论医学人文精神的历史走向

医学人文精神和医学科学精神的整合交融,是医学走向成熟的标志,对生命的终极关怀,是医学人文精神的基本内涵;对医患关系的理解和介入方式,是医学人文精神切入实践的关键;医学人文品格是医学人文精神的良性载体和职业表征。是医生理想的职业人格。这四个问题从不同角度,不同层面凸现了医学人文精神的实质,反映了在新医学模式背景下医学人文精神的历史走向。     

Explanation and categorization: How “why?” informs “what?”

Recent theoretical and empirical work suggests that explanation and categorization are intimately related. This paper explores the hypothesis that explanations can help structure conceptual representations, and thereby influence the relative importance of features in categorization decisions. In particular, features may be differentially important depending on the role they play in explaining other features or aspects of category membership. Two experiments manipulate whether a feature is explained mechanistically, by appeal to proximate causes, or functionally, by appeal to a function or goal. Explanation type has a significant impact on the relative importance of features in subsequent categorization judgments, with functional explanations reversing previously documented effects of ‘causal status’. The findings suggest that a feature’s explanatory importance can impact categorization, and that explanatory relationships, in addition to causal relationships, are critical to understanding conceptual representation.     

Is knowledge a natural kind?

The project of treating knowledge as an empirical object of study has gained popularity in recent naturalistic epistemology. It is argued here that the assumption that such an object of study exists is in tension with other central elements of naturalistic philosophy. Two hypotheses are considered. In the first, “knowledge” is hypothesized to refer to mental states causally responsible for the behaviour of cognitive agents. Here, the relational character of truth creates a problem. In the second hypothesis “knowledge” is hypothesized to refer to mental states causally responsible for the evolutionarily successful behaviour of cognitive agents. Here, the problem lies in the fact that evolution by natural selection is not necessarily conducive to truth. The result does not necessarily amount to eliminativism, however, since the naturalist may consistently reject the condition of truth that lies behind these problems.     

Underdetermination and Rational Choice of Theories

The underdetermination of theory by data argument (UD) is traditionally construed as an argument that tells us that we ought to favour an anti-realist position over a realist position. I argue that when UD is constructed as an argument saying that theory choice is to proceed between theories that are empirically equivalent and adequate to the phenomena up until now, the argument will not favour constructive empiricism over realism. A constructive empiricist cannot account for why scientists are reasonable in expecting one theory to be empirically adequate rather than another, given the criteria he suggests for theory choice.

EXPLANATION, SOCIAL SCIENCE, AND THE STUDY OF RELIGION: A RESPONSE TO SEGAL WITH COMMENT ON THE ZYGON EXCHANGE

Abstract. In the issue of Zygon devoted to methodological reflection on the boundaries between natural science, social science, and theology (September 1990), Edward 0. Wilson pointed to the hierarchical tension between disciplines and antidisciplines. Working within this framework, Robert Segal outlined several “misconceptions of social science” held by religionists who fear it reduces, or “explains away” their subject. Philip Gorski, Nancey Murphy, and Kenneth Vaux suggested greater harmony but left Segal's challenge largely unaddressed. Religionists, says Segal, distrust social science because they think it ignores “the believer's point of view,” denies the “irreducibility” of religion, prefers materialist and mechanical explanations, and denies religious truth. Do religionists really claim all, or just some of these things? Are some perhaps not misconceptions, but accurate understandings of a real conflict? This article contends that distinctions need to be made; that at most, the humanistic assumptions of religionists compete with only one form of social science–reductionism; and further, that where conflict does arise, it is scientifically beneficial. Religionists differ from theologians, who argue from confessional premises, but the two are allied in opposing reductionism. Precisely because it is genuine, the debate with reductionist social science promises to advance understanding.     

Does “Intelligent Design” Have a Chance? An Essay Review

A number of authors have agued the case that there is empirical evidence that the universe (or particular configurations within it) must be the outcome of intelligent design. Recent books by William Dembski and Dean Overman, though different in style and level of argumentation, reach a similar conclusion: the universe, or certain forms within it, cannot be explained without appeal to design as a mode of causation. But exactly what is the operative definition for intelligent design in these works? And how convincing is their case for the necessity of appealing to this type of design in causal explanations?     

Über zwei Formen von Realismus in der Quantentheorie

On Two Types of Realism in Quantum Theory. Current realist approaches to the foundations of quantum theory emphasize the dichotomy between (Copenhagen) positivism and ‘beable’-realism. Recently it was even attempted to turn this picture into two (equally possible) histories in order to legitimate Bohmian Mechanics as a viable alternative. This paper argues that this dichotomy is philosophically inadequate and historically questionable by embedding it into the philosophical discussion on positivism and realism that has taken place since the 1920s. Logical Empiricists back then advocated empirical realism and contrasted it to absolutistic metaphysical realism. From this viewpoint David Bohm's ‘beable’-realism combines elements of Mach's sensualism with a pre-Kantian metaphysics. As Wesley Salmon's position shows, empirical realism can become quite pronounced without relapsing into Bohmian philosophy. Instead it arrives close to the GRWP-interpretation. Hence, when Bernard d'Espagnat binds both together as ‘ontological interpretations’, he blurs the borderline between empirical and metaphysical realism that his Veiled Reality has set out to draw, quite in concordance with Logical Empiricism. This revised version was published online in August 2006 with corrections to the Cover Date.     

Soft Libertarianism and Hard Compatibilism

In this paper I discuss two kinds of attempts to qualify incompatibilist and compatibilist conceptions of freedom to avoid what have been thought to be incredible commitments of these rival accounts. One attempt -- which I call soft libertarianism -- is represented by Robert Kane's work. It hopes to defend an incompatibilist conception of freedom without the apparently difficult metaphysical costs traditionally incurred by these views. On the other hand, in response to what I call the robot objection (that if compatibilism is true, human beings could be the products of design), some compatibilists are tempted to soften their position by placing restrictions on the origins of agency. I argue that both of these attempts are misguided. Hard libertarianism and hard compatibilism are the only theoretical options.     

On radical conceptual revolutions in social science

The paper considers arguments for and against correction and elimination of the basic conceptual categories as well as theories of social science. It is argued that some correction of at least some basic social notions is called for. A great part of the paper consists in a conceptual investigation of such notion of correction in terms of different notions of corrective explanation.     

The Cards that are Dealt You

Various philosophers have argued that in order to be morally responsible, we need to be the "ultimate sources' of our choices and behavior. Although there are different versions of this sort of argument, I identify a "picture' that lies behind them, and I contend that this picture is misleading. Joel Feinberg helpfully suggested that we scale down what might initially be thought to be legitimate demands on "self-creation,' rather than jettison the idea that we are truly and robustly responsible. I follow Feinberg in rejecting various "inflated' demands on "origination,' "initiation,' or ultimate sourcehood.