Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the structure and function of knowledge in medicine can lead to practical improvements in clinical medicine. This understanding requires some familiarity with epistemology, the study of knowledge and its structure, in medicine. Michael Polanyi's theory of tacit knowing (...) is advanced as the basis for developing a more accurate understanding of medical knowledge. Tacit knowing, which explores the taken-for-granted background knowledge that underlies all human knowing, is explained in detail with a focus on its relevance for clinical medicine. The implications of recognizing tacit knowing in medicine and medical decisions are discussed. These include the ability to explain the importance of the clinical encounter in medical practice, mechanisms for analysing patient and doctor as persons, and the need for humility given the uncertainty that the tacit dimension injects into all medical decisions. This more robust medical epistemology allows clinicians to better articulate the nature and importance of patient-centred care, to avoid pitfalls inherent in reductionist approaches to medical knowledge, and to think more clearly about the relationships between medicine and health care at the individual and population levels. (shrink)

The evidence-based medicine movement advocates basing all medical decisions on certain types of quantitative research data and has stimulated protracted controversy and debate since its inception. Evidence-based medicine presupposes an inaccurate and deficient view of medical knowledge. Michael Polanyi’s theory of tacit knowledge both explains this deficiency and suggests remedies for it. Polanyi shows how all explicit human knowledge depends on a wealth of tacit knowledge which accrues from experience and is essential for problem solving. Edmund Pellegrino’s classic treatment of (...) clinical judgment is examined, and a Polanyian critique of this position demonstrates that tacit knowledge is necessary for understanding how clinical judgment and medical decisions involve persons. An adequate medical epistemology requires much more qualitative research relevant to the clinical encounter and medical decision making than is currently being done. This research is necessary for preventing an uncritical application of evidence-based medicine by health care managers that erodes good clinical practice. Polanyi’s epistemology shows the need for this work and provides the structural core for building an adequate and robust medical epistemology that moves beyond evidence-based medicine. (shrink)

Harry Collins’ book Tacit and Explicit Knowledge seeks to clarify the concept of tacit knowledge made famous by Michael Polanyi. Collins’ tripartite taxonomy of tacit knowledge is explained using illustrative examples from clinical medicine. Collins focuses on distinguishing the kinds of tacit knowledge that can (in principle) be made wholly explicit from the kinds of tacit knowledge that are inescapably tacit. Polanyi’s writings, on the other hand, emphasize the process of tacit knowing. Collins’ investigation of tacit knowledge makes an important (...) scholarly contribution that is distinct from and complementary to investigations that focus on tacit knowing. (shrink)

In recent years, the opioid crisis in the United States has sparked significant discussion on doctor–patient interactions concerning chronic pain treatments, but little to no attention has been given to investigating the vocal aspects of patient talk. This exploratory sociolinguistic study intends to fill this knowledge gap by employing prosodic discourse analysis to examine context-specific linguistic features used by the interlocutors of two distinct medical interactions. We found that patients employed both low pitch and creak as linguistic resources when describing (...) chronic pain, narrating symptoms and requesting opioids. The situational use of both features informs us about the linguistic ways in which patients frame fraught issues like chronic pain in light of the current opioid crisis. This study expands the breadth of phonetic analysis within the domain of discourse analysis, serving to illuminate discussions surrounding the illocutionary role of the lower vocal tract in expressing emotions. (shrink)

With the help of American friends, he revised the book and published it anew six years later. The present volume is the third version of the biography, completed in 1908 but never published in Salt's lifetime.

A major contribution to Descartes studies, this book provides a panorama of cutting-edge scholarship ranging widely over Descartes's own primary concerns: metaphysics, physics, and its applications. It is at once a tool for scholars and--steering clear of technical Cartesian science--an accessible resource that will delight nonspecialists. The contributors include Edwin Curley, Willis Doney, Alan Gabbey, Daniel Garber, Marjorie Grene, Gary Hatfield, Marleen Rozemond, John Schuster, Dennis Sepper, Stephen Voss, Stephen Wagner, Margaret Welson, Jean Marie Beyssade, Michelle Beyssade, Michel Henry, (...) Evert van Leeuwen, Jean-Luc Marion, Genevieve Rodis-Lewis, and Jean-Pierre Seris. Combining new textual sensitivity with attentiveness to history, they represent the best established scholars and most exciting new voices, including both English speaking and newly-translated writers. Part I examines the foundations of Descartes's philosophy: Cartesian certainty; the phenomenology of the cogito and its modulations in the passions; and the defensibility and comprehensibility of the Cartesian God. The second part examines Descartes's groundbreaking metaphysics: mind's distinctness from and interaction with body; imagination; perception; and language. Part III examines Cartesian science: the revolutionary rhetoric of the Rules and the Discourse; the metaphysical foundations of physics; the interplay of rationalism and empiricism; the mechanics and human biology that flow from Descartes's physics. (shrink)

Epistemology and Inference was first published in 1983. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions. Henry Kyburg has developed an original and important perspective on probabilistic and statistical inference. Unlike much contemporary writing by philosophers on these topics, Kyburg's work is informed by issues that have arisen in statistical theory and practice as well as issues familiar to professional philosophers. In two (...) major books and many articles, Kyberg has elaborated his technical proposals and explained their ramifications for epistemology, decision-making, and scientific inquiry. In this collection of published and unpublished essays, Kyburg presents his novel ideas and their applications in a manner that makes them accessible to philosophers and provides specialists in probability and induction with a concise exposition of his system. (shrink)

This study traces the history of Newman’s personal papers that are archived at the Birmingham Oratory. Newman was the “master archivist” who spent considerable time during the last two decades of his life in assembling his papers. Subsequently, three major catalogues of Newman’s papers were prepared: the first began in 1920, under the supervision of Richard Garnett Bellasis and Henry Lewis Bellasis; a second catalogue was compiled in the mid-1950s by Yale University Library for microfilming Newman’s papers; the third (...) catalogue was compiled by Gerard Tracey in 1980. (shrink)

This essay, originally a presentation at the annual conference of the Newman Association of America at St. Anselm’s College, Manchester, New Hampshire, in 2011, argues that The Idea of a University reflects a notion of university education that was already present in all its essentials in Newman’s thought by 1830. Newman’s experience as an undergraduate, his early years as a Fellow of Oriel College and his correspondence with Edward Hawkins during the Tutorship dispute indicate that Newman’s ideas about university education (...) could only have originated in the Anglican Oxford of his time. (shrink)

hen the Right Honorable and Reverend Francis Henry, earl of Bridgewater, died in February, 1829, he left £8,000 to support a series of books "on the power, wisdom and goodness of God, as manifested in the creation." William Buckland, England's first official academic geologist and later dean of Westminster, was invited to compose one of the nine Bridgewater Treatises. In it he discussed the most pressing problem of natural theology: if God is benevolent and the creation displays his "power, (...) wisdom and goodness," then why are we surrounded with pain, suffering, and apparently senseless cruelty in the animal world? (shrink)

Can Newman be classified as an “historian”? On the one hand, Newman did not adhere to, indeed cared very little for, modern scientific methods of empirical research; he detested the cold, clinical nature of German intellectualism of the mid-ninetheenth century. On the other hand, Newman’s historical investigation relied upon conservative methods of historical research: the use of original sources and the rules of historical criticism; his techniques were self-taught, but they were adequate to meet the historical standards of his times. (...) Most importantly, Newman never conceived of himself purely and simply as an historian: he studied history in the service of religion and, for example, examined the fourth century in order to provide answers to the theological questions of the nineteenth. (shrink)

The term 'agnostic' was probably coined by T. H. Huxley during a speech to the Metaphysical Society in 1869. From the Greek 'agnostos', 'unknown', it was derived from St Paul's mention of an Athenian altar inscribed 'to the unknown god'. With these overtones of ancient philosophy, agnosticism became the tag of an emergent school of thought which posited that the existence of anything beyond the material and measurable should be considered unknowable. In this collection of seven essays, first published as (...) one volume in 1893, Leslie Stephen makes a study of the 'unknown'. Across the essays, he presents arguments for the intrinsic agnosticism of many of the basic tenets of deism, explores the way in which humans construct dreams and realities, and examines the relationship between physics and philosophy. This readable and entertaining book will be of interest to students of both theology and philosophy. (shrink)

Thomas Henry Huxley designated three men as the finest intellects of 19th century natural history: his dear friend Charles Darwin; his most worthy opponent Georges Cuvier; and Karl Ernst von Baer, who discovered the mammalian egg cell in 1827 and wrote the founding treatise of modern embryology in 1828. Of these three, posterity has largely forgotten von Baer, who suffered a severe mental breakdown in the 1830's, but then recovered and moved to Russia (not uncommon for a German-speaking Estonian (...) national), where he enjoyed a distinguished second university career, largely in anthropology and lasting well into the 1870's. (shrink)

The first two sections of this paper are devoted respectively to the criticisms of my views raised by Stephen Engstrom and Andrews Reath at a symposium on Kant's Theory of Freedom held in Washington D.C. on 28 December 1992 under the auspices of the North American Kant Society. The third section contains my response to the remarks of Marcia Baron at a second symposium in Chicago on 24 April 1993 at the APA Western Division meetings. The fourth section deals with (...) some general criticisms of my treatment of Kant's theory of freedom and its connection with transcendental idealism that have been raised by Karl Ameriks, who was also a participant in the second symposium, in an earlier piece published in Inquiry and by Paul Guyer in a review. The paper as a whole is thus an attempt to reformulate and clarify some of the central claims of my book in light of the initial critical reaction. (shrink)

The laser scanning confocal microscope (LSCM)LSCM: laser scanning confocal microscope; FISH: fluorescence in situ hybridisation; DiO6: 3,3′‐dihexyloxacarbocyanine iodide; NBD‐ceramide: 6‐((N‐(7‐nitrobenz‐2‐oxa‐1,3‐diazol‐4‐yl)amino)‐caproyl)sphingosine; DiO: 3,3′‐dioctadecyloxacarbocyanine perchlorate; DiI: 1,1′‐dioctadecyl‐3,3,3′,3′‐tetramethyl‐indocarbocyanine perchlorate; CCD: charge‐coupled device; DIC: differential interference contrast; FURA2: (‐(2‐(5‐carboxyoxazol‐2‐yl)‐6‐aminobenzofuran‐5‐oxy)‐2‐)2′‐amino‐5′‐methylphenoxy)‐ethane‐N,N,N′,N′‐ tetraacetic acid, sodium salt);BCECF: 2′,7′‐bis‐(carboxyethyl)‐5‐(and‐6‐)‐carboxyfluorescein;fluo‐3: 1‐(2‐amino‐5‐(2,7‐dichloro‐6‐hydroxy‐3‐oxo‐3H‐xanthen‐9‐yl)‐2‐(2′amino‐5′‐methylphenoxy)‐ethane‐N,N, N′,N′,‐tetraacetic acid, ammonium salt; DAPI: 4′,6‐diamidino‐2‐phenylindole, dihydrochloride; PET: positron emission tomogrophy; CT: computer‐assisted tomogrophy; CiD: cubitus interruptus dominus; MRC: Medical Research Council; TOTO‐1: benzothiazolium‐4‐quinolinium dimer; YOYO‐1: benzoxazolium‐4‐quinolinium dimer; ex.: excitation wavelength; em.: emission wavelength. is now established as an invaluable (...) tool in developmental biology for improved light microscope imaging of fluorescently labelled eggs, embryos and developing tissues. The universal application of the LSCM in biomedical research has stimulated improvements to the microscopes themselves and the synthesis of novel probes for imaging biological structures and physiological processes. Moreover the ability of the LSCM to produce an optical series in perfect register has made computer 3‐D reconstruction and analysis of light microscope images a practical option. (shrink)

For two and a half months in 1928, the Japanese philosopher Shûzô Kuki had weekly talks with a young French student of philosophy—Jean-Paul Sartre. In 1928, Kuki had just come to Paris after having studied with Heidegger and Husserl. Freshly ac­quainted with the new phenomenology, Kuki in­troduced Sartre to this emerging movement in philosophy. In a well-researched introductory essay, Stephen Light details the eight years Kuki spent in Europe in the 1920s, a period during which Kuki came to know Henri (...) Bergson, Heinrich Rickert, and Emile Brehier, as well as Husserl and Heidegger. Light includes translations of two of Kuki’s essays on time and often of his short essays on matters Japanese, culminating in the insightful “General Characteristics of French Philosophy.” None of the Kuki essays were previously available in English. The final section of the book is a facsimile of the never before published notebook Kuki used during his discussions with Sartre. (shrink)

The magnet served three interests of Restoration mechanical philosophers: it provided a model of cosmic forces, it suggested a solution to the problem of longitude determination, and evidence of its corpuscular mechanism would silence critics. An implicit condition of William Gilbert's ‘magnetic philosophy’ was the existence of a unique, immaterial magnetic virtue. Restoration mechanical philosophers, while claiming descent from their compatriot, worked successfully to disprove this, following an experimental regime of Henry Power. Magnetic philosophy lost its coherence and became (...) subsumed in the study of effluvia. This contradiction of a distinct, yet mechanical magnetic philosophy came to a head in 1684 in an argument between Robert Hooke and Martin Lister. An effluvial explanation of magnetism introduced great complexity to the North-seeking behaviour of compass needles, and undermined the already troubled longitude programme. Thus magnetic philosophy no longer furthered the interests which had maintained it, and it was abandoned. (shrink)

My objective is a better comprehension of two theoretically fundamental concepts. One, the concept of a substance in an ordinary (non-Aristotelian) sense, ranging over such things as salt, carbon, copper, iron, water, and methane – kinds of stuff that now count as (chemical) elements and compounds. The other I’ll call the object-concept in the abstract sense of Russell, Wittgenstein, and Frege in their logico-semantical enquiries. The material object-concept constitutes the heart of our received logico / ontic system, still massively (...) influenced by Aristotle after almost 2.5 millennia. On such an account, the fundamentality of material objects and their attributes are the metaphysical basis of the cosmos, as reflected in our received logic, Quine’s ‘canonical notation’ – derived via the empiricism of Russell from Frege’s function-based Begriffschrifft, and consisting of concrete singular terms and variables, quantifiers and predicate-expressions. The inadequacy of Frege’s approach to understanding concepts is reflected in his initial question. Frege enquires of ‘what it is that we are calling an object’, remarking that he regards a regular definition as impossible: “we have here something too simple to admit of logical analysis”. The imagined ultimacy or simplicity of the idea of a single object (arithmetically, just a unit – one as against two, three, four, etc.) as foundational to the calculus is just that – imagined. It is also guaranteed to block the comprehension of the substance-concept. (shrink)

Space warfare is warfare that takes place in outer space. It involves ground-to-space, space-to-ground, and space-to-space violence between nations or peoples. The violence can involve kinetic weapons, directed energy weapons, or electronic destruction. International law, specifically, the Outer Space Treaty and SALT I, currently bans weapons of mass destruction from being put into space, although one wonders if one country were to violate the ban whether others would follow suit. In this paper, I argue that that if there is (...) a non-consequentialist morality of space war, then one country can unjustly attack a second country’s space vehicles. This in turn depends on property rights. But there is no adequate theory of property rights with regard to space war. Hence, there is no non-consequentialist morality of a space war. (shrink)

Berkeley's immaterialism has more in common with views developed by Henry More, the mathematician Joseph Raphson, John Toland, and Jonathan Edwards than those of thinkers with whom he is commonly associated (e.g., Malebranche and Locke). The key for recognizing their similarities lies in appreciating how they understand St. Paul's remark that in God "we live and move and have our being" as an invitation to think to God as the space of discourse in which minds and ideas are identified. (...) This way of speaking about God, adapted by Karl Barth and Paul Tillich, opens up new ways to think about the relation between God and finite minds. (shrink)

Bergson, writing in 1896, anticipated “sensorimotor contingencies” under the concept that perception is “virtual action.” But to explain the external image, he embedded this concept in a holographic framework where time-motion is an indivisible and the relation of subject/object is in terms of time. The target article's account of qualitative visual experience falls short for lack of this larger framework. [Objects] send back, then, to my body, as would a mirror, their eventual influence; they take rank in an order corresponding (...) to the growing or decreasing powers of my body. The objects which surround my body reflect its possible action upon them. – Henri Bergson (1896/1912, pp. 6–7). (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 36.4 (2003) iv [Access article in PDF] Editors' Remarks I am pleased to announce that Gerard Hauser will assume the editorship of Philosophy and Rhetoric. Professor Hauser has been closely associated with the journal for decades, and I can think of no one better suited to realizing its distinctive mission. I wish to express my heartfelt gratitude to the many authors and reviewers who have contributed (...) to the achievement of this journal. Henry, be assured, would have been pleased. Stephen H. Browne * * *Assuming the editorship of Philosophy and Rhetoric is a joyous return to a prior calling. My association with the journal as its book review editor, as Donald Verene's associate editor, and as Henry Johnstone's co-editor marked active engagement in the first quarter-century of its contribution to the ancient dialogue reflected in its name. I am honored to have been asked to succeed Stephen Browne, who has provided a decade of leadership in sustaining the journal's high standards. As editor, my intention is to continue Philosophy and Rhetoric's tradition of advancing deep scholarship and new thought in the areas reflected in its statement of purpose. Gerard A. Hauser... (shrink)

This article presents evidence that an anonymous publication of 1573, aLetter sent by a gentleman of England [concerning …] the myraculous starre nowe shyning, was written by Thomas Digges, England's first Copernican. It tells the story of how it arose out of research commissioned by Elizabeth I's privy counsellors in response to the conventional argument of Jean Gosselin, librarian to Henri III of France, that the star was a comet which presaged wars. The text is significant because it seems to (...) contain the observations and opinions that Digges held before he completed his other astronomical treatise, the groundbreakingAlae seu scalae mathematicae. It also casts some light on the development of Digges's radical and puritan views about the star, Copernican astronomy, the infinity of the universe and a belief that the ‘latter days’ of the world had arrived. (shrink)

This slender and interesting volume by three Dutch philosophers examines the manner in which eight prominent philosophers dealt with ostensibly paranormal experiences arising both spontaneously and also as the result of hypnosis. Hans Gerding covers both Immanuel Kant and Arthur Schopenhauer; Rico Sneller discusses Friedrich Joseph Schelling, Hans Driesch, and Gabriel Marcel; and Hein van Dongen considers William James, Henri Bergson, and Jacques Derrida. My guess is that JSE readers might already know about Kant’s apparent ambivalence (or perhaps just change (...) of heart) about Swedenborg’s vision of a Stockholm fire (and his other reported experiences), as well as William James’s investigations of mental mediumship (Mrs. Piper in particular) and his experiments with altered states. Nevertheless, I expect they will find much that they didn’t already know in those chapters, as well as in the others of course. (shrink)

In his very rich and insightful book, Kant's Theory of Freedom, Henry Allison argues that in the first Critique Kant's reason for rejecting Humean compatibilism in favor of an incompatibilist conception of practical freedom stems, not from a specific concern to ground morality, as many have supposed, but from his general conception of rational agency, which Allison explicates in terms of the idea of practical spontaneity. Practically spontaneous rational agency is subject to imperatives and therefore distinct from Humean agency. (...) But it is not necessarily subject to the categorical imperative and hence is distinct from fully spontaneous (transcendentally free) moral agency. A conception thus emerges of an agent with limited spontaneity, subject to hypothetical but not categorical imperatives. A doubt may be raised, however, as to whether Kant's view can accommodate this conception of limited practical spontaneity. Reflection on Kant's notion of a hypothetical imperative suggests that the idea of limited spontaneity is in danger of either collapsing into the Humean picture or else turning out to be equivalent to the conception of full spontaneity appropriate to moral agency. There is thus reason to suppose that, for Kant, we would not be bound by imperatives at all if we were not bound by the categorical imperative. (shrink)

Legal philosophers and property scholars sometimes disagree over one or more of the following: the meaning of the word 'property,' the concept of property, and the nature of property. For much of the twentieth century, the work of W.N. Hohfeld and Tony Honoré represented a consensus around property. The consensus often went under the heading of property as bundle of rights, or more accurately as a set of normative relations between persons with respect to things. But by the mid-l 990s, (...) the consensus was under attack. Key figures in the attack were James Penner, a legal philosopher, and Thomas W. Merrill and Henry E. Smith, two highly regarded professors of property law. This article aims to repel the attack and argues for property as a set of normative relations between persons with respect to things. The positive case for this view of property pays special attention to the philosophy of language and the analysis of concepts. The positive case also maintains that the right to use and the power to transfer are as central to property as the right to exclude. It is possible that the virtues of Smith's modular theory of property differ from the virtues of a well-crafted bundle theory. Indeed, it may be the case that these two theories throw light on different features of property law and are not, save at the margin, competitors with each other. The label 'new essentialism' sometimes applied to the work of Penner, Merrill, and Smith seems inapt if property does not have an essence. Of course, they might refuse the label. (shrink)

Deleuze seeks to pry philosophy from the hands of those who would, grounding their judgments in a supposedly transcendent reality, distort or fail to recognize the true nature of things in the changing world. This task for a philosophy of the future, intended to project us beyond such moral categories as "good" and "evil" in favour of the alternative ethical categories, "good" and "bad", is to be achieved, Deleuze thinks, by overturning Platonism. Plato's doctrine of the forms is held by (...) Deleuze to be an example of the corruption of metaphysics by the will to judge, characteristic of Christian morality (whose origins in Platonic philosophy are undeniable). For Deleuze, the philosopher is primarily a producer of concepts, not an agent who generates through judgment. Chapter One sets the agenda for the thesis by opening questions about what is good for the human agent, specifically in terms of the relation between an agent and the products s/he might produce. A brief account is given of Deleuze's position on goodness, offered in the light of his criticisms of the Platonic tradition. Questions are raised about what measures Deleuze takes to avoid transcendence, and about what consequences might follow from this move. Chapter Two attempts to rescue Plato from some of Deleuze's more serious charges, and does so by considering Plato's concept of the Good in relation to his accounts of measure and of the chora, a concept of place. Contemporary Plato scholarship is used to show questionable presuppositions in Deleuze's account of Plato, for instance regarding the physics of the Platonic universe, the status of transcendence, and the nature of the eidos, or form. Chapter Three examines Deleuze's own metaphysics of Difference, Multiplicity and Event, in relation to traditional atomism, the philosophy of time (duration) of Henri Bergson, and certain alternative theories of event. The relation of event and action is explored in the context of naming and intention. Chapter Four presents Deleuze's theory of the Event as a theory of the Void, in relation to Deleuze's monism, and to time, goodness, and negativity. The relation between Deleuze's theory of the Event and his Ethics is further developed, in order to open questions about the motivation for and nature of action in Deleuzian philosophy. Chapter Five synthesizes the various themes, and contrasts Deleuze with Plato on the question of the good for the agent, love, and action, all in relation to Deleuze's Stoicism. (shrink)

The phenomenon of sacrifice was a major problem in nineteenth-century social thought about religion for a variety of reasons. These surfaced in a spectacular way in a German trial in which the most prominent Jewish philosopher of the century, the neo-Kantian Hermann Cohen, was asked to be an expert witness. The text he produced on the nature of Judaism was widely circulated and influential. It presents what can be taken as the neo-Kantian approach to understanding ritual. But it also reveals (...) the ways in which neo-Kantianism avoided becoming relativistic social science. In this case, it came to the edge and stopped. Cohen's account is compared to the similar, but ‘empirical’, account of the same material in Marcel Mauss and Henri Hubert, which completed the transition. (shrink)