By definition, “logic of postmodernism" would appear to be a contradiction in terms: philosophic post¬modernism emerged as a critique of attempts to found philosophy on some principle of reasoning and to found reasoning on some formal guidelines for how we ought to think. Nonetheless, there are two reasons why Charles Sanders Peirce (1839-1914) ought to be labeled the logician of postmodernism — the philosopher who, more than any other, etched out the normative guidelines for postmodern thinking. The first reason is (...) that Peirce attempted to accomplish the impossible, or at least the contradictory. He launched his philosophic career with a logical critique of "Cartesianism" — his label for the modernist attempt to found philosophy on some formal principles of reasoning. He then attempted to replace the principles of Cartesian reasoning with a set of anti-modernist principles that proved themselves to be as modernist as their contraries. The second reason for giving Peirce his label is that his failures to accomplish the impossible engendered in him something he was unable to achieve willfully: a habit of self-critical yet self-affirming thinking that was neither modernist nor anti-modernist but, rather, a disciplined variety of postmodern thinking. In his later years, Peirce began to sketch out the principles of philosophic postmodernism by describing features of his own emergent habit of thinking. This sketching comes close enough to what I would label a logic of postmodernism — where the method of logic is as postmodern as the thinking it describes. (shrink)

Scriptural Reasoning (SR) is a practice of philosophic theology that is offered as a rationally warranted albeit fallible response to the inadequacies of modern liberal and anti-liberal theologies whether they are adopted as academic projects or as dimensions of lived religious practice. In terms of everyday religious practice in the West today, SR may be characterized as an effort, at once, to help protect Abrahamic folk traditions (that is, of Christianity, Judaism, and Islam) from the cultural and theological effects of (...) residual western colonialism and to help protect religiously pluralist societies in the West from reactionary, anti-modern movements within these traditions. In the terms of recent academic discourse in theology, SR may be characterized as pragmatic, postliberal, scriptural, and inter-Abrahamic. SR may be labeled “pragmatic,” because it employs philosophic reasoning only to identify problems in its practitioners’ communities of everyday practice and in the institutions that are expected to repair them. SR may be labeled “postliberal,” because it emerges as a response to problems in the projects of modern, liberal theology, in particular this theology’s inadequate attention to problems in everyday practice. At the same time, SR is equally critical of anti-liberal theologies, or those that, rejecting the autonomy of human reason, argue for the opposite: grounding all projects of reasoning on a practice of “Christian reasoning” per se (or, comparably, of other confession-grounded reasonings). (shrink)

This is a genealogical study that traces a “broadly Cartesian” pattern of argumentation: from Augustine’s scriptural semiotic to the “narrowly Cartesian” practice of foundationalism to Charles Peirce’s pragmatic and reparative semiotic. The essay argues (1) that Augustine transformed Stoic logic into a scriptural semiotic; (2) that this semiotic breeds both Cartesian foundationalism and the pragmatic semiotic that repairs it; (3) that Peirce’s semiotic displays the latter. In sum, Augustine’s inquiry risks foundationalism but also breeds a self-corrective “reparative reasoning.” This reasoning (...) is at once scriptural and philosophic. (shrink)

After twelve years of productive work, the Society for Textual Reasoning has reason to reflect on the rules of reasoning it has nurtured and tested but has not yet adopted, self-consciously, as the rules of its textual reasoning . This essay illustrates some ways of reflecting on these rules. The first section of the essay presents a brief history of STR. The following section, the focal section of the essay, illustrates the rules of TR as displayed in a recent internet (...) discussion sponsored by the Society. The brief third section suggests ways that the Society might go about adopting standards for selecting its rules of textual reasoning. The final section illustrates what these standards might look like. (shrink)

In the course of. his philosophic career, Charles Peirce made repeated attempts to construct mathematical definitions of the commonsense or experimental notion of 'continuity'. In what I will label his Final Definition of Continuity, however, Peirce abandoned the attempt to achieve mathe­matical definition and assigned the analysis of continuity to an otherwise unnamed extra-mathematical science. In this paper, I identify the Final Definition, attempt to define its terms, and suggest that it belongs to Peirce's emergent semiotics of vagueness. I argue, (...) further, that it marks the transformation of Peirce's synechism. Before the time of his Final Definition, Peirce adopted a theory of continuity as a foundational principle of metaphysics and assumed this principle might be formalized in a mathe­matics of continuity. After the Final Definition, Peirce abandoned his foundationalism in favor of what he called a critical common-sensism. This is the claim that philosophy (and with it, logic) derives its norms from the observation of actual cognitive practices and that continuity is a distinguishing mark of actual as opposed to merely possible or imagined practices. (shrink)

"Over three years of study and fellowship, sixteen Muslim, Jewish, and Christian scholars sought to answer one question: “Do our three scriptures unite or divide us?” They offer their answers in this book: sixteen essays on how certain ways of reading scripture may draw us apart and other ways may draw us, together, into the source that each tradition calls peace. Reading scriptural sources in the classical and medieval traditions, the authors examine how each tradition addresses the “other” within its (...) tradition and without, how all three traditions attend to poverty as a societal and spiritual condition, and what it means to read scripture while facing the challenges of modernity. Ochs and Johnson have assembled a unique approach to inter-religious scholarship and a rare look at scriptural study as a pathway to peace. “Scriptural reasoning, the growing practice of Jews, Christians, and Muslims reading their scriptures together, makes good academic and common sense in a time of crisis. This ground-breaking book, the outcome of an imaginative 3-year experiment by the Princeton Center of Theological Inquiry, shows scholars and thinkers of the Abrahamic traditions going deeper into the traditions and into their contemporary situation. The result is something new, wise, and relevant… full of promise for the future. Where else can one find testimonies to Jews, Christians, and Muslims coming together not only in study, thinking, and wisdom-seeking but also in play, joy, and friendship?”--David F. Ford, Regius Professor of Divinity, University of Cambridge and Director, Cambridge Inter-Faith Programme". (shrink)

In 1992, Peter Ochs and a few Christian and Muslim colleagues began to gather small groups, in and outside the classroom, to practice close and attentive reading of the sacred Scriptures of the Jewish, Muslim, and Christian traditions. The hope was that members of different religions could hear one another through the patient, respectful reading of each other's Scripture. Hearing each other, participants might enter into interreligious relationships that might point a way to the peaceful engagement of religions--especially those who, (...) after September 11, 2001, too often found themselves at each other's throats. It was a hope for religion without violence. In Religion without Violence, Ochs reflects on the practical and philosophic lessons he has learned from hosting hundreds of Scriptural Reasoning engagements. He introduces the "scriptural pragmatism" of Scriptural Reasoning." He painstakingly recounts instances of successful scriptural reasoning and warns where and how it might fail. He provides guidance on how to introduce and facilitate Scriptural Reasoning in the classroom. He shows how reading out of the "hearth" of a faith can contribute to peace building across religions. And, drawing on the resources of rabbinic tradition, Augustine, and Charles Peirce, he moves beyond practice to reflect on the implications of Scriptural Reasoning for discerning what kinds of "reasoning" best address and help repair societal crises like religion-related violent conflict. (shrink)

How is Jewish-Christian theological dialogue possible today? Assuming that the possibility of dialogue is not something to be envisioned by any individual thinker a priori, I offer here a study of two examples of successful Jewish-Christian theological dialogue: George Lindbeck's dialogue with Jewish sources and Michael Wyschogrod's dialogue with Christian sources. To garner some general lessons from these examples, I try to reconstruct the general conditions of dialogue which they appear to share. Discovering that the two dialogues may share identifiable (...) conditions of problem-solving, I label these "pragmatic" conditions, after Charles Peirce's definition of pragmatism as the claim that the purpose of rational inquiry is to solve the problems that stimulate it. I conclude that these are the conditions that may underlie theological dialogue among the specific group of Jewish and Christian theologians to which I believe Lindbeck and Wyschogrod belong. These conditions may underlie dialogues typical of other groups, too, but there is no way to know this a priori. (shrink)

You ask if metaphysics is possible after modernity, or after Barth and Wittgenstein and Derrida and the critique of foundationalism? May I invite you, by way of response, to listen in on a conversation? It is a dialogue between what I will call a postcritical philosopher ("P") and a postcritical scriptural theologian —— I'll label the latter a "textualist" ("T"). What I mean by "postcritical" would be displayed as the pattern of inquiry traced by this dialogue. I take the term (...) "postcritical" from George Lindbeck, whose theological work is described by his commentators as more properly "textualist" rather than "philosophic." I believe my usage is, however, true to Lindbeck's discourse. This means that one of the arguments of this essay is that there is a mode of philosophic inquiry proper to the postcritical orientation in theology that we may associate with such Christian theologians as Hans Frei, etc., as well as Lindbeck. A second argument, offered indirectly, is that there is a family of Jewish thinkers whose work may also be labeled "postcritical" on the model of these Christian thinkers, and that this Jewish postcritical theology would also be displayed in dialogues between philosophic and textualist tendencies. A third argument is that, if we listen in on the philosophic side of any of these dialogues, we will hear a postcritical philosophy. By philosophy, I mean primarily logic, defined as an inquiry that examines problematic rules of reasoning and recommends testable ways of correcting them. Secondarily, philosophy includes metaphysics, defined as an inquiry that, for the sake of assuring people about the reliability of a given logic, constructs pictures of the world whose existence would warrant this logic. We need not assume either that logic and metaphysics can be conducted only in the manner of modern and scholastic foundationalism, or that non-foundationalist theology must be "textualist" in a manner that excludes any philosophic generalization. I will argue that there are, indeed, non-foundationalist ways of conceiving of both logical and metaphysical inquiry and that these ways contribute to the dialogic activity of postcritical inquiry. (shrink)

The great American philosopher, Charles Peirce, calls his pragmatism a continuation of Jesus' teaching, "Ye may know them by their fruit," and labels his cosmology a doctrine of "Christian Love." Nonetheless, I have found Peirce's understanding of Christianity to be surprisingly unpragmatic. Peirce's pragmatism itself displays an unpragmatic side and the tension between his pragmatic and unpragmatic tendencies reappears in his philosophic theology. I am not certain what a consistently pragmatic Christian theology would look like, but I know pragmatism is (...) the rule rather than the exception in rabbinic Judaism, that is the classical, post-Biblical Judaism of the Talmud. In this paper, therefore, I evaluate Peirce's pragmatism and his Christian theology from the perspective of the rabbis. (shrink)

What would a Jewish process theology look like if it also adopted the a priori principles of rabbinic Judaism - among them, the authority of Torah given on Sinai, an historically particular revelation of divine instruction for a particular people, and the authority of the Oral Torah, an historically evolving hermeneutic, according to which that revelation becomes normative practice for communities of observant Jews? I trust this would not be a naturalism, since it would be a theology that found its (...) grammar or regulative logic in a textual hermeneutic rather than in an account of the orders of perception and imagination. It would not, for the same token, be an anti-naturalism, but rather a theology for which the distinction between natural and super- or non-natural was not definitional. For such a theology, for example, the world out there would belong to the order of creation (maaseh bereshit), rather than to "nature." This would mean that, since God creates through words, language (at least some sort of language) and world would be intimately connected rather than extrinsic phenomena, It would mean, furthermore, that for language to "know" the world would not be surprising and that something like a form of realism would not be out of the question, While it would presuppose the authority of divine speech and even of some human interpretations of it, this other-than natural theology would not, as naturalists might suppose, present a heteronomous conception of divine law, If the distinction nature/not nature would not be definitive for this theology, neither would those of autonomy/heteronomy, body/spirit, this world/other world, This theology would present its own variety of neutral monism; in this case, however, the undifferentiated plenum would be termed a plenum of undifferentiated signification (or pure semiosis), of which undifferentiated feeling (or pure experience) was an instance; "prehension" would be another term for interpretation, Max Kadushin was the first and, as far as I know, the only Jewish thinker to articulate a process theology in the service of what he considered the behavioral or halakhic authority of classical rabbinic literature. In this paper, I examine Kadushin's work as the foundation of a rabbinic text process theology, I assume, from the outset, that such a theology may complement a Jewish natural process theology and that a Jewish process theology, in general, would appear as a process of dialogue between textual- andnatural-process theologies. (shrink)

In HEBREW SCRIPTURES, in rabbinic literature and for most Jewish thinkers, "truth" (emet) is a character of personal relationships. Truth is fidelity to one's word, keeping promises, saying with the lips what one says in one's heart, bearing witness to what one has seen. Truth is the bond of trust between persons and between God and Humanity. In Western philosophic tradition, however, truth is a character of the claims people make about the world they experience: the correspondence between a statement (...) and the object it describes, or the coherence of a statement with what we already know about the world. As if divided by their dual allegiance to the traditions of Jerusalem and of Athens, Jewish philosophers often believe themselves forced to choose between the two meanings of truth, producing what we may call objectivist and personalist trends in Jewish thought. I suggest that, for a type of scripturally grounded Jewish philosophy, truth names the end of a process of inquiry that passes through several stages of trusting, reexamining, yearning, witnessing, critically testing, and re-sourcing. I suggest that this process bears analogy to Charles Peirce's pragmatic account of the stages of problem solving. -/- . (shrink)

This is a response to a Symposium on Phenomenology and Scripture. In examining a move from phenomenology to scripture, this symposium does not address all possible readers; it addresses a specific readership, for a specific reason, and within the framework of specific assumptions. By way of response, I want first to identify a few features of what I take to be the symposium’s specific address or context. Then, I will comment on what messages I believe the authors have delivered to (...) this context. The symposium specifically addresses those who participate willy nilly in the transcendental project of modern philosophy and of modern northern Europe. In that project, knowing, as noesis, means intentionality: its subject or agent is ultimately reducible to the unity of apperception; and its object— noema—is the object of the ego’s intentional knowing—the thematized object. It appears, furthermore, that the symposium identifies phenomenology not only with the species of Husserlian philosophy, but also with the broader genus of all efforts, from Descartes to Kant to Hegel to Husserl to Heidegger, to identify philosophy with an effort to frame the a priori conditions for, or the possibility of, knowing what we would know: from self to world to being itself—or to God. (shrink)

Modern philosophy's fascination with language - for the last century, its obsession- may illustrate the axiom that we love to talk about what we desire and we desire what we don't have. From the perspective of traditional Judaism, philosophic obsession with language reflects the modern philosopher's dislocation from those speech communities in which, alone, language has meaning. Natural speech communities, meaning those whose origins are either unknown or referred to an indefinite past, are characterized by inherent semiotic norms: rules for (...) transforming elements of the natural world into meaningful signs (morphology), for determining relations among those signs (syntax), for determining relations between signs and intended objects (semantics), and for determining relations between signs and the actual behavior which they recommend (what the American philosopher Charles Peirce calls pragmatics). For the traditional Jew, these norms are collected in what is called Torah: God's speech to Israel and the literary and behavioral history of Israel's attempts to interpret what that speech means. For this Jew, dislocation from the speech community of Israel would imply dislocation from Torah, and, thereby, from the possibility of meaningful speech and controlled behavior. Jewish philosophy is the attempt to find means of reintegrating dislocated persons into appropriate speech communities: in particular of reintegrating Jews into the speech community of Israel. On the following pages, I describe what modern philosophy looks like in terms set by Torah. Without apology, the Jewish philosopher first defines the non-problematic (the language of Torah), then the problematic (the enterprise of modern philosophy), then suggests means of placing the two in dialogue. (shrink)

In this essay, I offer several claims about how postmodern preoccupation with DIFFERENCE may be reread, pragmatically. The claims are based on the following, creatively interpretive model of the pragmatic maxim, as applied to what Peirce calls "intellectual concepts." According to the model, the maxim may have a variety of uses, but it can be proven only in so far as it is applied to the one species of "intellectual concepts" that results when real doubts are misrepresented as paper doubts. (...) These concepts are the products of theoretical inquiries that represent themselves as merely theoretical, when in fact they are stimulated by urgent concerns. The pragmatic maxim offers a rule for converting this species of what appear to be merely intellectual concepts into symbols of some theoretically minded inquirer's attempt to respond to these urgent concerns. But what kind of urgent concern would tend to be misrepresented in this way? According to the model, these are not concerns about failed rules of everyday conduct — or about concrete cases of flesh-and-blood suffering; they are, instead, concerns about failed rules for repairing everyday suffering. The attempt to repair such rules of repair is both theory-laden and urgent (urgent because failed rules of repair are ultimately sources of suffering; theory-laden because they are not immediately so). According to the model, Peirce's name for the practice of urgent theorizing is philosophy, or coenoscopy: not a science of common or everyday practices, but of rules for repairing everyday practices. It is philosophy that is most prone to misrepresenting what is urgent AS what is merely theoretical, because both theory and urgency are proper to it. The pragmatic maxim is, in this view, a rule specifically for repairing urgent philosophy that presents itself as merely paper philosophy. (shrink)

The German Jewish philosophers Hermann Cohen, Martin Buber and Franz Rosenzweig introduced a critique and extension of Kant's transcendental philosophy that looks to us today like the foundations of a rabbinic semiotics. It is a theory about the semiotic character of our knowledge of the world, of other humans and of God. And it is a claim that such a theory is embedded in the classical literature of rabbinic Judaism. More recently, the American rabbinic thinker Max Kadushin presented a more (...) elaborate analysis of the logic of what he called the rabbis' "organic thinking." While influenced in some ways by Charles Peirce, Kadushin did not offer his analysis as a semiotic. In this paper, I suggest that Kadushin's analysis is better served if it is restated more precisely in the vocabulary of Peirce's semiotics. The resulting construction then serves as a complement to the work of the German Jewish philosophers. (shrink)

Des lecteurs dune récente livraison de Monist, The Relevance of Charles Peirce, pourraient chercher l'actualité de Peirce chez des philosophes contemporains influencés par lui. J'essaie de montrer que Peirce est actuel parce que son apport principal, le pragmatisme, se rattache profondément à des sujets qui nous sont familiers. Formé dans la tradition cartésienne et kantienne de l'epistemologie, l'oeuvre de Peirce intéresse les héritiers de cette tradition.Cependant, son pragmatisme fait apparaître les hésitations de cette tradition qui offre à ses héritiers une (...) incertitude epistemologic ue générale dont l'effet est de les engager vers un fondationalisme égocentrique qui isole plusieurs philosophes de l'actualité. Readers of the recent Monist publication, The Relevance of Charles Peirce (La Salle, Illinois, 1983) may seek to locate Peirce's « relevance » in the number of contemporary philosophers influenced by any aspect of his work.I argue, instead, that Peirce is relevant because his central work, pragmatism, relates deeply to matters immediately at hand. Since he is trained in Cartesian-Kantian tradition of epistemology, Peirce's work interests disciples of that tradition. In the end, however, his pragmatism discloses the errent tendency of that tradition : to offer its disciples over-generalized epistemological uncertainty and, therefore, the compensatory need to engage in egocentric foundationalisms. These foundationalisms isolate many contemporary philosophers from « mutters immediately at hand ». (shrink)

A Pragmatic Method of Reading Confused Philosophic Texts: The Case of Peirce's "Illustrations" In 1878, Charles Peirce introduced a method for making confused ideas clear. In this essay, I put Peirce's method to work as a method for making confused writing clear, in particular, for clarifying the meaning of confused philosophic arguments as they appear in philosophic essays. In Section I, I introduce the method as a Pragmatic Method of Reading Confused Philosophic Texts. In Section II, I re• view Peirce's (...) 1877-78 "Illustrations of the Logic of Science"\ as examples of confused texts. In Section III, I apply the Pragmatic Method, reading Peirce's "Illustrations' as expressions of fundamentally contradictory "leading tendencies of thought." While it does not resolve such contradictions, the Pragmatic Method renders a confused text clear by enabling us to read it as a collection of two "implicit" texts, or two sets of meanings. (shrink)

William James declared a moral war, Charles Peirce a metaphysical one: "fall into the ranks then" was his battle cry, follow your colonel. Keep your one purpose steadily and alone in view, and you may promise yourself the attainment of your sole desire, which is to hasten the chariot wheels of redeeming love. (6.448:1893) Peirce's was a war not against war, but against the metaphysical equivalent of war, individuation. In the field of social philosophy, Peirce's enemy appeared under the alias (...) of Darwinism, which Peirce fought with Christian Love. In the field of metaphysics, it appeared under the alias of nominalism, which Peirce fought with his special brand of pragmatic realism. But most challenging of all, the enemy appeared within Peirce's own thought under the alias of what I call Kantian conceptualism, and it took Peirce most of his career to win the battle. (shrink)

The problem with ontological commitment is that when we symbolize the statements that we make about what 'exists' or what is 'real', they do not always translate to exactly that which we intend to express. In this essay, I explore the relation between 'Reality' and how we describe reality. I evaluate the accounts of three prominent philosophers on the topic, address their shortcomings, and introduce my own account; which I call "The Natural Definition of Reality".

No reader of The Relevance of Charles Peirce will fail to be impressed by what Max Fisch calls "The Range of Peirce's Relevance.' This exciting volume invites scholars in many of the fields of contemporary philosophy to see what Peirce has to contribute to their methods and their conclusions. Articles in the collection offer a more divided interpretation, however, of the meaning of Peirce's relevance. For some, Peirce's relevance is "extensive": like a Renaissance genius, his intellect surveys the universe of (...) human expression, and, by Jove, he has some• thing smart to say about everything! The authors of these articles show us how Peirce enriches the various, established disciplines of philosophy of interest to them, pointing out both the significance and the limitations of his contribution. For others, Peirce's relevance is "intensive": like some philosophic physician, Peirce struggles to cure a malady that infects the Cartesian-Kantian tradition to which he ultimately belongs. Selecting particular instances of this struggle, the authors of these articles try to show how Peirce challenges accepted practices in contemporary philosophy, succeeding in his critical task without necessarily offering unproblematic alternatives. As a whole, the collection successfully promotes the first interpretation of Peirce's relevance, but fails to give sufficient attention to the second. Perhaps the failure is prudent. For the sake of attracting interest among the uninitiated, The Relevance of Charles Peirce offers the most Peirce with the least offense. For that, we are indebted to Eugene Freeman, editor of the collection, as well as of The Monist Library of Philosophy. Freeman first proposed devoting two issues of The Monist to "Peirce's Relevance" (Vol. 63, No. 3, and Vol. 65, No. 2), then did us the service of publishing the present volume by binding The Monist articles together with five other already published pieces. (shrink)

A Review of Outward Signs: The Powerlessness of External Things in Augustine’s Thought by Phillip Cary (Oxford: Oxford University Press, 2008), xxiv + 344 pp. -/- Phillip Cary has written another highly significant book on Augustine, and his writing displays the art of a master stylist. A complement to his Inner Grace, Outward Signs extends Cary’s thesis in Augustine and the Invention of the Inner Self: that Augus- tine’s Trinitarian and semiotic theology, groundbreaking as it was, remains beholden to a (...) Platonist privileging of inner vs. outer and idea over sacramental performance. Outward Signs should be of special interest to readers of Modern Theology, because the inwardness Cary interrogates displays a dimension of Augustine’s work that receives significant attention from a number of Modern Theology authors. Once again, Cary has offered an appropriate warning about any uncritical embrace of Augustine as theologian for the church today: the embrace could bring with it a turn to spiritualism, subjectivism, intellectualism, and also supersessionism (since the Old Testament and Jewish “law” belong to the merely outward life of the Word). Like Charles Taylor, Alasdair MacIntyre, and Richard Rorty before him, Cary captures the line of potential influence that moves from Plato to Augustine to Descartes and Kant. Here, knowledge tends to ocular knowing, and Cary shows how inadequate that model is to account for performative knowing in the church, of which sacramental life is one instance. But performative knowing would apply, as well, to the study of Augustine’s writ- ings. Read “outwardly,” Augustine’s corpus generates several possible vectors of theological practice. The stronger vectors may point “inward,” but readers should also attend to those (weak or strong) which point to that which is inward, outward, both, and neither. (shrink)

The present article is a primary introduction to the semi-structured interviewing method SMILE_PH, an acronym for Sense-Making Interviews Looking at Elements of Philosophical Health. Beyond grounding this new methodology theoretically (a work that is started here but will in the future necessitate several developments), the main motivation here is pragmatic: to provide the recent philosophical health movement with a testable method and show that philosophically-oriented interviews are possible in a manner that can be reproduced, compared, tested and used systematically with (...) a population that has received no training in philosophy. The SMILE_PH approach was conceived by the author during an ethically approved pilot study focused on the philosophy of life of persons living with spinal cord injury (SCI), with the intention of rectifying the epistemic obstacles generated by rationalist, Socratic or unstructured ways of in-depth interviewing. The six-step structure of the method is also inspired by hundreds of individual dialogue sessions with philosophical counselees, led by the author between 2018 and 2022: the SMILE_PH method progressively gathers phenomenological data about 1 – our bodily sense, 2 – our sense of self, 3 – our sense of belonging, 4 – our sense of the possible, 5 – our sense of purpose and 6 – our philosophical sense. (shrink)

Book review : The philosophy of person‐centred healthcareBy Derek Mitchell, Michael Loughlin, Cambridge: Cambridge Scholars Publishing. 2023.201 pp. £64.99. ISBN (10): 1‐5275‐9058‐5, ISBN (13): 978‐1‐5275‐9058‐8.

In this chapter, we consider ethical and philosophical aspects of trust in the practice of medicine. We focus on trust within the patient-physician relationship, trust and professionalism, and trust in Western (allopathic) institutions of medicine and medical research. Philosophical approaches to trust contain important insights into medicine as an ethical and social practice. In what follows we explain several philosophical approaches and discuss their strengths and weaknesses in this context. We also highlight some relevant empirical work in the section on (...) trust in the institutions of medicine. It is hoped that the approaches discussed here can be extended to nursing and other topics in the philosophy of medicine. (shrink)

The connections between medicine and well-being are myriad. This paper focuses on the place of well-being in clinical medicine. It is here that different views of well-being, and their connection to concepts like “autonomy” and “authenticity”, both illuminate and are illuminated by looking closely at the kinds of interactions that routinely take place between clinicians, patients, and family members. -/- In the first part of the paper, I explore the place of well-being in a paradigmatic clinical encounter, one where a (...) competent patient interacts with a clinician. The main question here is how, or even whether, the pursuit of patient well-being – however we construe it – figures into a paradigmatic clinical encounter. In the second part of the paper, I consider what I will call a marginal clinical encounter – one where the patient is, as Agnieska Jaworska (1999) puts it, at the “margins of agency” – to theorize about the nature of well-being and to show how different theories of well-being can have dramatic consequences for clinical decision-making. (shrink)

Amid criticism of medicine's scientific rigor and patient care, this book offers a philosophical examination of the nature and aims of medicine, and new perspectives on how these challenges can be addressed. It offers input for rethinking the agenda of medical research, healthcare delivery, and the education of healthcare personnel.

Even in the increasingly individualized American medical system, advocates of 'personalized medicine' claim that healthcare isn't individualized enough. With the additional glamour of new biotechnologies such as genetic testing and pharmacogenetics behind it, 'Me Medicine'-- personalized or stratified medicine-- appears to its advocates as the inevitable and desirable way of the future. Drawing on an extensive evidence base, this book examines whether these claims are justified. It goes on to examine an alternative tradition rooted in communitarian ideals, that of the (...) common good as a goal in medicine. (shrink)

The success of precision medicine depends on obtaining large amounts of information about at-risk populations. However, getting consent is often difficult. Why? In this commentary I point to the differentials in social status involved. These differentials are inevitable once personal information is surrendered, but are particularly intense when the studied populations are socioeconomically or socioculturally disadvantaged and/or ethnically stigmatized groups. I suggest how the deep distrust of the latter groups can be partially justified as a lack of confidence that their (...) core values or interests will sufficiently be taken into account. Hence, the ethical challenge here lies not in avoiding status differentials, but in dealing with them appropriately. Scientists should not assume trust from others but adopt a norm of “demonstrating trustworthiness”. (shrink)

In this paper, I argue that the concept of normality in medical research and clinical practice is inextricable from the concept of ambiguity. I make this argument in the context of Edmund Pellegrino's call for a renewed reflection on medicine’s basic concepts and by drawing on work in critical disability studies concerning Deafness and body integrity identity disorder. If medical practitioners and philosophers of medicine wish to improve their understanding of the meaning of medicine as well as its concrete practice, (...) I contend that they should take seriously the import and centrality of ambiguity for biomedicine. (shrink)

Om människan någon gång kommer att få förmågan att skapa nya livsformer, hur kommer det att påverka livets värde? Detta är en fråga som kan vara en källa till oro när man diskuterar konstgjort liv, men är oron befogad? I ett försök att svara på den frågan kommer jag att gå igenom några möjliga skäl till varför förmågan att skapa konstgjort liv skulle hota livets värde, och se om de verkligen ger oss skäl att oroa oss.

In this thesis, I give a metascientific account of causality in medicine. I begin with two historical cases of causal discovery. These are the discovery of the causation of Burkitt’s lymphoma by the Epstein-Barr virus, and of the various viral causes suggested for cervical cancer. These historical cases then support a philosophical discussion of causality in medicine. This begins with an introduction to the Russo- Williamson thesis (RWT), and discussion of a range of counter-arguments against it. Despite these, I argue (...) that the RWT is historically workable, given a small number of modifications. I then expand Russo and Williamson’s account. I first develop their suggestion that causal relationships in medicine require some kind of evidence of mechanism. I begin with a number of accounts of mechanisms and produce a range of consensus features of them. I then develop this consensus position by reference to the two historical case studies with an eye to their operational competence. In particular, I suggest that it is mechanistic models and their representations which we are concerned with in medicine, rather than the mechanism as it exists in the world. -/- I then employ these mechanistic models to give an account of the sorts of evidence used in formulating and evaluating causal claims. Again, I use the two human viral oncogenesis cases to give this account. I characterise and distinguish evidence of mechanism from evidence of difference-making, and relate this to mechanistic models. I then suggest the relationship between types of evidence presents us with a means of tackling the reference-class problem. This sets the scene for the final chapter. Here, I suggest the manner in which these two different classes of evidence become integrated is also reflected in the way that developing research programmes change as their associated causal claims develop. (shrink)

The issue of how to incorporate the individual's first‐hand experience of illness into broader medical understanding is a major question in medical theory and practice. In a philosophical context, phenomenology, with its emphasis on the subject's perception of phenomena as the basis for knowledge and its questioning of naturalism, seems an obvious candidate for addressing these issues. This is a review of current phenomenological approaches to medicine, looking at what has motivated this philosophical approach, the main problems it faces and (...) suggesting how it might become a useful philosophical tool within medicine, with its own individual, but interrelated, contribution to make to current medical debates. After the general background, there is a brief summary of phenomenological ideas and their current usage in a medical context. Next is a critique of four key claims within current phenomenological medical works, concerning both the role phenomenology plays and the supposedly clear divide between phenomenology and other approaches. There are significant problems within these claims, largely because they overlook the complexity of the questions they consider. Finally, there is some more in‐depth examination of phenomenology itself and the true complexity of phenomenological debate concerning subjectivity. The aim is to show that it will be both more productive and truer to phenomenology itself, if we use phenomenology as a philosophical method for explicating and gaining deeper understanding of complex and fundamental problems, which are central to medicine, rather than as providing simple, but flawed solutions. (shrink)

This paper aims to clarify the nature of understanding in medicine. The first part describes in more detail what it means to understand something and links a type of understanding (i.e., objectual understanding) to explanations. The second part proceeds to investigate what objectual understanding of a disease (i.e., biomedical understanding) requires by considering the case of scurvy from the history of medicine. The main hypothesis is that grasping a mechanistic explanation of a condition is necessary for a biomedical understanding of (...) that condition. The third part of the paper argues that biomedical understanding is necessary, but not sufficient for understanding in a clinical context (i.e., clinical understanding). The hypothesis is that clinical understanding combines biomedical understanding of a _disease_ or pathological condition with understanding _illness,_ which involves some degree of personal understanding of the patient. It is argued that, in many cases, clinical understanding necessitates adopting a particular second-personal stance and using cognitive resources _in addition_ to those involved in biomedical understanding. (shrink)

Recently, a friend of one of these writers told her story of using one of a healthcare product to activate her stem cells as part of regenerative medicine. Regenerative medicine is a field of medicine that seeks to repair or replace damaged or diseased tissues and organs. This can be done through a variety of methods, including stem cell therapy, tissue engineering, and gene therapy. This is a short review article on this rapid field called regenerative medicine, in particular via (...) a new method called photobiomodulation, especially by virtue of low-intensity laser pen treatment. Hopefully it will attract more research in this interesting direction, both for laser/photobiomodulation to boost plant growth as well as in healthcare (see also: Christianto & Smarandache, 2022; Christianto, 2023). (shrink)

ABSTRACT: Abstract Most modern knowledge is not science. The physical sciences have successfully validated theories to infer they can be used universally to predict in previously unexperienced circumstances. According to the conventional conception of science such inferences are falsified by a single irregular outcome. And verification is by the scientific method which requires strict regularity of outcome and establishes cause and effect. -/- Medicine, medical research and many “soft” sciences are concerned with individual people in complex heterogeneous populations. These populations (...) cannot be tested to demonstrate strict regularity of outcome in every individual. Neither randomised controlled trials nor observational studies in medicine are science in the conventional conception. Establishing and using medical and other “soft science” theories cannot be scientific. It requires conceptually different means: requiring expert judgement applying all available evidence in the relevant available factual matrix. -/- The practice of medicine is observational. Prediction of outcomes for the individual requires professional expertise applying available medical knowledge and evidence. Expertise in any profession can only be acquired through experience. Prior cases are the fundament of knowledge and expertise in medicine. Case histories, studies and series can provide knowledge of extremely high reliability applicable to establishing reliable general theories and falsifying others. Their collation, study and analysis should be a priority in medicine. Their devaluation as evidence, the failure to apply their lessons, the devaluation of expert professional judgement and the attempt to emulate the scientific method are all historic errors in the theory and practice of modern medicine. (shrink)

In a recent study published in Scientific Reports, the researchers documented the first wild animal seen using a plant with known medicinal properties to heal a wound.

Throughout the 20th century, philosophers have criticized the scientific understanding of the human body. Instead of presenting the body as a meaningful unity or Gestalt, it is regarded as a complex mechanism and described in quasi-mechanistic terms. In a phenomenological approach, a more intimate experience of the body is presented. This approach, however, is questioned by Jacques Lacan. According to Lacan, three basic possibilities of experiencing the body are to be distinguished: the symbolical (or scientific) body, the imaginary (or ideal) (...) body and the real body. Whereas the symbolical body is increasingly objectified (and even digitalized) by medical science, the phenomenological perception amounts to an idealization of the body. The real body cannot be perceived immediately. Rather, it emerges in the folds and margins of our efforts to symbolize or idealize the body, which are bound to remain incomplete and fragile. In the first part of the article (1-3), Lacan's conceptual distinction between the symbolical, the imaginary and the real body will be explained. In the second part (4-5), this distinction will be further clarified by relying on crucial chapters in the history of anatomy (notably Mundinus, Vesalius, Da Vinci and Descartes). (shrink)

This is a volume of twelve essays concerning the fundamental tension in personalised medicine between individual choice and the common good.

This paper aims to clarify the nature of understanding in medicine. The first part describes in more detail what it means to understand something and links a type of understanding (i.e., objectual understanding) to explanations. The second part proceeds to investigate what objectual understanding of a disease (i.e., biomedical understanding) requires by considering the case of scurvy from the history of medi- cine. The main hypothesis is that grasping a mechanistic explanation of a condi- tion is necessary for a biomedical (...) understanding of that condition. The third part of the paper argues that biomedical understanding is necessary, but not sufficient for understanding in a clinical context (i.e., clinical understanding). The hypothe- sis is that clinical understanding combines biomedical understanding of a disease or pathological condition with understanding illness, which involves some degree of personal understanding of the patient. It is argued that, in many cases, clinical understanding necessitates adopting a particular second-personal stance and using cognitive resources in addition to those involved in biomedical understanding. (shrink)

Part of a symposium devoted to ‘Prediction, Understanding, and Medicine’, in which Alex Broadbent argues that the nature of medicine is determined by its competences, i.e., which things it can do well. He argues that, although medicine cannot cure well, it can do a good job of enabling people not only to understand states of the human organism and of what has caused them, but also to predict future states of it. From this Broadbent concludes that medicine is (at least (...) in part) essentially a practice of understanding and predicting, not curing. In reply to this bold position, I mount two major criticisms. First, I maintain that the reasons Broadbent gives for doubting that medicine can cure provide comparable reason for doubting that medicine can provide an understanding; roughly, the best explanation of why medicine cannot reliably cure is that we still lack much understanding of health and disease. Second, I object to the claim that a practice is medical only if it facilitates understanding and prediction. Although Broadbent has brought to light certain desirable purposes of medicine that are under-appreciated, my conclusion is that he has not yet provided enough reason to think that understanding and prediction are essential to it. Instead of supposing that medicine has an essence, in fact, I suggest that its nature is best understood in terms of a property cluster. (shrink)

If one had to identify the biggest change within the philosophical tradition in the twenty-first century, it would certainly be the rapid rise of experimental philosophy to address differences in intuitions about concepts. It is, therefore, surprising that the philosophy of medicine has so far not drawn on the tools of experimental philosophy in the context of a particular conceptual debate that has overshadowed all others in the field: the long-standing dispute between so-called naturalists and normativists about the concepts of (...) health and disease. In this paper, I defend and advocate the use of empirical methods to inform and advance this and other debates within the philosophy of medicine. (shrink)