Grounding medical ethics in philosophy of medicine: problematic and potential

After considering two of Pellegrino’s papers that address the relation between philosophy of medicine and medical ethics, I identify several overarching problems in his account that revolve around his self-described essentialism and the lack of a systematic attempt to relate clinical medicine to biomedicine and public health. I address these from the critical realist position of Bernard Lonergan, who grounds both metaphysics and ethics on the normative structure of human inquiry and seeks to understand historical development, such as we are witnessing in health science and health care, in terms of the dynamic structure of the human good. I conclude that Lonergan’s generalized empirical method and hierarchical account of world order provide a potentially dynamic framework on which to build a more comprehensive philosophy of medicine than one whose foundations rest primarily on a phenomenology of the clinical encounter and the telos of medicine.

     

Transcendental realisms in the philosophy of science: on Bhaskar and Cartwright

I consider two transcendental arguments for realism in the philosophy of science, which are due to Roy Bhaskar (A realist theory of science, 1975) and Nancy Cartwright (The dappled world, 1999). Bhaskar and Cartwright are both influential figures, however there is little discussion of their use of transcendental arguments in the literature. Here I seek to correct this oversight. I begin by describing the role of the transcendental arguments in question, in the context of the broader philosophical theories in which they are embedded, by Bhaskar and Cartwright respectively. I then consider some specific problems that arise for these particular transcendental arguments, in the context of contemporary philosophy of science. I raise two general problems for transcendental arguments for realism and I finish by spelling out what needs to be done to address the criticisms raised in this paper.     

Truth and beauty in scientific reason

A rationalist and realist model of scientific revolutions will be constructed by reference to two categories of criteria of theory-evaluation, denominated indicators of truth and of beauty. Whereas indicators of truth are formulateda priori and thus unite science in the pursuit of verisimilitude, aesthetic criteria are inductive constructs which lag behind the progression of theories in truthlikeness. Revolutions occur when the evaluative divergence between the two categories of criteria proves too wide to be recomposed or overlooked. This model of revolutions depends upon a substantial new treatment of aesthetic criteria in science with which much of the paper will therefore be occupied.     

SCIENCE AND RELIGION: SEEKING A COMMON HORIZON

Abstract. The thought of Bernard Lonergan provides an epistemological position that is both true to the exigencies of modern science and yet open to the possibility of God and revealed religion. In this paper I outline Lonergan's "transcendental method," which describes the basic pattern of operations involved in any act of human knowing, and discuss how Lonergan uses this cognitional theory as a basis for an epistemological position of critical realism. Then I explain how his approach handles some philosophical problems raised by classical and modern science and show how his thought provides an intelligible link between the scientific and religious horizons.     

THE PROBLEM OF “GOD” IN PSYCHOLOGY OF RELIGION: LONERGAN'S “COMMON SENSE” (RELIGION) VERSUS “THEORY” (THEOLOGY)

The emphasis on God in American psychology of religion generates the problem of explaining divine‐versus‐natural causality in “spiritual experiences.” Especially “theistic psychology” champions divine involvement. However, its argument exposes a methodological error: to pit popular religious opinions against technical scientific conclusions. Countering such homogenizing “postmodern agnosticism,” Bernard Lonergan explained these two as different modes of thinking: “common sense” and “theory”—which resolves the problem: When theoretical science is matched with theoretical theology, “the God‐hypothesis” explains the existence of things whereas science explains their natures; and, barring miracles, God is irrelevant to natural science. A review of the field shows that the problem is pervasive; attention to “miracles”—popularly so‐named versus technically—focuses the claims of divine‐versus‐natural causality; and specifications of the meaning of spiritual, spirituality, science, worldview, and meaning itself (suffering that same ambiguity: personal import versus cognitive content) offer further clarity. The problem is not naturalism versus theism, but commonsensical versus theoretical thinking. This solution demands “hard” social science.     

Varieties of Objectivity: Reply to De Mesel

In a previous paper, I argued that the later Wittgenstein did not endorse a realist account of ethics, where a realist account is understood to involve a claim to truth as well as objectivity. In this paper, I respond to a number of critical questions that Benjamin De Mesel raises about that interpretation. I agree with him that just as there are uses for expressions such as “truth”, “fact” and “reality” in ethics, there are uses for expressions such as “objectivity” that do not involve a deeper realist commitment. But I uphold and reinforce my claim that objectivity in ethics as the realist conceives it is ruled out by Wittgenstein, who describes the correspondence between ethical expressions and reality in an entirely different way.     

Semantic approaches in the philosophy of science

In this article I give an overview of some recent work in philosophy of science dedicated to analysing the scientific process in terms of (conceptual) mathematical models of theories and the various semantic relations between such models, scientific theories, and aspects of reality. In current philosophy of science, the most interesting questions centre around the ways in which writers distinguish between theories and the mathematical structures that interpret them and in which they are true, i.e. between scientific theories as linguistic systems and their non-linguistic models. In philosophy of science literature there are two main approaches to the structure of scientific theories, the statement or syntactic approach—advocated by Carnap, Hempel and Nagel—and the non-statement or semantic approach—advocated, among others, by Suppes, the structuralists, Beth, Van Fraassen, Giere, Wójcicki. In conclusion, I briefly review some of the usual realist inspired questions about the possibility and character of relations between scientific theories and reality as implied by the various approaches I discuss in the course of the article. The models of a scientific theory should indeed be adequate to the phenomena, but if the theory is ‘adequate’ to (true in) its conceptual (mathematical) models as well, we have a model-theoretic realism that addresses the possible meaning and reference of ‘theoretical entities’ without relapsing into the metaphysics typical of the usual scientific realist approaches.     

MORALITY THROUGH INQUIRY,MOTIVE THROUGH RHETORIC: THE POLITICS OF SCIENCE AND RELIGION IN THE EPOCH OF THE ANTHROPOCENE

In an epoch marked by the threat of global warming, the conflicts between science and religion are no longer simply matters that concern only intellectual elites and armchair philosophers; they are in many ways matters that will determine the degree to which we can meet the challenges of our times. John H. Evans's Morals Not Knowledge represents an important provocation for those committed not only to using scientific method as a resource for making moral judgments but also to creating political alliances with religious constituencies. In this important work, Evans argues that most conflicts between science and religion do not concern a clash between two contradictory ways of knowing, but rather a clash over our moral responsibilities and ultimate values. In my response to his work, I suggest that integrating both John Dewey's pragmatic understanding of the moral situation and Kenneth Burke's rhetorical interpretation of motives helps bolster Evans's cause and provides support for a political movement that aims to bridge the divide between science and religion in the epoch of the Anthropocene.     

Reglobalizing Realism by Going Local, or (How) Should Our Formulations of Scientific Realism be Informed about the Sciences?

In order to examine the fit between realism and science, one needs to address two issues: the unit of science question (realism about which parts of science?) and the contents of realism question (which realism about science?). Answering these questions is a matter of conceptual and empirical inquiry by way local case studies. Instead of the more ordinary abstract and global scientific realism, what we get is a doubly local scientific realism based on a bottom-up strategy. Representative formulations of the former kind are in terms of the truth and reality of the posits of current science, in terms of warranted belief, in terms of mind-independent unobservable entities. Using illustrations mainly from the social sciences, doubly local scientific realism denies the global applicability of such formulations and seeks to make adjustments in their elements in response to information about local units of science: It is sufficient for a realist to give the existence of an entity (and the truth of a theory) a chance, while in some areas we may be in s position to make justified claims about actual existence (and truth). Logical inquiry-independent existence is sufficient for the social and human sciences, while mind-independence will be fine for many other domains. It should not be insisted that the theoretical posits of realist science be strict unobservables in all areas: most theoretical posits of the social sciences are idealized commonsensibles, such as elements in folk psychology. Unsurprisingly, this sort of local strategy will create space for realism that is able to accommodate larger areas of science without sacrificing traditional realist intuitions.     

Conventionalism,scientific discovery and the sociology of knowledge*

In this paper the basic aim of the so‐called ‘strong programme’ in the sociology of knowledge is examined. The ‘strong programme’ is considered (and rightly so) as an extreme version of the anti‐realist view of science. While the problem of scientific realism has normally been dealt with from the point of view of the ‘context of justification’ of theories, the paper focuses on the issues raised by law‐discovery. In this context Herbert Simon's views about the existence of a ‘logic of scientific discovery’ are discussed and criticized. The main thesis of the paper is that if the structure of both discovery and prediction is properly understood, then the basic anti‐realist claims become untenable. A fortiori, the ‘strong programme’ appears to be unable to explain some basic features of the structure of science.     

On the Relationship between Truth and Liberal Politics

This paper examines the relationship between truth and liberal politics via the work of Bernard Williams and Richard Rorty. I argue that Williams is right to think that there are positive relations between truth, specifically a realist understanding of truth, and liberal politics that Rorty's abandonment of the realist vocabulary of truth undermines. At the heart of this concern is the worry that abandoning the realist vocabulary opens up the possibility that the standards of justification for our true beliefs can be manipulated by those with the power to do so in order to further their own political ends. The political benefit of realism is that it fixes the standards of justification and makes them immune to manipulation by the use of power. However, I suggest that there is a form of realism available that Rorty can accept which would deliver the political benefits of the realist vocabulary without requiring him to accept the thick realist metaphysics that he wants to avoid. My conclusion is that there is a positive and important relationship between truth and liberal politics, a relationship that can be sustained without any necessary commitment to realist metaphysics.     

Heidegger and scientific realism

This paper describes Heidegger as a robust scientific realist, explains why his view has received such conflicting treatment, and concludes that the special significance of his position lies in his insistence upon linking the discussion of science to the question of its relation with technology. It shows that Heidegger, rather than accepting the usual forced option between realism and antirealism, advocates a realism in which he embeds the antirealist thesis that the idea of reality independent of human understanding is unintelligible. This reading is defended against Rorty's antirealist interpretation, as well as Dreyfus' depiction of him as a deflationary realist, and his assessment of background realism is contrasted with Fine's. Further, the robustness of Heidegger's realism is laid out across several texts from 1912 to 1976, in order to show that he is neither an instrumental realist nor an internal realist. Finally, the point is made that the development of his view concerning realism gives rise to a critique of objectivity that is now being similarly advocated by numerous thinkers from a variety of disciplines, and that this critique is inevitably ethical and political.     

The Asymmetry of Causality: A Realist Solution

How do we distinguish between cause and effect? The main argument of this paper is that if a realist account of the meaning of causal statements is adopted, then two clear distinctions between cause and effect emerge. By realist account is meant conceiving a cause as something with a power to act. Since a realist approach to causality is not widely accepted among philosophers, two arguments against a realist approach to causality are countered. The asymmetry of causality is defended against the claim that physics, in the main, describes a symmetrical universe.     

EMPIRICISM FOR CYBORGS

One important debate between scientific realists and constructive empiricists concerns whether we observe things using instruments. This paper offers a new perspective on the debate over instruments by looking to recent discussion in philosophy of mind and cognitive science. Realists often speak of instruments as ‘extensions’ to our senses. I ask whether the realist may strengthen her view by drawing on the extended mind thesis. Proponents of the extended mind thesis claim that cognitive processes can sometimes extend beyond our brains and bodies into the environment. I suggest that the extended mind thesis offers a way to make sense of realists’ talk of instruments as extensions to the senses and that it provides the realist with a new argument against the constructive empiricist view of instruments.     

The metaphysics of quantity

A formal theory of quantity T _Q is presented which is realist, Platonist, and syntactically second-order (while logically elementary), in contrast with the existing formal theories of quantity developed within the theory of measurement, which are empiricist, nominalist, and syntactically first-order (while logically non-elementary). T _Q is shown to be formally and empirically adequate as a theory of quantity, and is argued to be scientifically superior to the existing first-order theories of quantity in that it does not depend upon empirically unsupported assumptions concerning existence of physical objects (e.g. that any two actual objects have an actual sum). The theory T _Q supports and illustrates a form of naturalistic Platonism, for which claims concerning the existence and properties of universals form part of natural science, and the distinction between accidental generalizations and laws of nature has a basis in the second-order structure of the world.     

REALISM WITHOUT TRUTH: A REVIEW OF GIERE'S SCIENCE WITHOUT LAWS AND SCIENTIFIC PERSPECTIVISM

An increasingly popular view among philosophers of science is that of science as action—as the collective activity of scientists working in socially‐coordinated communities. Scientists are seen not as dispassionate pursuers of Truth, but as active participants in a social enterprise, and science is viewed on a continuum with other human activities. When taken to an extreme, the science‐as‐social‐process view can be taken to imply that science is no different from any other human activity, and therefore can make no privileged claims about its knowledge of the world. Such extreme views are normally contrasted with equally extreme views of classical science, as uncovering Universal Truth. In Science Without Laws and Scientific Perspectivism, Giere outlines an approach to understanding science that finds a middle ground between these extremes. He acknowledges that science occurs in a social and historical context, and that scientific models are constructions designed and created to serve human ends. At the same time, however, scientific models correspond to parts of the world in ways that can legitimately be termed objective. Giere's position, perspectival realism, shares important common ground with Skinner's writings on science, some of which are explored in this review. Perhaps most fundamentally, Giere shares with Skinner the view that science itself is amenable to scientific inquiry: scientific principles can and should be brought to bear on the process of science. The two approaches offer different but complementary perspectives on the nature of science, both of which are needed in a comprehensive understanding of science.     

Color primitivism

The typical kind of color realism is reductive: the color properties are identified with properties specified in other terms (as ways of altering light, for instance). If no reductive analysis is available – if the colors are primitive sui generis properties – this is often taken to be a convincing argument for eliminativism. That is, realist primitivism is usually thought to be untenable. The realist preference for reductive theories of color over the last few decades is particularly striking in light of the generally anti-reductionist mood of recent philosophy of mind. The parallels between the mind–body problem and the case of color are substantial enough that the difference in trajectory is surprising. While dualism and non-reductive physicalism are staples, realist primitivism is by and large a recent addition to the color literature. And it remains a minority position, although one that is perhaps gaining support. In this paper, we investigate whether it should be accepted, and conclude it should not be.     

Killing for God's sake: The spiritual crisis in religion and society

Unwittingly, religion often fosters or, at least, supports violence. Yet in a pluralistic society where religious tolerance is safeguarded, it is difficult to adjudicate public opinion that claims a religious base. This paper proposes a response-to tease apart religion and spirituality and to explicate spirituality as a human, and not necessarily a theological, thing. The core of such an understanding is the self-aware and self-transcending dimension of the human mind that can rightly be called spirit and to which numerous thinkers have pointed. Especially the thought of Bernard Lonergan contributes to a detailed account of this matter. Inherent in humanity as such, spirituality is essential to any society. Perforce spirituality is a necessary public concern, and it is a legitimate subject matter for the human sciences. On the common ground of spirituality, religious, political, and scientific collaboration could generate a shared ethos that supports social cohesion and proscribes violence from whatever source.     

John Henry Newman: Bernard Lonergan's ‘Fundamental Mentor and Guide’

Abstract: Reason has reasons of which ‘reason’ knows nothing. It was this essential insight, along with the methodological prioritisation of a phenomenology of cognition and the recognition of the epistemological distinctiveness of judgment, that a young Bernard Lonergan gleaned from his study of John Henry Newman's Grammar of Assent. Given that the ‘later’, post-Insight (1953) Lonergan enacted a more explicit transposition of his thought into a hermeneutical and existential framework, one might be tempted to assume that this coincided with a drift away from his tutelage under the nineteenth-century Englishman. Indeed, an examination of the secondary literature detailing their relationship would suggest as much. Yet, in the hope of contributing to the regrettably sparse Newman-Lonergan scholarship and proposing a modest recalibration therein, I argue that the more existential, hermeneutical, and committed to the philosophical turn to concrete socio-historical subjectivity Lonergan grew, the more fruit his early Newmanian formation bore. By analysing Newman's proto-Lonerganian anticipations in the areas of self-appropriation, conversion, the relationship of subjectivity to objectivity, and the hermeneutical nature of consciousness, I will contend that Newman—a presciently continental mind writing as one untimely born into an analytical milieu—was the wellspring from which Lonergan never ceased to draw.     

I. Frege as a Realist

H. Sluga (Inquiry, Vol. 18 [1975], No. 4) has criticized me for representing Frege as a realist. He holds that, for Frege, abstract objects were not real: this rests on a mistranslation and a neglect of Frege's contextual principle. The latter has two aspects: as a thesis about sense, and as one about reference. It is only under the latter aspect that there is any tension between it and realism: Frege's later silence about the principle is due, not to his realism, but to his assimilating sentences to proper names. Contrary to what Sluga thinks, the conception of the Bedeutung of a name as its bearer is an indispensable ingredient of Frege's notion of Bedeutung, as also is the fact that it is in the stronger of two possible senses that Frege held that Sinn determines Bedeutung. The contextual principle is not to be understood as meaning that thoughts are not, in general, complex; Frege's idea that the sense of a sentence is compounded out of the senses of its component words is an essential component of his theory of sense. Frege's realism was not the most important ingredient in his philosophy: but the attempt to interpret him otherwise than as a realist leads only to misunderstanding and confusion.