Conceptual and Ethical Challenges of Evolutionary Medicine

Springer Nature Switzerland (2023)
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Abstract

This book analyses the concept of disease, as defined in the context of evolutionary medicine. Upon introducing the reader to evolutionary medicine in its current form and describing its approach to disease instances, the book leverages thoughts and instruments of knowledge of epistemology, social sciences, and ethics to answer the question: “How can we build a timely and appropriate concept of disease?” At first, it looks at the social concerns of medicalization, for example focusing on the suffering of people who have not been diagnosed, or whose suffering is not caused by certain elements that falls under the definitions of disease. In turn, it merges different, both conceptual and empirical considerations in one comprehensive analysis, with the aim of fostering a multidisciplinary understanding of the phenomenon of disease. This book also highlights certain kinds of epistemic injustices that are taking place in the healthcare system, as this is currently conceived in post-industrial societies, thus offering a timely contribution to the current debate around social justice in healthcare.

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Chapters

Conclusion

Although our health-related concepts such as disease are strongly value bearing and action guiding, we seem to direct these actions towards one singular direction in a very crude sense in general. This singular direction in the contemporary West is the direction of health care. Although what we hold... see more

Introduction

This book is about disease, but from a very specific perspective, namely that of evolutionary medicine. It explains evolutionary medicine in its current form, criticizes it, and tries to apply it not directly on disease instances or tokens of disease, but rather the concept of disease. Doing so, the... see more

The Concept of Disease in the Traditional Debates

In 1851, American physician Samuel A. Cartwright observed that the slaves were trying to escape captivity. Based on this observation, he tried to understand the reason why this was the case. Looking for causes of events from a biological and medical perspective of his day alone, the answer he found ... see more

Finding Value in Concepts

Scientists use some concepts that are socially and ethically highly relevant in their research and other kinds of scientific activities. Some of these concepts determine many things in the social domain. How these concepts are related to their practical activity, and what to make of their usage of c... see more

Meaning as Definition and Meaning as Use

In this chapter, my aim is to discuss meaning theories to introduce a more social understanding of thick concepts within the debate, providing a social aspect which can work with Elstein and Hurka’s (Can J Philos 39(4):515–535, 2009) three part model. My main aim is to focus on the socio-linguistic ... see more

Locating the Conceptual Change in Scientific Research

The debates around the conceptual change of scientific terms and concepts have traditionally held correspondence theory of truth as the main truth criterion. Be it Kuhnian “paradigms” (Kuhn, The structure of scientific revolutions. University of Chicago Press, 1962), and the proposed solution to thi... see more

New Developments in Evolutionary Theory and Evolutionary Medicine, New Frontiers for Evolutionary Medicine

The central idea of the chapter is, how new developments in evolutionary biology make us see inheritance in new ways, and these new ways create new possibilities to use them how to use them in medicine. The canonical understanding of evolutionary medicine as discussed so far, does two different thin... see more

Evolution and Evolutionary Medicine in Disease

Evolution has a very strict definition and is very central to evolutionary biology itself when the canonized evolutionary understandings of population genetics is at work, which is as strict as “any change in the frequency of alleles within a population from one generation to the next” (Millstein an... see more

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Ozan Altinok
Universität Hannover

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