I describe the key features of pure process realism-realism about the processes that are identified by experimental dynamics structured by scientific models-showing that the view meets criteria for scientific realism. I argue that process realism resolves many of the worries of the antirealist, including the problems of idealization, underdetermination, contextuality, multiplicity, and the pessimistic meta-induction. I show this resolution in the context of a contentious model from physics: the Bohr model of the atom. I then generalize from this discussion to (...) a collection of upshots and constraints on process realism as a view, in order to further distinguish it from orthodox, substance-paradigmatic- or thing-realism. Therefore, pure process realism is shown to be a form of realism compatible with empiricism. (shrink)

Microbiome research shows that human health is foundationally intertwined with the ecology of microbial communities living on and in our bodies. This challenges the categorical separation of organisms from environments that has been central to biomedicine, and questions the boundaries between them. Biomedicine is left with an empirical problem: how to understand causal pathways between host health, microbiota and environment? We propose a conceptual tool – environmentality – to think through this problem. Environmentality is the state or quality of being (...) an environment for something else in a particular context: a fully perspectival proposition. Its power lies partly in what Isabelle Stengers has called the efficacy of the word itself, contrasting the dominant sense of the word environment as something both external and fixed. Through three case studies, we argue that environmentality can help think about the causality of microbiota vis-a-vis host health in a processual, relational and situated manner, across scales and temporalities. We situate this intervention within historical trajectories of thought in biomedicine, focusing on the challenge microbiome research poses to an aperspectival body. We argue that addressing entanglements between microbial and human lives requires that the environment is brought into the clinic, thus shortening the conceptual gap between medicine and public health. (shrink)