This combination textbook and anthology provides coverage of the fundamental topics in current medical ethics adn familiarizes the reader with the basic moreal and social issues confronting the medical profession today.

My thesis is that, although medicine is scientific, it is not and can not become a science. After rejecting as flawed an argument attempting to show that medicine is already a science, I argue that a comparison of such basic, defining features as internal aims, criteria of success, and principles regulating the enterprises demonstrate that medicine and science are inherently different. I then argue that while it may be possible to reduce the cognitive content of medicine to biology, medicine itself (...) cannot be reduced, for as an enterprise it possesses features that make it an inappropriate subject of reduction. I conclude by indicating four results that emerge from recognizing that medicine and science are basically distinct. CiteULike Connotea Del.icio.us What's this? (shrink)

(This insularity was further promoted by the guileless duplicity of scholars in other fields, who were all too prepared to bequeath "the problem of ...

The prescriptive force of methodological rules rests, I argue, on the acceptance of scientific theories; that of the most general methodological rules rests on theories in the philosophy of science, which differ from theories in the several sciences only in generality and abstraction. I illustrate these claims by reference to methodological disputes in social science and among philosophers of science. My conclusions substantiate those of Laudan except that I argue for the existence of transtheoretical goals common to all scientists and (...) concrete enough actually to have bearing on methodology. And I argue that Laudan is committed to such goals himself, willy nilly. (shrink)

This essay contains a partial exploration of some key concepts associated with the epistemology of realist philosophies of science. It shows that neither reference nor approximate truth will do the explanatory jobs that realists expect of them. Equally, several widely-held realist theses about the nature of inter-theoretic relations and scientific progress are scrutinized and found wanting. Finally, it is argued that the history of science, far from confirming scientific realism, decisively confutes several extant versions of avowedly 'naturalistic' forms of scientific (...) realism. (shrink)

The fact that the goals and methods of science, as well as its empirical conclusions, are subject to change, is shown to allow at once for: (a) the objectivity of warrant for knowledge claims; (b) the absence of a priori standards from epistemology; (c) the normative character of epistemology; and (d) the rationality of axiological innovation. In particular, Laudan's attempt to make axiological constraints undercut epistemic realism is confuted.

Normative naturalism is a view about the status of epistemology and philosophy of science; it is a meta-epistemology. It maintains that epistemology can both discharge its traditional normative role and nonetheless claim a sensitivity to empirical evidence. The first sections of this essay set out the central tenets of normative naturalism, both in its epistemic and its axiological dimensions; later sections respond to criticisms of that species of naturalism from Gerald Doppelt, Jarrett Leplin and Alex Rosenberg.

In this essay, I criticize Laudan's view that methodological rules in science are best understood as hypothetical imperatives, for example, to realize cognitive aim A, follow method B. I criticize his idea that such rules are best evaluated by a naturalized philosophy of science which collects the empirical evidence bearing on the soundness of these rules. My claim is that this view yields a poor explanation of (1) the role of methodological rules in establishing the rationality of scientific practices, (2) (...) the debates scientists have over rival methodological rules, and (3) the reasons on the basis of which scientists actually embrace, challenge, or transform methodological rules. A better explanation is provided by treating at least some methodological rules as foundational standards of theory-appraisal which define the criteria of scientific truth, knowledge, evidence, proof, explanations, etc., for a certain tradition or community of scientific practice. Such standards are in turn grounded or challenged on the basis of their coherence or incoherence with a wider body of scientific judgments. This view leads away from a naturalized philosophy of science back to its more classical epistemological conception. (shrink)