DOI: https://doi.org/10.1186/s12961-020-00628-3

Custers, E. J. F. M. (2018). Training clinical reasoning: Historical and theoretical background. In O. T. Cate, E. J. F. M. Custers, & S. J. Durning (Eds.), Principles and practice of case-based clinical reasoning education: A method for preclinical students (pp. 21–33). Springer. DOI: https://doi.org/10.1007/978-3-319-64828-6_2

Faigman, D. L. (1999). Legal alchemy: The use and misuse of science in the law. Times Books.

Freckelton, I., & Mendelson, D. (2017). Causation in law and medicine. Routledge. DOI: https://doi.org/10.4324/9781315260761

Gerdy K. B. (2013). The heart of lawyering: Clients, empathy and compassion. In J. H. Wise, S. W. Cameron, & G. L. Fletcher (Eds.), Life in the Law (Vol. 3: Religious conviction, pp. 189–202). Brigham Young University Press, J. Reuben Clark Law Society at Brigham Young University.

Higgs J., Burn, A., & Jones, M. (2001). Integrating clinical reasoning and evidence-based practice. AACN Clin Issues, 12(4), 482–490. DOI: https://doi.org/10.1097/00044067-200111000-00005

Iacobucci, F., & Hamilton, G. (2010). The Goudge inquiry and the role of medical expert witnesses. Canadian Medical Association Journal, 182(1), 53–56. DOI: https://doi.org/10.1503/cmaj.090833

Katan, D. (2020). Cultural approaches to translation. In C. A. Chapelle (Ed.), The Encyclopedia of Applied Linguistics. John Wiley & Sons. DOI: https://doi.org/10.1002/9781405198431.wbeal0293.pub2

Kleisiaris, C. F., Sfakianakis, C., & Papathanasiou, I. V. (2014). Health care practices in ancient Greece: The Hippocratic ideal. J. Med Ethics Hist Med, 7(6).

Lodge, G. C. (1974). Decision making and problem solving. Business and the changing society. Harvard Business Review. https://hbr.org/1974/03/business-and-the-changing-society

Masic, I., Miokovic, M., & Muhamedagic, B. (2008). Evidence based medicine - New approaches and challenges. Acta Inform Med, 16(4), 219–225. DOI: https://doi.org/10.5455/aim.2008.16.219-225

Panda S.C. (2006). Medicine: Science or art? Mens Sana Monogr, 4(1), 127–138. DOI: https://doi.org/10.4103/0973-1229.27610

Popper, K. (1935). The Logic of Scientific Discovery. Routledge.

Risager, K. (2012). Culture and context: Overview. In C. A. Chapelle (Ed.), The Encyclopedia of Applied Linguistics. John Wiley & Sons. DOI: https://doi.org/10.1002/9781405198431.wbeal1346

Rosoff, A. J. (2001). Evidence-based medicine and the law: The courts confront clinical practice guidelines. Journal of Health Politics, Policy & Law, 26(2), 327–368. DOI: https://doi.org/10.1215/03616878-26-2-327

Sallam, H.N. (2010). Aristotle, godfather of evidence-based medicine. Facts Views Vis Obgyn, 2(1), 11–19.

Skolnik, T. (2019). Causation, fault, and fairness in the criminal law. McGill LJ, 65(1), 1–28. DOI: https://doi.org/10.7202/1074416ar

Sniderman, A. D., LaChapelle, K. J., Rachon, N. A., & Furberg, C. D. (2013). The necessity for clinical reasoning in the era of evidence-based medicine. Mayo Clin Proc, 88(10), 1108–1114. DOI: https://doi.org/10.1016/j.mayocp.2013.07.012

Sullivan, R. (2003). Statutory interpretation in a new nutshell. Canadian Bar Review, 82(1), 51–82.

Valderas, J. M., Starfield, B., Sibbald, B., Salisbury, C., & Roland, M. (2009). Defining comorbidity: Implications for understanding health and health services. Ann Fam Med, 7(4), 357–363. DOI: https://doi.org/10.1370/afm.983

Woolley, S. R. (2016). Neutrality of therapist in couple and family therapy. In J. Lebow, A. Chambers, & D. Breunlin (Eds.), Encyclopedia of Couple and Family Therapy (pp. 1-3). Cham: Springer. DOI: https://doi.org/10.1007/978-3-319-15877-8_541-1

Yan, C., & Huang, J. (2014). The culture turn in translation studies. Open Journal of Modern Linguistics, 4, 487–494. DOI: https://doi.org/10.4236/ojml.2014.44041