Disease and Diagnosis Value-Dependent Realism
The germs of the ideas in this book became implanted in me during my experience as a resident in clinical pathology at Boston University Medical Center. At the time, I had inklings that the test results churned out by our laboratories were more than scien
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Philosophy and Medicine VOLUME 63 Editors H. Tristram Engelhardt, Jr., Center for Medical Ethics and Health Policy, Baylor College of Medicine and Philosophy Department, Rice University, Houston, Texas S. F. Spicker, Massachusetts College of Pharmacy and Allied Health Sciences, Boston, Mass. Associate Editor Kevin Wm. Wildes, S. J., Department of Philosophy, Georgetown University, Washington, D. C. Editorial Board George J. Agich, Department of Bioethics, The Cleveland Clinic Foundation, Cleveland, Ohio Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey E. Haavi Morreim, Department of Human Values and Ethics, College of Medicine, University of Tennessee, Meniphis, Tennessee Becky White, California State University, Chico, California
The titles published in this series are listed at the end of this volume.
DISEASE AND DIAGNOSIS VALUE-DEPENDENT REALISM
by
WILLIAM E. STEMPSEY, S.J. College of the Holy Cross, Worcester, U.S.A.
KLUWER ACADEMIC PUBLISHERS NEW YORK / BOSTON / DORDRECHT / LONDON / MOSCOW
eBook ISBN: Print ISBN:
0-306-46874-3 0-792-36029-X
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To Mom and Dad
. . . . Thou, my Friend! art one More deeply read in thy own thoughts; to thee Science appears but what in truth she is, Not as our glory and our absolute boast, But as a succedaneum, and a prop To our infirmity. No officious slave Art thou of that false secondary power By which we multiply distinctions, then Deem that our puny boundaries are things That we perceive, and not that we have made. William Wordsworth The Prelude
TABLE OF CONTENTS
PREFACE ................................................................................................................................. xiii CHAPTER 1. INTRODUCTION ...............................................................................................1 PART ONE. FACT AND VALUE CHAPTER 2. SOCIAL CONSTRUCTIVISM VS. SCIENTIFIC REALISM ..................11 Introduction...................................................................................................................11 Cognitive Significance of Concrete and Abstract Entities .............................................12 Social Constructivism.......................................................................................................22 Scientific Realism....................................................................................................35 Towards a Value-Dependent Realism ............................................................................. 44 CHAPTER 3. FACT VS. VALUE.....................................................................
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