"The first two lectures place the alternative I defend -- a kind of pragmatic realism -- in a historical and metaphysical context. Part of that context is provided by Husserl's remark that the history of modern philosophy begins with Galileo -- that is, modern philosophy has been hypnotized by the idea that scientific facts are all the facts there are. Another part is provided by the analysis of a very simple example of what I call 'contextual relativity'. The position I (...) defend holds that truth depends on conceptual scheme and it is nonetheless 'real truth'. "In my third lecture I turn to the Kantian antecedents of this view, explaining what I think should be retained of the Kantian idea of autonomy as the central theme of morality, and extracting from Kant's work a 'moral image of the world' that connects the ideals of equality and intellectual liberty. In this lecture I defend the idea that moral images are an indispensible part of our moral and cultural heritage. "In the final lecture I defend the idea of moral objectivity. I compare our epistemological positions in ethics, history, analysis of human character, and science, and I argue that in no area can we hope for a 'foundation' which is more ultimate than the beliefs that actually, at a given time, function as foundational in the area, the beliefs concerning which one has to say 'this is where my spade is turned'. In ethics such beliefs are represented in moral images of the world.". (shrink)

The terms "health", "disease" and "illness" are frequently used in clinical medicine. This has misled philosophers into believing that these concepts are important for clinical thinking and decision making. For instance, it is held that decisions about whether or not to treat someone or whether to relieve someone of moral responsibility depend on whether the person has a disease. In this paper it is argued that the crucial role of the 'disease' concept is illusory. The health/disease distinction is irrelevant for (...) most decisions and represents a conceptual straightjacket. Sophisticated and mature clinical decision making requires that we free ourselves from the concept of disease. (shrink)

This paper constitutes a defence of the basic philosophical enterprise of characterising concepts such as disease and health, as well as other medical concepts. I argue that these concepts play important roles, not only in medical, but also in other scientific and social contexts. In particular, medical decisions about health and diseasehood have important ethical, social and economic consequences. The role played is, however, not always a rational one. But the greater is the need for a reconstruction of this network (...) of concepts for the purpose of efficient and rational communication. (shrink)