It is fundamental assumption in nursing theory that it is important for nurses to understand how patients experience states of ill health. This assumption is often related to aims of empathic understanding, but normative principles of social interpretation can have an important action‐guiding role whenever nurses seek to understand patients’ subjective horizons on the basis of active or passive expressions of meaning. The aim of this article is to present a philosophical theory of concept possession and to argue that it (...) can shed light on how nurses should seek to understand patients’ subjective perspectives on the meaning of illness. The two basic ideas in the theory are that patients’ beliefs and thoughts about their experiences involve concepts and that concepts can be communicated on the basis of shared implicit conceptions of what they mean. These conditions of understanding have a striking application: nurse‐patient communication is limited by many contextual factors, but it is often possible for nurses to detect shared implicit conceptions of the meaning of concepts of disease and illness. Furthermore, by acting as sympathetic linguistic experts and creating an atmosphere for dialogue, nurses can make patients feel comfortable about deferring to medical explanations of meaning that can constitute a communicative platform. The last part of the article uses a number of cases studies to show how these implications can be implemented as conceptual tools for securing meaningful communication about illness experiences in patient dialogue. (shrink)

Tyler Burge has in many writings distinguished between mental content externalism based on incorrect understanding and mental content externalism based on partial but not incorrect understanding. Both and have far-reaching implications for analyses of communication and concept possession in various expert-layperson relations, but Burge and his critics have mainly focused on . This article first argues that escapes the most influential objection to . I then raise an objection against Burge’s argument for . The objection focuses on Burge’s claim that (...) a person with a partial understanding of a term in our community expresses our standard concept because he is willing to defer to our standard understanding, while his “Putnamian” twin in a counterfactual community does not. The problem with Burge’s argument for this claim is that he does not consider the possibility that the person in our community and the twin would defer to the same understanding if they were presented with the same alternatives. Drawing from widespread dispositional assumptions about meaning, I argue that Burge must accept that they express the same concept if they would defer to the same understanding. The article closes with an examination on various ways the externalist may attempt to avoid this problem and concludes that none of them succeeds. (shrink)

Tyler Burge has argued that an incorrect understanding of a word can be sufficient for possessing the concept the word literally expresses. His well-known 'arthritis' case involves a patient who understands 'arthritis' incorrectly, but who nevertheless, according to Burge, possesses the concept arthritis. Critics of Burge have objected that there is an alternative concept that best matches the patient's understanding and that this, therefore, is the patient's concept. The paper first argues that Burge's response to this objection is unconvincing. A (...) better response is then developed. It is argued that there is no alternative concept that matches the incorrect understanding, since the patient thinks he has a partial understanding. This, together with points about ordinary psychological explanation and modes of presentations of concepts, establish that it is impossible to undermine Burge's social externalism by appealing to the idea that an alternative concept matches the incorrect understanding. (shrink)

First, I argue that the narrow content of a thought cannot be identical with the linguistic meaning of the sentence used to express it. Secondly, I argue that the distinction between narrow content and linguistic meaning is not fatal to content-dualism. Thirdly I argue for the view that the proposition contributed by the clause prefixed by "that" is an interpretation of the believer's thought. Finally, I use this insight to provide an individualist account of Burge's thought-experiments such that recognition that (...) the truth-conditions of belief-ascriptions include aspects of the believer's environment does not entail that those environmental aspects are thereby parts of the contents of the person's thoughts. (shrink)

In recent philosophy of mind a non-holistic view on concept possession, originally developed by Tyler Burge, has emerged as an alternative to holistic analyses of language mastery. The article discusses the implications of this view for analyses of communication in doctor—patient-interaction. The central question Burge's theory gives an answer to is this: to what extent must a doctor and a patient understand a medical term in the same way in order to communicate in the sense that they express the same (...) concept by the term? Many empirical studies have shown that patients do not, typically, understand medical terms in the same way as doctors they encounter. Holistic approaches therefore imply that doctors and patients seldom communicate. Burge's position, on the other hand, implies that it is sufficient that patients have a minimal understanding. In an important range of cases doctors can make sure that patients have a minimal understanding by being explicit about common dictionary definitions of the terms in question. (shrink)