Defining dysfunction: Natural selection, design, and drawing a line

Philosophy of Science 74 (3):364-385 (2007)
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Abstract

Accounts of the concepts of function and dysfunction have not adequately explained what factors determine the line between low‐normal function and dysfunction. I call the challenge of doing so the line‐drawing problem. Previous approaches emphasize facts involving the action of natural selection (Wakefield 1992a, 1999a, 1999b) or the statistical distribution of levels of functioning in the current population (Boorse 1977, 1997). I point out limitations of these two approaches and present a solution to the line‐drawing problem that builds on the second one.

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Peter H. Schwartz
Indiana University Purdue University, Indianapolis

Citations of this work

Biological normativity: a new hope for naturalism?Walter Veit - 2021 - Medicine, Health Care and Philosophy 24 (2):291-301.
Medical Nihilism.Jacob Stegenga - 2018 - Oxford, United Kingdom: Oxford University Press.
A Second Rebuttal On Health.Christopher Boorse - 2014 - Journal of Medicine and Philosophy 39 (6):683-724.
Evolution, Dysfunction, and Disease: A Reappraisal.Paul E. Griffiths & John Matthewson - 2018 - British Journal for the Philosophy of Science 69 (2):301-327.

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References found in this work

Functional analysis.Robert E. Cummins - 1975 - Journal of Philosophy 72 (November):741-64.
Health as a theoretical concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.
Just Health Care.Norman Daniels - 1985 - New York: Cambridge University Press.
In defense of proper functions.Ruth Millikan - 1989 - Philosophy of Science 56 (June):288-302.

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