Reframing the Disease Debate and Defending the Biostatistical Theory

Journal of Medicine and Philosophy 39 (6):572-589 (2014)
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Abstract

Similarly to other accounts of disease, Christopher Boorse’s Biostatistical Theory (BST) is generally presented and considered as conceptual analysis, that is, as making claims about the meaning of currently used concepts. But conceptual analysis has been convincingly critiqued as relying on problematic assumptions about the existence, meaning, and use of concepts. Because of these problems, accounts of disease and health should be evaluated not as claims about current meaning, I argue, but instead as proposals about how to define and use these terms in the future, a methodology suggested by Quine and Carnap. I begin this article by describing problems with conceptual analysis and advantages of “philosophical explication,” my favored approach. I then describe two attacks on the BST that also question the entire project of defining “disease.” Finally, I defend the BST as a philosophical explication by showing how it could define useful terms for medical science and ethics

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Peter H. Schwartz
Indiana University Purdue University, Indianapolis

Citations of this work

Evolution, Dysfunction, and Disease: A Reappraisal.Paul E. Griffiths & John Matthewson - 2018 - British Journal for the Philosophy of Science 69 (2):301-327.
Philosophy of Psychiatry.Jonathan Y. Tsou - 2021 - Cambridge: Cambridge University Press.
Progress in Defining Disease: Improved Approaches and Increased Impact.Peter H. Schwartz - 2017 - Journal of Medicine and Philosophy 42 (4):485-502.

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References found in this work

Philosophical Investigations.Ludwig Josef Johann Wittgenstein - 1953 - New York, NY, USA: Wiley-Blackwell.
Word and Object.Willard Van Orman Quine - 1960 - Cambridge, MA, USA: MIT Press.
Logical Foundations of Probability.Rudolf Carnap - 1950 - Chicago, IL, USA: Chicago University of Chicago Press.
Justice as Fairness: A Restatement.John Rawls (ed.) - 2001 - Harvard University Press.

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