Perhaps the most important work of philosophy written in the twentieth century, the Tractatus Logico-Philosophicus first appeared in 1921 and was the only philosophical work that Ludwig Wittgenstein (1889-1951) published during his lifetime. Written in short, carefully numbered paragraphs of extreme compression and brilliance, it immediately convinced many of its readers and captivated the imagination of all. Its chief influence, at first, was on the Logical Positivists of the 1920s and 30s, but many other philosophers were stimulated by its philosophy (...) of language, finding attractive, if ultimately unsatisfactory, its view that propositions were pictures of reality. Perhaps most of all, Wittgenstein himself, after his return to philosophy in the late 1920s, was fascinated by its vision of an inexpressible, crystalline world of logical relationships. The posthumous publication of other writings has, therefore, only served to reawaken interest in the Tractatus and to illuminate its more neglected aspects. David Pears and Brian McGuinness revised their translation in the light of Wittgenstein's own suggestions and comments in his correspondence with C.K. Ogden about the first translation. In addition, this edition contains the introduction by Bertrand Russell which appeared in the original English translation. (shrink)

The four main essays in this volume investigate new sectors of the theory of decision, preference, act-characteristics, and action analysis. Herbert A. Simon applies tools developed in the theory of decision-making to the logic of action, and thereby develops a novel concept of heuristic power. Adapting ideas from utility and decision theory, Nicholas Rescher proposes a logic of preference by which conflicting theories proposed by G. H. von Wright, R. M. Chisholm, and others can be systematized. Donald Davidson discusses difficulties (...) in specifying the structure of action sentences to elucidate how their meaning depends on that structure. G. H. von Wright devises a method for describing each “state of the world” that results from an action, in a revision of his own earlier work. Additionally, a study of the logic of norms by Alan Ross Anderson is presented as an appendix, along with an appendix by Rescher outlining the aspects of action. (shrink)

"[This book] proposes new foundations for the Bayesian principle of rational action, and goes on to develop a new logic of desirability and probabtility."—Frederic Schick, _Journal of Philosophy_.

This paper argues for the importance of approaching medicine, as a theoretical science, through values. The normative concepts of benefit and harm are held to provide a framework for the analysis of medicine which reflects the obligations of the doctor-patient relationship, suffices to define the key concept of medical relevance, yields a general necessary condition for the basic concepts of medicine, explains the role of such nonnormative conceptions as discomfort, dysfunction, and incapacity, and avoids the mistakes of other normative approaches (...) which hold that unhealthy conditions are disvaluable or should be treated. Neutralist analyses are criticized, especially those approaching health through proper functioning. (shrink)

This paper argues that the medical conception of health as absence of disease is a value-free theoretical notion. Its main elements are biological function and statistical normality, in contrast to various other ideas prominent in the literature on health. Apart from universal environmental injuries, diseases are internal states that depress a functional ability below species-typical levels. Health as freedom from disease is then statistical normality of function, i.e., the ability to perform all typical physiological functions with at least typical efficiency. (...) This conception of health is as value-free as statements of biological function. The view that health is essentially value-laden, held by most writers on the topic, seems to have one of two sources: an assumption that health judgments must be practical judgments about the treatment of patients, or a commitment to "positive" health beyond the absence of disease. I suggest that the assumption is mistaken, the commitment possibly misdescribed. (shrink)

Some problems that arise in the account given by Thomasma and Pellegrino [6] of the foundations of medical ethics in a philosophy of medicine are addressed, in particular questions of a conceptual character about treating therelatum of medicine as health. Which concept of health is appropriate and which will bear the burden of the position thomasma and Pellegrino advance? It is argued that the proper relationship of medicine is one between a healer and developing embodied minds. As a consequence, the (...) project of providing a univocal account of the nature of medicine fails. Instead, pluralism infects philosophy and medicine, resulting in different philosophies of medicine. From these philosophies of medicine will follow not a single medical ethics but a variety. (shrink)

The aim of the book is to introduce the reader to some new areas oflogic which have yet to find their way into the bulk of modern logic books written from the more orthodox direction of the mainstream of develop ments. Such a work seems to me much needed, both because of the in trinsic value and increasing prominence of the nonstandard sector of logic, and because this particular sector is of the greatest interest from the standpoint of philosophical implications (...) and applications. This book unites a series of studies in philosophical logic, drawing for the most part on material which I have contributed to the journal liter ature of the subject over the past ten years. Despite the fact that some of these essays have been published in various journals at different times, they possess a high degree of thematic and methodological unity. All of these studies deal with material of substantial current interest in philo sophical logic and embody a fusion of the modern techniques of logical and linguistic-philosophical analysis for the exploration of areas of logic that are of substantial philosophical relevance. (shrink)

This commentary, while sympathetic to Thomasma and Pellegrino [15], raises three sets of questions concerning the adequacy of their view of medicine as a foundation for medical ethical decision-making. The first set of questions concerns the account of the nature of medicine presented by Thomasma and Pellegrino. It is argued that the account is not clearly univocal and that even the most important description offered requires further clarification. Questioned, secondly, is the reasoning used by Thomasma and Pellegrino to propel their (...) movement from establishing an evaluative component in medicine to asserting an ethical dimension to medical judgment. It is argued that the authors equivocate in their presentation between the medical and moral uses of value terms. Finally, the role of the living body as a foundation for medical ethics is questioned, both in terms of the normative force such a ground can generate, and in terms of the range of duties to which this foundation must commit the profession. (shrink)

Thomasma and Pellegrino''s [3] focus on the healing relationship as the way to give medical ethics a philosophical foundation contains a number of difficulties. Most importantly, their approach focuses philosophical analysis on an idealized view of the healing relationship in which the ideal of health is seen as an uncontroversial norm in the individual case. medical ethics is then characterized as an intrinsic part of the medical act itself. Philosophical inquiry seems limited to a description of the practice of medicine (...) in which ethical norms are embodied. Insufficient attention to methodology leaves unclear how this vision is to be achieved in philosophical reflection. (shrink)

Proceedings of the first trans-disciplinary symposium on philosophy and medicin held at Galveston, Texas, May 9-11,1974.

Health defined as the psychophysiological capacity to act or respond appropriately in a wide variety of situations, is enhanced by many means other than preventing and treating disease and injury. Therefore no choice of a particular medical intervention is likely to maximize health for all people with (or at risk for) a given disease. As a result, if medical practitioners are to be fully competent in the sense of knowing not only how to perform procedures but when and when not (...) to do so, they must be able to support patients (and those who know and care about them) in weighing all of the many factors which bear upon the decision as to which, if any, medical interventions are likely to improve the person''s health. (shrink)

The article offers an approach to inquiry about, the foundation of medical ethics by addressing three areas of conceptual presupposition basic to medical ethical theory. First, medical ethics must presuppose a view about the nature of medicine. it is argued that the view required by a cogent medical morality entails that medicine be seen both as a healing relationship and as a practical art. Three ways in which medicine inherently involves values and valuation are presented as important, i.e., in being (...) aimed at the good of health, in being a cognitive art evaluating towards that good, and as a manifestation of a virtuous disposition concerning that good. Finally, a value ontology drawn from these considerations is seen as necessarily underlying medical ethics. A set of three such basic values are promoted as crucial: the value of health; the value of the individual patient; and the value of altruism that mediates the class of potential patients. (shrink)