Hempelian and Kuhnian approaches in the philosophy of medicine: The semmelweis case

Abstract
Semmelweis’s investigations of puerperal fever are some of the most interesting in the history of medicine. This paper considers Hempel’s analysis of the Semmelweis case. It argues that this analysis is inadequate and needs to be supplemented by some Kuhnian ideas. Kuhn’s notion of paradigm needs to be modified to apply to medicine in order to take account of the classification schemes involved in medical theorising. However with a suitable modification it provides an explanation of Semmelweis’s failure which is argued to be superior to some of the external reasons often given. Despite this success in applying Kuhn’s ideas to medicine, it is argued that these ideas must be further modified to take account of the fact that medicine is not a natural science but primarily a practice designed to prevent and cure diseases
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DOI 10.1016/j.shpsc.2004.12.003
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Interpreting Causality in the Health Sciences.Federica Russo & Jon Williamson - 2007 - International Studies in the Philosophy of Science 21 (2):157 – 170.
The Risk GP Model: The Standard Model of Prediction in Medicine.Jonathan Fuller & Luis J. Flores - 2015 - Studies in History and Philosophy of Science Part C 54:49-61.
Causal Inference, Mechanisms, and the Semmelweis Case.Raphael Scholl - 2013 - Studies in History and Philosophy of Science Part A 44 (1):66-76.
Eliminative Abduction: Examples From Medicine.Alexander Bird - 2010 - Studies in History and Philosophy of Science Part A 41 (4):345-352.

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