Establishing Medical Reality Essays In The Metaphysics And Epistemol

Medicine raises numerous philosophical issues. Most discussed have been debates in bioethics. Yet contemporary medicine is also a rich source of controversies and examples that raise important issues in philosophy of science, philosophy of biology, and me

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Philosophy and Medicine VOLUME 90

Founding Co-Editor Stuart F. Spicker

Editor H. Tristram Engelhardt, Jr., Department of Philosophy, Rice University, and Baylor College of Medicine, Houston, Texas Associate Editor Kevin Wm. Wildes, S.J., Department of Philosophy and Kennedy Institute of Ethics, Georgetown University, Washington, D.C. Editorial Board George J. Agich, Department of Bioethics, The Cleveland Clinic Foundation, Cleveland, Ohio Nicholas Capaldi, Department of Philosophy, University of Tulsa, Tulsa, Oklahoma Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey Eric T. Juengst, Center for Biomedical Ethics, Case Western Reserve University, Cleveland, Ohio Christopher Tollefsen, Department of Philosophy, University of South Carolina, Columbia, South Carolina Becky White, Department of Philosophy, California State University, Chico, California

ESTABLISHING MEDICAL REALITY ESSAYS IN THE METAPHYSICS AND EPISTEMOLOGY OF BIOMEDICAL SCIENCE edited by

HAROLD KINCAID University of Alabama at Birmingham, Birmingham, Alabama, USA and

JENNIFER MCKITRICK University of Nebraska-Lincoln, Lincoln, Nebraska, USA

A C.I.P. Catalogue record for this book is available from the Library of Congress.

ISBN-10 ISBN-13 ISBN-10 ISBN-13

1-4020-5215-4 (HB) 978-1-4020-5215-6 (HB) 1-4020-5216-2 (e-book) 978-1-4020-5216-3 (e-book)

Published by Springer, P.O. Box 17, 3300 AA Dordrecht, The Netherlands. www.springer.com

Printed on acid-free paper

All Rights Reserved © 2007 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work.

TABLE OF CONTENTS

Acknowledgements

vii

Chapter 1:

Introduction Harold Kincaid and Jennifer McKitrick

Chapter 2:

Normality, Disease and Enhancement Theodore M. Benditt

Chapter 3:

Holistic Theories of Health as Applicable to Non-Human Living Beings Lennart Nordenfelt

1 13

23

Chapter 4:

Disease and the Concept of Supervenience Robert D’Amico

35

Chapter 5:

Decision and Discovery in Defining ‘Disease’ Peter H. Schwartz

47

Chapter 6:

Race and Scientific Reduction Mark Risjord

65

Chapter 7:

Towards an Adequate Account of Genetic Disease Kelly C. Smith

83

Chapter 8:

Why Disease Persists: An Evolutionary Nosology Robert L. Perlman

111

Chapter 9:

Creating Mental Illness in Non-Disordered Community Populations Allan V. Horwitz

Chapter 10: Gender Identity Disorder Jennifer McKitrick

123 137

Chapter 11: Clinical Trials as Nomological Machines: Implications for Evidence-Based Medicine Robyn Bluhm Chapter 12: The Social Epistemology of NIH Consensus Conferences Miriam Solomon Chapter 13: Maternal Agency and the Immunological Paradox of Pregnancy Moira Howes v

149 167

179

vi

TABLE OF CONTENTS