David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 19 (6):591-607 (1998)
The challenges posed by chronic illness have pointed out to epidemiologists the multifactorial complex nature of disease causality. This notion has been referred to as a web of causality. This web extends theoretically beyond risk markers. It includes determinants of emergence/non-emergence of disease. This web of determinants is a form of complex system. Due to its complexity, the determinants within such system are not linked to each others in a linear, predictable manner only. Predictability is possible only on a short-term basis, and unpredictability sets in over the long run. Understanding such a system of determinants calls for articulation and testing of complex models which synthesize our knowledge of multiple determinants at many scales, both biological and otherwise. Given the complexity of this web and existing knowledge about the nonlinearity of such systems, the following question is posed: Can the challenge of studying causality be adequately addressed if emphasis continues to be placed on using tools and methods that are geared towards looking at such system from a linear paradigm? Or is it time to add to the epidemiologic research agenda the notion of nonlinearity and its relevant form of analytical approaches that are being tested in other disciplines? Furthermore, the question posed here applies as well to the study of determinants of health. Addressing determinants of heath adds further complexity to our task.
|Keywords||complexity nonlinear dynamics chaos epidemiology causality paradigm|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Marianne Boenink (2009). Tensions and Opportunities in Convergence: Shifting Concepts of Disease in Emerging Molecular Medicine. [REVIEW] NanoEthics 3 (3):243-255.
Similar books and articles
Ronald Aaron Thisted (2003). Are There Social Determinants of Health and Disease? Perspectives in Biology and Medicine 46 (3x):S65-S73.
Wilson James (2009). Not So Special After All? Daniels and the Social Determinants of Health. Journal of Medical Ethics 35:3 - 6..
Carlos Maldonado, The Study of Complex Systems and the Question Concerning the Philosophy of Knowledge.
John Bickle (2001). Understanding Neural Complexity: A Role for Reduction. [REVIEW] Minds and Machines 11 (4):467-481.
Lindsay F. Wiley (2010). Mitigation/Adaptation and Health: Health Policymaking in the Global Response to Climate Change and Implications for Other Upstream Determinants. Journal of Law, Medicine and Ethics 38 (3):629-639.
Daniel S. Goldberg (2009). In Support of a Broad Model of Public Health: Disparities, Social Epidemiology and Public Health Causation. Public Health Ethics 2 (1):70-83.
Sridhar Venkatapuram & Michael Marmot (2009). Epidemiology and Social Justice in Light of Social Determinants of Health Research. Bioethics 23 (2):79-89.
Sridhar Venkatapuram (2009). A Bird's Eye View. Two Topics at the Intersection of Social Determinants of Health and Social Justice Philosophy. Public Health Ethics 2 (3):224-234.
Added to index2009-01-28
Total downloads13 ( #120,568 of 1,101,182 )
Recent downloads (6 months)6 ( #44,374 of 1,101,182 )
How can I increase my downloads?