Abstract
Medical explanation may consist in hierarchical research, reduction, supervenience, inference to the best explanation. The degree of inductive liability of an argument is the probability that its conclusion is true, given that its premises are true (the Bayes theorem). Medicine moves form realism to instrumentalism and to praxeology. Traditional Cartesianism is leading to the philosophy of neuroscience. Neo-Darwinism leads to adaptationism and the Panglossian Fallacy.
We have no right to establish any kind of theory... We must discard all explanation and put only description in its place.
Wittgenstein [404]
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References
Wittgenstein L. Philosophical Investigations. Blackwell 1968, §109
Lovelock J. Novacene. London. Allen Lane. 2019, p. 18
Thagard P. How Scientists Explain Diseases. Princeton. Princeton University Press. 1999, pp. 40–70
Davidson D. Causal relations. Journal of Philosophy. 1967; 64: 691–703
Anscombe, G E M. “Causality and Extensionality.” The Journal of Philosophy. 6: 152–159. 1969
Skrabanek, Petr. The Emptiness of the Black Box. Epidemiology 5. 553–555. 1994
Strawson PF. “Causation and explanation”, 115–135, in: B Vermazen, and M Hintikka (eds.). Essays on Davidson D. Actions and Events. Oxford. Clarendon Press. 1985, 126
Cunningham TV. Objectivity, Scientificity, and the Dualist Epistemology of Medicine, in: Huhneman P, Lambert G, Siberstein M. (eds.) Classification, Disease and Evidence. Springer. 2015
Harman G. The Inference to the Best Explanation. Philosophical Review. 74: 88–95. 1965
Lash T, Vanderveele TJ, Haneuse s, Rothman J. Modern Epidemiology. Wolters Kluwer. 2021, pp. 7–9
Parascandola M. Epistemic risk: empirical evidence and the fear of being wrong. Probability and Risk. 2010: 9: 201–214
Solomon M, Simon JR, Kincaid H. The Routledge Companion to Philosophy of Medicine. London. Routledge, 2017, pp. 385–389
Pearl J. Causality: Models, Reasoning and Inference. Cambridge University Press.2009. Nardini C. Bayesian versus frequentist clinical trials, in: M. Solomon, JR. Simon, H. Kincaid. The Routledge Companion to Philosophy of Medicine. London. Routledge, 2017, pp. 229–236
Thompson RP, Upshur EG. Philosophy of Medicine. An Introduction. Routledge. 2018, pp. 102–104
Cartwright N. What is Wrong with Bayes Nets? The Monist. 84 : 242–264, 2001
Wittgenstein L. Philosophical Investigations. Blackwell. 1968, § 132
Anscombe E. Causality and Determinism, in: Metaphysics and The Philosophy of Mind. University of Minnesota Press. 1981
Andersen HK. Reductionism in the Biomedical Sciences. in: M. Solomon, JR Simon, & H Kincaid (eds.) The Routledge Companion to the Philosophy of Medicine. Routledge. 2017
Cartwright N. Against the completability of science, in: W.F. Stone and J Wolff (eds.) The Proper Ambition of Science. Routledge. 2000, pp 207–208
Hare RM. Essay in ethical theory. Supervenience Oxford, Clarendon Press. 1989, pp 66–81. Shaffner K. Discovery and Explanation in Biology and Medicine. University of Chicago Press. 1993, pp. 461–463
D’Amico R. Disease and the concept of supervenience. How to understand the social construct of disease, in: H. Kincaid, McKitrick J. (eds.) Establishing Medical Reality. Springer 2007, pp. 35–45
Schaffner KF. The Watson-Crick model and reductionism. British Journal of the Philosophy of Science, 20: 325–345, 1969
Rheinberger HJ, Müller-Wille S. Gene Concepts, in: S. Sarkar & A. Plutynski (eds.), A Companion to the Philosophy of Biology. Blackwell. 2008, pp. 3–21
Hull DE. Philosophy of biological science. Prentice Hall, 1974, p.39
Rosenberg A. The Structure of Biological Science. Cambridge University Press. 1985, pp. 111–117
Wittgenstein L. Zettel. Oxford. Basil Blackwell. 1967, §445
Wittgenstein L. Tractatus logico-philosophicus. Routledge & Kegan Paul. 1922 §6.31–6.321; 6.36f; 6.362–6.372
Wittgenstein L. The Blue and Brown Book. Blackwell. 1968, 23; 56–57. Wittgenstein L. Wittgenstein’s Lectures. Cambridge 1932–1935. Blackwell. 1982, pp. 16; 39–40 ;70–71. Wittgenstein L. Remarks on the philosophy of psychology. Vol I Blackwell. 1980, §225. Wittgenstein L. On Certainty. Blackwell. 1969, §§12–16
Wittgenstein L. The Big Typescript. Blackwell, 2005, p. 417
Wittgenstein L. Wittgenstein’s Lectures. Cambridge 1932–1935. Blackwell. 1982, p.16
Rhees R. Discussions of Wittgenstein. Routledge and Kegan Paul. 1970, p. 43
Wittgenstein L. Philosophical Investigations. Blackwell. 1968, §§43, 142
Wittgenstein L. Zettel. Oxford. Basil Blackwell. 1967, §438
Fine A. The natural ontological attitude, in J. Leplin (ed.) Scientific Realism. University of California Press.1984, pp. 83–107
Cartwright N. Nature, the Artful Modeler. Open Court. Chicago. 2019
Kendell RE, Jablensky A. Distinguishing between the validity and utility of psychiatric diagnoses. American Journal of Psychiatry. 2003; 160: 4–12
Sturmberg JP. Knowledge Translation and Health Care—Towards Understanding its True Complexity. International Journal of Health Policy Management. 2018; 7: 455–458
Danto A. Analytical Philosophy of Knowledge. Cambridge. Cambridge University Press. 1968; pp. 232–240
Lemoine M. Introduction à la philosophie des sciences médicales. Paris. Hermann. 2017
Jureidini J, McHenry LB. The Illusion of Evidence-Based Medicine. Exposing the crisis of credibility in clinical research. Wakefield Press. 2020. Jureidini J, McHenry LB. The illusion of evidence-based medicine. British Medical Journal. 2022;376:o702
Changeux JP. L’Homme neuronal. Fayard. 1983, ch. IX
Glannon W. Bioethics and the Brain. Oxford University Press. 2007, p. 8
Legrenzi P, Umiltà C. Neuromania. Oxford University Press. 2011
Bennett MR, Hacker PMS. Philosophical Foundations of Neuroscience. Blackwell. 2003
Niculescu AB, RoseberryK, Levey DF. Precision medicine for mood disorders: objective assessment, risk, prediction, pharmacogonomics, and repurposed drugs. Molecular Psychiatry. 2021, 1 April 8
Graham G. the Disordered Mind. An Introduction to the Philosophy of Mind and Mental Illness. Routledge. 2010, 24
Karhausen L. Vers une neuroscience de l’âme. Éditions Vérone. 2022
Glannon W. Bioethics and the Brain. Oxford University Press. 2007, pp. 29–31
Gómez JM, Nunn CL, Verdú M. Centrality in primate–parasite networks reveal the potential for the transmission of emerging infectious diseases to humans. PNAS 2013 110: 7738–7741, 2013
Alvergne A, Jenkinson C, Faurie C. (eds.) Evolutionary Thinking in Medicine. Springer. 2016
Ness RM, Williams GC. Why We Get Sick: The New Science of Darwinian Medicine. New York. Vintage. 1994
Gert B, Culver C. Defining mental disorder, in: J. Radden (ed.) The Philosophy of Psychiatry : A Companion. Oxford University Press, 2004, p. 420
Bunge M. Medical Philosophy. Conceptual Issues in Medicine. World Scientific Publishing Co. 2014, p. 51
Broadbent A. Philosophy of Medicine. Oxford University Press. 2019, p.122
Méthot P-O. Darwin et la médecine: intérêt et limites des explications évolutionnaires en médecine, in: Heams T, Huneman P, Lecointre G, Zsilberstein M. (eds.) Les mondes darwiniens. L’évolution de l’évolution. Editions Syllepse. 2009, pp.657–684
Ray JJ, Schulman CI. Fever: suppress or let it ride? Journal of Thoracic Diseases. 7: 633–636, 2015
Cournoyea M. Evolutionary Medicine, in: M. Solomon, J.R. Simon, & H. Kincaid. The Routledge Companion to Philosophy of Medicine. London. Routledge, 2017, pp. 475–486
Keyfitz N. Biology and demography, in: N. Keyfitz (ed.) Population and Biology: Bridge Between Disciplines. Cambridge University Press. 1984, pp. 1–7
Nesse RM & Stearns SC. The Great Opportunity: Evolutionary Applications to Medicine and Public Health. Evolutionary Applications, 1 : 28–48, 1994
Méthot PO. À propos de la difficulté de définir la maladie : une perspective darwinienne, in : E. Giroux & M. Lemoine (eds.) Philosophie de la médecine. Santé, maladie, pathologie. Paris. Vrin. 2012, pp.177–213
Moore GE. Principia Ethica, §10 ¶ 3
Fodor J, Piatelli-Palmarni M. What Darwin got wrong. New York. Farrar, Straus and Giroux. 2010
Hafer A. The Not-So-Intelligent Designer. Eugene. Oregon. Cascade Books. 2015 p.16
Godfrey-Smith P, Wilkins JF. Adaptationism, in: S. Sarkar & A. Plutynski (eds.), A Companion to the Philosophy of Biology. Blackwell. 2008, pp. 186–201
Stearns SC. (ed.). Evolution in Health and Disease. Oxford. Oxford University Press. 1999
Nesse R. A propos de la difficulté de définir la maladie : une perspective darwinienne, in : E. Giroux & M. Lemoine., (eds.) Philosophie de la médecine. Vrin. 2012, pp. 183–219
Tallis R. Aping Mankind. Durham. Acumen. 2011, p. 5
Midgley M. Evolution as a Religion. Methuen. 1985. Stove D. Darwinian Fairytales. Encounter Books. 1995. Dupré J. Darwin’s Legacy. Oxford University Press. 2003. Charlesworth B & D. Evolution. Oxford University Press. 2003
Darwin C. On the Origin of Species by Means of Natural Selection. London. John Murray. 1859. Harvard University Press. p. 6
Tallis R. Aping Mankind. Durham. Acumen. 2011, p.153
Walsh DM, Lewens T, Ariew A. The trials of life: Natural selection and random drift. Philosophy of Science. 69: 452–473, 2002
Gould SJ. & Lewontin RC. The spandrels of San Marco and the panglossian paradigm: a critique of the adaptationist programme. Proceedings of the Royal Society of London. 1979; 205: 581–598. Gould SJ. The exaptive excellence of spandrels as a term and prototype. Proceedings of the National Academy of Sciences. 1991; 94: 10750–10755
Darwin C. On the Origin of Species by Means of Natural Selection. London. John Murray. 1859. Harvard University Press. P.197
Hamblin CL. Fallacies. Methuen. 1970
Lewontin RC. Adaptation. Conceptual Issues in Evolutionary Biology. MIT Press, 1984
Sterelny K, Griffith PE. Sex and Death. An Introduction to the Philosophy of Biology. University of Chicago Press. 1999, p.22f
Schaffner KF. Discovery and explanation in biology and medicine. University of Chicago Press. 1993
Wittgenstein L. Remarques sur le Rameau d’Or de Frazer. L’Age de l’Homme. 1982, p. 21
Wittgenstein L. Vermischte Bemerkungen. Blackwell. 1978
Di Cesare S. Le naturalisme non-darwinien de Wittgenstein. 2011
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Karhausen, L. (2023). Medical Explanation. In: The Fragility of Philosophy of Medicine. Philosophy and Medicine, vol 147. Springer, Cham. https://doi.org/10.1007/978-3-031-41633-0_9
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