German constitutional doctrine in the 1920s and 1930s and pitfalls of the contemporary conception of normality in biology and medicine [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 10 (4):339-368 (1985)
From the end of the First World War, a broad discussion took place within the framework of the revived German constitutional teaching on the question of the physical normality of man. The founder of the so-called statistical concept of normality, which preceded the still widespread normal (reference) interval concept, is H. Rautmann, who gave it the character of a tool for discriminating between health and disease. Among some of his successors (Bauer, Borchardt, Günther), however, it was considered more a means of establishing a type, without supposing any precise relation between the frequency of a character in the population and the probability of the occurrence of disease. The concept of a statistical norm as a certain region of the variation range of a character determined by the parameters of Gaussian distribution was criticized both by the supporters of the ideal norm (Hildebrandt) and those who were in favour of a ‘personal’ norm (Grote). The underlying motifs of these three conceptions of normality influenced German constitutional doctrine until after the end of the Second World War, but without a satisfactory solution to the diagnosis of physical normality being found. Since the 1950s, world medicine has moved more and more in the direction of prevention, with the emphasis on a study of individual dispositions to disease and its precursors. In this connection a new view of health has gained importance whereby it is considered a smoothly gradated condition, not sharply distinguished from disease (‘continual’ model of health and disease as opposed to the previous ‘alternative’ model). The purpose of diagnostic characters is no longer merely to place patients in clearly defined categories as healthy or affected by one disease or another, but has taken on the function of indices of the disposition to disease among those who exhibit ‘gross normality’. Discrimination between the alternative and continuous models allows a clarification to be made of the sources of the confusion in which the pre-war concept of statistical normality had found itself. Today many exceptions are known to the rule that the functional optimum lies in the region of the population mean, both for the population as a whole and for individuals; and immense variability has been found in the manner in which individuals in the population attain health. Thus a distinction between health and disease by statistical means alone (such as establishing some sort of species design) is not possible at all. The ideal of a personal norm is pursued today through the concept of a multivariate norm backed up by modern data processing methods, though it was anticipated in principle by Kaup even in the 1920s. CiteULike Connotea Del.icio.us What's this?
|Keywords||No keywords specified (fix it)|
|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
R. Amundson (2000). Against Normal Function. Studies in History and Philosophy of Science Part C 31 (1):33-53.
Similar books and articles
Jozsef Kovács (1989). Concepts of Health and Disease. Journal of Medicine and Philosophy 14 (3):261-267.
Robert Wachbroit (1994). Normality as a Biological Concept. Philosophy of Science 61 (4):579-591.
Kristin Zeiler (2007). Gyneacologists and Geneticists as Storytellers : Disease, Choice, and Normality as the Fabric of Narratives on Pre-Implantation Genetic Diagnosis. In Sonja Olin-Lauritzen & Lars-Christer Hydén (eds.), Medical Technologies and the Life World: The Social Construction of Normality. Routledge
Dr Steven James Bartlett, Questioning the Standard of Normality: Steps to a More Effective Understanding of Mental Health.
Maurilio Lovatti (2001). Pathology and Normality From XIX Century Positivism to the Contemporary Philosophy of Science: An Analysis of the Concept of Disease. Dissertation, Nettuno (Roma) Scuola Internazionale di Filosofia Della Biologia
Thomas Schramme (2007). The Significance of the Concept of Disease for Justice in Health Care. Theoretical Medicine and Bioethics 28 (2):121-135.
Germund Hesslow (1993). Do We Need a Concept of Disease? Theoretical Medicine and Bioethics 14 (1).
Anne Gammelgaard (2000). Evolutionary Biology and the Concept of Disease. Medicine, Health Care and Philosophy 3 (2):109-116.
Christopher Boorse (1977). Health as a Theoretical Concept. Philosophy of Science 44 (4):542-573.
Added to index2010-08-16
Total downloads8 ( #276,630 of 1,726,000 )
Recent downloads (6 months)3 ( #231,316 of 1,726,000 )
How can I increase my downloads?