There seem to be some misunderstandings abroad in the literature about medical epistemology and person-centered medicine concerning the nature of 'modest' or aetiological foundationalism, and some vagueness about 'emergence'. This paper urges a greater tolerance for a modest, Humean variety of foundationalism, not least because it seems to offer significant support for person-centred medicine. It also suggests a closer examination of emergence as an explanation or justification for medicine, since emergence is a complex concept that does nothing to rule out (...) foundationalism. Foundationalism has been condemned tout court without recognizing that it comes in various styles and degrees. Emergence has been used as a property of medicine to dismiss any need to seek its foundations. But emergence too comes in different forms, not all of them at odds with modest foundationalism. Modest or aetiological foundationalism is far more flexible than Cartesian foundationalism, and is compatible with modern understandings of emergence. Modest foundationalism and a particular understanding of emergence support the ontological and epistemological underpinning of person-centered medicine. (shrink)

Dans cet article, nous nous proposons de mettre en évidence deux stratégies émergentistes possibles qui constituent une médiation intéressante entre les extrêmes classiques que sont le physicalisme réductionniste et le dualisme des substances. En distinguant trois niveaux de tension possibles entre monisme et dualisme — le niveau des substances, le niveau des propriétés causales et celui des prédicats — nous sommes amené à formuler deux positions philosophiques associées à deux concepts d’émergence distincts : l’émergence représentationnelle et l’émergence causale. Ces deux (...) concepts s’avèrent fidèles aux intuitions des premiers émergentistes véhiculées au travers de l’étymologie même du concept d’émergence, et permettent une interprétation non triviale de la maxime classique : « Le tout est plus que la somme des parties. »I emphasize in this paper two possible emergentist strategies that constitute interesting middle grounds between classical views that are reductive physicalism and substance dualism. By distinguishing three levels of tension between monism and dualism — the levels of substance, causal properties and predicates — one is allowed to formulate two philosophical views that may be associated with two distinct concepts of emergence : representational emergence and causal emergence. Both concepts are faithful to the intuitions of early emergentists that are conveyed in the very etymology of the concept of emergence, and they allow a non-trivial reading of the classical maxim : “the whole is more than the sum of the parts”. (shrink)