Coming Out: Considering the Closet of Illness

This essay explores key concerns surrounding coming out as a person with illness and addresses important professional and social considerations for those who are closeted in various kinds of illness. Using central tenets of Queer Theory and Disability and Cultural Studies as a theoretical base, I examine the politics of coming out in the specific context of my lived experience during the 2002 NEH Summer Institute, Medicine, Literature, and Culture While such an environment might foster unusual candor about personal illness experience, I discovered that the choice to come out as a person with chronic, non-infectious disease (Inflammatory Bowel Disease) was nevertheless complicated in interesting ways.     

Indeterminiertheit,Iterabilität und Intentionalität

In his recent paper Indeterminacy, empiricism, and the first person John R. Searle tries to refute Willard V. O. Quine's famous indeterminacy of translation thesis by arguing that this thesis is in fact areductio ad absurdum of Quine's own linguistic behaviorism. Searle accuses Quine of being (irrationally) antimentalistic and suggests that the absurdity of Quine's thesis might be avoided if a full-fledged intentionality were tolerated in the debate on meaning. — This anti-Quinean approach in some respects reminds of the improbable debate between Searle and Jacques Derrida ten years ago, when Derrida had split and deferred intentionality by showing that the essential iterability of signs inevitably infects every intentional act with an unremovable non-presence.In this paper it is argued that Searle's attacks on Quine and Derrida have both failed — and that there are structural similarities between these two failures which reveal some interesting parallels between Quine's and Derrida's philosophy.     

Between Science and Nature: Interpreting Lactation Failure in Elizabeth von Arnim's The Pastor's Wife

Interpreting a scene of lactation failure allows us to represent breast-feeding as a contested social practice. This essay reads a novelistic scene of lactation failure in the context of the decline of breast-feeding in the twentieth century. The protagonist's ignorance of the female experiences of pregnancy, childbirth, and lactation is an effect of her objectification within the opposition between science and nature. Unnatural as a woman because she is a natural individual, the pastor's wife exemplifies the dilemmas of breast-feeding as a biosocial practice of maternity in a technological society which features the breakdown of traditional female networks in which knowledge about maternity and breast-feeding are circulated.     

Medical Intellectuals: Resisting Medical Orientalism

In this paper, we propose analogies between medical discourse and Edward Said's Orientalism. Medical discourse, like Orientalism, tends to favor institutional interests and can be similarly dehumanizing in its reductionism, textual representations, and construction of its subjects. To resist Orientalism, Said recommends that critics—intellectuals—adopt the perspective of exile. We apply Said's paradigm of intellectual-as-exile to better understand the work of key physician-authors who cross personal and professional boundaries, who engage with patients in mutually therapeutic relationships, and who take on the public responsibility of representation and advocacy. We call these physician-authors medical intellectuals and encourage others to follow in their path.     

Out of Season: Illness in Adolescent Fiction

The young adult novel is aimed at a carefully defined target market, often focused on a predictable range of issues. Where illness and death are the theme, the process of growing up is more dramatically defined. Young people who suffer or watch a family member suffer a serious illness find their stages of moral development disrupted, their values reorganized, and emerging sexual interests submerged under more insistent demands. The books discussed in this article are not formula novels, but complex tales with interesting subplots and characters. Notable features common to them are as follows: 1) strategies of normalization, 2) abandonment and alienation, 3) unexpected emotions, 4) extra-familial support, 5) other people's problems, and 6) God, meaning, and hope.     

Language in action

A number of general points behind the story of this paper may be worth setting out separately, now that we have come to the end.There is perhaps one obvious omission to be addressed right away. Although the word information has occurred throughout this paper, it must have struck the reader that we have had nothing to say on what information is. In this respect, our theories may be like those in physics: which do not explain what energy is (a notion which seems quite similar to information in several ways), but only give some basic laws about its behaviour and transmission.     

The psychophysical nature of humans

Postpowanie czlowieka [Human activity] in [Ajdukiewicz 1985], vol. 1, 317–324.     

Prinzipielle Problemstellungen der Forschungspolitik

Research consists of choosing a problem, proposing and testing problem solutions, and presenting the results. In its central moment — conjectures and testing — science must be autonomous in order to be successful. Securing this autonomy by organizational means is one of the tasks of research policy. Research needs to justify itself only when the researcher makes a claim to the resources of others. To discuss problems of justification of governmental support, it is imperative to distinguish between basic and applied research. In basic research the problem choice is guided only by considerations of scientific interest, while in applied research the problems emanate from extra-scientific concerns since applied research is by definition a means for tackling concrete practical problems. Deciding on external criteria (e.g. deciding whether to support more energy research or more cancer research) is a genuine political problem rather than a problem of research policy. Thus applied research can be justified by referring to the benefit the expected results will yield, but basic research requires a completely different justification. One such justification is the argument that applied research requires a certain overhead in basic research. Securing an adequate balance between funding basic and applied research within the problem area concerned is another task of research policy. (E.g. in the area of cancer whether to support more molecular biology research or more clinical research.) When the overhead argument is not applicable, there still remain several possible justifications for basic research. These are examined in the paper. When setting priorities for basic research within a certain discipline, one apparently must turn to the scientific community itself. It may well be that the researches, who constitute the only expertise available for this task, have to rely on tacit knowledge. If so, this remains afaute de mieux procedure since articulated criteria would be preferable to intuitive procedures. The purpose of methodological reflection on research policy making is to supply intellectual instruments for making the discussion about substantive problems more rational. The substantive problems can be tackled only through the close cooperation of research policy makers and researchers. Thus methodology should not limit the degrees of freedom of either but increase them.     

Blueprints and Recipes: Gendered Metaphors for Genetic Medicine

In the face of documented difficulties in the public understanding of genetics, new metaphors have been suggested. The language of information coding and processing has become deeply entrenched in the public representation of genetics, and some critics have found fault in the blueprint metaphor, a variant of the dominant theme. They have offered the language of the recipe as a preferable metaphor. The metaphors of the blueprint and the recipe are compared in respect to their deterministic implications and other associations. The likelihood of the recipe metaphor framing cognition in more useful ways is called into question.     

Actual truth,possible knowledge

The well-known argument of Frederick Fitch, purporting to show that verificationism (= Truth implies knowability) entails the absurd conclusion that all the truths are known, has been disarmed by Dorothy Edgington's suggestion that the proper formulation of verificationism presupposes that we make use of anactuality operator along with the standardly invoked epistemic and modal operators. According to her interpretation of verificationism, the actual truth of a proposition implies that it could be known in some possible situation that the proposition holds in theactual situation. Thus, suppose that our object language contains the operatorA — it is actually the case that ... — with the following truth condition: _vA iff _w0, wherew ₀ stands for the designated world of the model — the actual world. Then we can formalize the verificationist claim as follows:

Theory of philosophy as a science of the symbolic

This study tries to put the foundations of a theory of reasoning on the ground of philosophy as philosophy: what are the presupposed terms of the philosophical research, and what they are meaning. It intends to separate words from their evident meaning and to receive them as symbolic items. Symbolization is the most important way of proceeding in philosophy. Philosophers are usually not aware of this symbolical process. Thus, the structure of knowing in philosophy is presented as a way of symbolizing. This perspective is open in referring to the traditional problems.     

Emeralds are no chameleons — Why “Grue” is not projectible for induction

The model function for induction of Goodmans's composite predicate Grue was examined by analysis. Two subpredicates were found, each containing two further predicates which are mutually exclusive (green and blue, observed before and after t). The rules for the inductive processing of composite predicates were studied with the more familiar predicate blellow (blue and yellow) for violets and primroses. The following rules for induction were violated by processing grue: From two subpredicates only one (blue after t) appears in the conclusion. As a statement about a future and unobserved condition this subpredicate, however, is not projectible for induction whereas the only suitable predicate (green before t) does not show up in the conclusion. In a disjunction a v b where a is true and b false the disjunction is true. When, however, the only true component is dropped, what remains is necessarily false. An analogous mistake may be observed in the processing of grue, where the only true component (green) was dropped in the conclusion. — As a potent criterion for correct inductions a check of the necessity of the conclusions is recommended.The author is indebted to Prof. Curt Christian for valuable suggestions.     

Some basic problems in the development of the human sciences in China today

Paper read on November 3, 1988 before the Philosophical Society of Fribourg (Switzerland) — In China we use social sciences to refer to all disciplines in the humanities and the social sciences. The expression is juxtaposed to natural sciences. Since I do not discuss such subjects as economics, education, journalism, and other practical fields, I prefer to use here the term human sciences.     

Local and normative rationality of science: The ‘content of discovery’ rehabilitated

The recent turn to the context of discovery and other postmodernist developments in the philosophy of science have undermined the idea of a universal rationality of science. This parallels the fate of the classical dream of a logic of discovery. Still, justificational questions have remained as a distinct perspective, though comprising both consequential and generative justification — an insight delayed by certain confusions about the (original) context distinction. An examination of one particular heuristic strategy shows its local rationality; even as an efficient procedure of hypothesis generation, it carries probative weight. It will be explored in which respects such a strategy can be normative or contain normative elements.Parts of this paper were published, in summary fashion, in Kirschenmann (1989).     

Afterword: Playing off ideology

Born 1918, essayist and specialist in Oriental studies. Studied philosophy and literature at MIFLI during the mid-thirties. Imprisoned in the camps after the Second World War and rehabilitated in 1953. Having participated in the protest against the injustices of the Ginzburg trial in 1968, Pomeranc was himself awarded the laurels of dissidence. With the exception of a small number of articles and monographs published within the Soviet Union in the early sixties (on aspects of oriental religions) his writings have appeared abroad, among them:Neopublikovannoe (Unpublished Writings), Frankfurt, 1972;elovek bez prilagatel'nogo (A Man without Adjectives). Published here are partially reconstructed excerpts from, and new comentary to, essays published in the seventies intamizdat.     

From principles to principals: The new direction in medical ethics

Many alternatives or supplements to principalism seek to reconnect medical ethics with the thoughts, feelings, and motivations of the persons directly involved in ethically troublesome situations. This shift of attention, from deeds to doers, from principles to principals, acknowledges the importance of the moral agents involved in the situation — particular practitioners, patients, and families. Taking into account the subjective, lived experience of moral decision-making parallels recent efforts in the teaching of medicine to give the patient's subjectivity — his or her personal experience of being sick or disabled — epistemological parity with scientific medicine's objective, biomedically-oriented view of the person's sickness or disability.Moreover, the shift from principalism to principals signals a growing realization that ethical problems in the profession of medicine are inseparable from its practice. Philosophers and other humanists working in medicine should resist the temptation to institutionalize a professional role as solver of ethical problems, clarifier of values, or mediator of disputes and work instead to help practitioners practice medicine reflectively.