Since 1984, the idea of health equity has proliferated throughout public health discourse with little mainstream critique for its variability and distance from its original articulation signifying social transformation and a commitment to social justice. In the years since health equity’s emergence and proliferation, it has taken on a seemingly endless range of invocations and deployments, but it most often translates into proactive and apolitical discourse and practice. In Margaret Whitehead’s influential characterization, achieving health equity requires determining what is inequitable (...) by examining and judging the causes of inequalities in the context of what is going on in the rest of society. However, it also remains unclear how or if public health actors examine and judge the causes of health inequality. In this article, we take the concept of health equity itself as an object of study and consider the ways in which its widespread deployment has entailed a considerable emptying of its semantic and political content. We point toward equity’s own discursive productivity as well as the quantifying imperative embedded within evidentiary norms that govern knowledge making, and performance management regimes that govern public health practices. Under current conditions of knowledge making and performance evaluation, a range of legitimate action and inaction is produced at the same time that more socially transformative action is legitimately curtailed—not merely by politics, but by the rules of the field in which public health actors work. Ultimately, meaningful progress on a normative ethical idea like health equity will require both substantial philosophical content and an analysis of what is going on in the rest of society. (shrink)

Interpretations of Nietzsche as a virtue theorist have proliferated in recent years as commentators have sought to read him as a modern eudaimonistic philosopher while also attempting to show what makes his contribution to this tradition valuable and distinctive.1While some commentators still contend that interpreting Nietzsche as a eudaimonist is antithetical to his overtly-stated philosophical aims,2 over the last decade there has been a upsurge of support for such readings, especially from commentators who emphasise what they claim is the pervasive (...) influence of the Hellenistic tradition on his work. Keith Ansell-Pearson has argued that Epicurus was a key influence on Nietzsche’s middle period, for example; whereas Michael Ure has claimed that the Stoic thought of Seneca and Epictetus was also highly influential.3 Nevertheless, even those commentators who agree that Nietzsche can be informatively situated, or is even best situated, within the Hellenistic tradition cannot agree on two seemingly-intractable puzzles which any virtue-theoretical reading must solve in order to give a full account of his moral philosophy. The puzzles can be stated as follows: Puzzle 1: Which character traits does Nietzsche endorse as virtues? Puzzle 2: What is Nietzsche’s ethical ideal? This article offers an exegetical strategy to shed light on both puzzles, especially the first one regarding which character traits Nietzsche endorses as virtues which, as we shall see, is tougher to answer by a straightforward appeal to his texts. To elucidate this puzzle, I will propose that his approving comments regarding excellence-based moral philosophy indicate that his own ethics is also structured in terms of an ethical ideal with a requisite set of virtues which, following his ancient philosophical influences, he views as fundamentally connected. As Julia Annas notes, one the most distinctive ‘assumptions which ancient theories make [is] the relationship of [our] virtues to our final end’,4 and given Nietzsche’s interest in, and apparent endorsement of, ancient eudaimonism – especially compared to his invariably scathing remarks on the modern deontological and utilitarian traditions – we have reason to think that he shares this view.5 What is significant for this article, however, is that Nietzsche’s commitment to a kind of eudaimonism modelled on the ancient world offers a potential way to solve both puzzles. If his virtues and ethical ideal are connected in a similar way to ancient eudaimonistic theories, then understanding his ethical ideal allows us to infer which character traits he endorses as virtues, and vice versa. Although it might be objected that a method tackling both puzzles in tandem would be unworkable if their solutions were contained in each other, in what follows I will show that Nietzsche’s extensive comments on his ethical ideal of ‘becoming what one is’ positions us in a strong position to infer which character traits he prizes most highly. I will call these character traits ‘virtues of self-cultivation’. (shrink)

Methodological pluralism is advocated in this book, which takes students on an investigative tour of uncertainty in the social sciences, with particular emphasis on the scientific response to uncertainty. Much of the material is drawn from the disciplines of international relations and politics.

In this collection, a leading sociologist brings his distinctive method of social criticism to bear on some of the most significant ideas, political and social events, and thinkers of the late twentieth century. In the first section, the author examines several concepts that have figured prominently in recent political-ideological controversies: capitalism, rationality, totalitarianism, power, alienation, left and right, and cultural relativism/ multiculturalism. He considers their origins, historical shifts in their meaning and the myths surrounding them, and their resonance beyond their (...) formal definitions. The second section highlights the author's lifelong interest in the relation of intellectuals to social classes and institutions. The author assesses the notion of a 'New Class', considers the implications for class structure of the increasing centring of intellectual life in the university, and assesses the relation of sociology to professional jargon. (shrink)

Discusses the rationality of the Christian religion and examines the philosophical arguments for the existence of God.

Addressing Merleau-Ponty's work Phenomenology of Perception, in dialogue with The Visible and the Invisible, his lectures at the Collège de France, and his reading of Proust, this book argues that at play in his thought is a philosophy of “ontological lateness”. This describes the manner in which philosophical reflection is fated to lag behind its objects; therefore an absolute grasp on being remains beyond its reach. Merleau-Ponty articulates this philosophy against the backdrop of what he calls “cruel thought”, a style (...) of reflecting that seeks resolution by limiting, circumscribing, and arresting its object. By contrast, the philosophy of ontological lateness seeks no such finality-no apocalypsis or unveiling-but is characterized by its ability to accept the veiling of being and its own constitutive lack of punctuality. To this extent, his thinking inaugurates a new relation to the becoming of sense that overcomes cruel thought. Merleau-Ponty's work gives voice to a wisdom of dispossession that allows for the withdrawal of being. Never before has anyone engaged with the theme of Merleau-Ponty's own understanding of philosophy in such a sustained way as Whitmoyer does in this volume. (shrink)

Condorcet's understanding of the application of the philosophy of natural sceince to social science.

A short definitive account of Keith Ward's theology, based on the philosophy of Personal Idealism. It records Ward's views about God, revelation, the kingdom of God, life after death, the incarnation, atonement, and Trinity. In summary, it is a concise and clear account of most central Christian doctrines, formed in the light of modern science and Idealist philosophy.

In the mathematics education research literature, there is a growing body of scholarship on how mathematicians practice their craft. The purpose of this chapter is to survey some of this literature and explain how it can contribute to the philosophy of mathematical practice. We first describe how mathematics educators use empirical methodologies to investigate the behaviors of mathematicians and argue that findings from these studies can inform the philosophy of mathematical practice. We then illustrate this by summarizing research on mathematicians’ (...) understandings and mathematicians’ proof reading. (shrink)

Asl. Atthasalinl of Buddhaghosa, ed. PTS. 1897. BB. Bibliotheca Buddhica, Petrograd. BC. Buddhacarita, ed. Cowell, Oxford, 1893. BCA. ...

In this important new text, Keith Lehrer introduces students to the major traditional and contemporary accounts of knowing. Beginning with the accepted definition of knowledge as justified true belief, Lehrer explores the truth, belief and justification conditions on the way to a thorough examination of foundation theories of knowledge, externalism and naturalized epistemologies, internalism and modern coherence theories as well as recent reliabilist and causal theories. Lehrer gives all views careful examination and concludes that external factors must be matched (...) by appropriate internal ones to yield knowledge. Readers of Professor Lehrer's earlier book _Knowledge_ will want to know that this text adopts the framework of that classic text. But _Theory of Knowledge_ is a completely rewritten and updated version of that book that has been simplified throughout for student use. (shrink)

This article presents the case for an approach to consciousness that I call illusionism. This is the view that phenomenal consciousness, as usually conceived, is illusory. According to illusionists, our sense that it is like something to undergo conscious experiences is due to the fact that we systematically misrepresent them as having phenomenal properties. Thus, the task for a theory of consciousness is to explain our illusory representations of phenomenality, not phenomenality itself, and the hard problem is replaced by the (...) illusion problem. Although it has had powerful defenders, illusionism remains a minority position, and it is often dismissed as failing to take consciousness seriously. This article seeks to rebut this accusation. It defines the illusionist programme, outlines its attractions, and defends it against some common objections. It concludes that illusionism is a coherent and attractive approach, which deserves serious consideration. (shrink)

In this important new text, Keith Lehrer introduces students to the major traditional and contemporary accounts of knowing. Beginning with the accepted definition of knowledge as justified true belief, Lehrer explores the truth, belief and justification conditions on the way to a thorough examination of foundation theories of knowledge, externalism and naturalized epistemologies, internalism and modern coherence theories as well as recent reliabilist and causal theories. Lehrer gives all views careful examination and concludes that external factors must be matched (...) by appropriate internal ones to yield knowledge. Readers of Professor Lehrer's earlier book _Knowledge_ will want to know that this text adopts the framework of that classic text. But _Theory of Knowledge_ is a completely rewritten and updated version of that book that has been simplified throughout for student use. (shrink)

When it originated in the late 19th century, psychometrics was a field with both a scientific and a social mission: psychometrics provided new methods for research into individual differences, and at the same time, these psychometric instruments were considered a means to create a new social order. In contrast, contemporary psychometrics - due to its highly technical nature and its limited involvement in substantive psychological research - has created the impression of being a value-free discipline. In this article, we develop (...) a contrasting characterization of contemporary psychometrics as a value-laden discipline. We expose four such values: that individual differences are quantitative (rather than qualitative), that measurement should be objective in a specific sense, that test items should be fair, and that utility of a model is more important than its truth. Our goal is not to criticize psychometrics for employing these values, but rather to bring them into the open and to show that these values are not inevitable and are in need of systematic evaluation. (shrink)

In this important new text, Keith Lehrer introduces students to the major traditional and contemporary accounts of knowing. Beginning with the accepted definition of knowledge as justified true belief, Lehrer explores the truth, belief and justification conditions on the way to a thorough examination of foundation theories of knowledge, externalism and naturalized epistemologies, internalism and modern coherence theories as well as recent reliabilist and causal theories. Lehrer gives all views careful examination and concludes that external factors must be matched (...) by appropriate internal ones to yield knowledge. Readers of Professor Lehrer's earlier book _Knowledge_ will want to know that this text adopts the framework of that classic text. But _Theory of Knowledge_ is a completely rewritten and updated version of that book that has been simplified throughout for student use. (shrink)

This paper explores the nature of curiosity from an epistemological point of view. First it motivates this exploration by explaining why epistemologists do and should care about what curiosity is. Then it surveys the relevant literature and develops a particular approach.

This book represents a considerable revision and expansion of Public Choice II. Six new chapters have been added, and several chapters from the previous edition have been extensively revised. The discussion of empirical work in public choice has been greatly expanded. As in the previous editions, all of the major topics of public choice are covered. These include: why the state exists, voting rules, federalism, the theory of clubs, two-party and multiparty electoral systems, rent seeking, bureaucracy, interest groups, dictatorship, the (...) size of government, voter participation, and political business cycles. Normative issues in public choice are also examined including a normative analysis of the simple majority rule, Bergson–Samuelson social welfare functions, the Arrow and Sen impossibility theorems, Rawls's social contract theory and the constitutional political economy of Buchanan and Tullock. (shrink)

Abstract: Contemporary analytic philosophers of the “reactive attitudes” tend to share a simple conception of guilt as “self-directed blame”—roughly, an “unpleasant affect” felt in combination with, or in response to, the thought that one has violated a moral requirement, evinced substandard “quality of will,” or is blameworthy. I believe that this simple conception is inadequate. As an alternative, I offer my own theory of guilt’s logic and its connection to morality. In doing so, I attempt to articulate guilt’s defining thought (...) or proposition through an extended investigation and analysis of guilt’s many competing metaphors, which I trace from the Hebrew Bible to the New Testament to Shakespeare to contemporary vernacular. My interpretation of this literary genealogy offers a way to understand guilt’s seemingly disparate metaphors in terms of a single master-image that illuminates our self-conceptions and our relationship to morality. I conclude by making a very brief start toward a moral vindication of guilt against the backdrop of Nietzschean and Freudian analyses that explicitly call guilt’s place in a healthy social and personal life into question. I suggest that once guilt’s logic is made explicit, we can see that it makes sense of, honors, and addresses some of our deepest aspirations and needs. (shrink)

Mind and Supermind offers an alternative perspective on the nature of belief and the structure of the human mind. Keith Frankish argues that the folk-psychological term 'belief' refers to two distinct types of mental state, which have different properties and support different kinds of mental explanation. Building on this claim, he develops a picture of the human mind as a two-level structure, consisting of a basic mind and a supermind, and shows how the resulting account sheds light on a (...) number of puzzling phenomena and helps to vindicate folk psychology. Topics discussed include the function of conscious thought, the cognitive role of natural language, the relation between partial and flat-out belief, the possibility of active belief formation, and the nature of akrasia, self-deception and first-person authority. This book will be valuable for philosophers, psychologists and cognitive scientists. (shrink)

Contextualism has been hotly debated in recent epistemology and philosophy of language. The Case for Contextualism is a state-of-the-art exposition and defense of the contextualist position, presenting and advancing the most powerful arguments in favor of the view and responding to the most pressing objections facing it.

I discuss the relationship between different versions of the equivalence principle in general relativity, among them Einstein's equivalence principle, the weak equivalence principle, and the strong equivalence principle. I show that Einstein's version of the equivalence principle is intimately linked to his idea that in GR gravity and inertia are unified to a single field, quite like the electric and magnetic field had been unified in special relativistic electrodynamics. At the same time, what is now often called the strong equivalence (...) principle, related to the local validity of special relativity, can also be found in Einstein's writings, albeit by a different name and clearly separated from what he calls the equivalence principle. I discuss both the development of Einstein's thoughts on the different versions of the equivalence principle, their relationship to the relativity principle, as well as later reflections and variants proposed. (shrink)

Recent decades have seen a revived interest in super-substantivalism, the idea that spacetime is the only fundamental substance and matter some kind of aspect, property or consequence of spacetime structure. However, the metaphysical debate so far has misidentified a particular variant of super-substantivalism with the position per se. I distinguish between a super-substantival core commitment and different ways of fleshing it out. I then investigate how general relativity and alternative spacetime theories square with the different variants of super-substantivalism.

The epistemic basing relation is the relation occurring between a belief and a reason when the reason is the reason for which the belief is held. It marks the distinction between a belief's being justifiable for a person, and the person's being justified in holding the belief. As such, it is an essential component of any complete theory of epistemic justification. ;I survey and evaluate all theories of the basing relation that I am aware of published between 1965 and 1995. (...) These include causal theories, , theories involving pseudo-overdetermination relations , theories involving what a person would appeal to in defense of her beliefs , and doxastic theories , involving an appeal to meta-beliefs. My discussion of these theories includes a detailed analysis of variations of Lehrer's case of the gypsy lawyer which, I show, can be reformulated to pose a decisive objection to causal theories, if not causal analyses, of the basing relation. ;Rejecting all published theories, I present a new kind of causal analysis of the basing relation which I call the causal-doxastic theory. This theory states that a belief is based on a reason if the reason bears an appropriate causal relation to the belief, or, it does not bear such a causal relation, but an appropriate meta-belief is present. A causal analysis of which meta-beliefs are appropriate is given, so as to count as inappropriate rationalizations, mistaken meta-beliefs, etc. In developing the causal-doxastic theory, I present a solution to the problem of deviant causal chains, a discussion of the causal sustaining of beliefs, an account of rejecting reasons, and a partial analysis of showing that one is justified. I then discuss implications of my theory regarding foundationalism, inference, basic and non-basic belief, holistic and linear coherentism, process reliabilism, internalism and externalism, and various closure principles. (shrink)

In this important collection of essays Dennis Thompson argues for a more robust conception of responsibility in public life than prevails in contemporary democracies. He suggests that we should stop thinking so much about public ethics in terms of individual vices and start thinking about it more in terms of institutional vices. Combining theory and practice with many concrete examples and proposals for reform, these essays could be used in courses in applied ethics or political theory and will be read (...) by professionals and graduate students in schools of political science, public policy, law, public health, journalism and business. (shrink)

As interpreted by Pattee, von Neumann’s Theory of Self-Reproducing Automata has proved to be a useful tool for understanding some of the difficulties and paradoxes of molecular biosemiotics. But is its utility limited to molecular systems or is it more generally applicable within biosemiotics? One way of answering that question is to look at the Theory as a model for one particular high-level biosemiotic activity, human language. If the model is not useful for language, then it certainly cannot be generally (...) useful to biosemiotics. Beginning with the Universal Turing Machine and continuing with von Neumann’s Theory and Pattee’s interpretation, the properties of universality, programmability, underspecification, complementarity of description/construction, and open-ended evolutionary potential are shown to be usefully applicable to language, thus opening a new line of inquiry in biosemiotics. (shrink)

This book explores the idea that we have two minds - automatic, unconscious, and fast, the other controlled, conscious, and slow. In recent years there has been great interest in so-called dual-process theories of reasoning and rationality. According to such theories, there are two distinct systems underlying human reasoning - an evolutionarily old system that is associative, automatic, unconscious, parallel, and fast, and a more recent, distinctively human system that is rule-based, controlled, conscious, serial, and slow. Within the former, processes (...) the former, processes are held to be innate and to use heuristics that evolved to solve specific adaptive problems. In the latter, processes are taken to be learned, flexible, and responsive to rational norms. -/- Despite the attention these theories are attracting, there is still poor communication between dual-process theorists themselves, and the substantial bodies of work on dual processes in cognitive psychology and social psychology remain isolated from each other. This book brings together leading researchers on dual processes to summarize the state-of-the-art, highlight key issues, present different perspectives, explore implications, and provide a stimulus to further work. It includes new ideas about the human mind both by contemporary philosophers interested in broad theoretical questions about mental architecture and by psychologists specialising in traditionally distinct and isolated fields. For all those in the cognitive sciences, this is a book that will advance dual-process theorizing, promote interdisciplinary communication, and encourage further applications of dual-process approaches. (shrink)

WHILE THERE IS AGREEMENT AMONG MANY (BUT NOT ALL) THEOLOGIANS AND PHILOSOPHERS THAT A MIRACULOUS EVENT SHOULD BE CONCEIVED IN OPPOSITION TO THE NATURAL ORDER, THERE IS DISAGREEMENT ABOUT WHY THIS OPPOSITION MUST BE PRESENT. IN THIS PAPER I EXAMINE ANTONY FLEW’S EXPLANATION OF HOW AND WHY MIRACLES AND NATURE ARE OPPOSED, SUGGESTING THAT HIS ACCOUNT IS, AS IT STANDS, PROBLEMATICAL AND IN NEED OF REVISION. I ARGUE THAT IF MIRACLES ARE TO BE THOUGHT OF AS SUPERNATURAL INTERVENTIONS INTO THE (...) NATURAL WORLD, AND HENCE IT IS THOUGHT APPROPRIATE TO SPEAK OF THEM AS PHYSICALLY IMPOSSIBLE, THEN ONE MUST DEFINE THE PHYSICALLY IMPOSSIBLE IN TERMS OF WHAT CAN BE EXPLAINED ONLY BY REFERENCE TO SUPERNATURAL FORCE, RATHER THAN IN TERMS OF WHAT IS LOGICALLY INCONSISTENT WITH LAWS OF NATURE. (shrink)

I argue that, contrary to folklore, Einstein never really cared for geometrizing the gravitational or the electromagnetic field; indeed, he thought that the very statement that General Relativity geometrizes gravity "is not saying anything at all". Instead, I shall show that Einstein saw the "unification" of inertia and gravity as one of the major achievements of General Relativity. Interestingly, Einstein did not locate this unification in the field equations but in his interpretation of the geodesic equation, the law of motion (...) of test particles. (shrink)

Classical logic, beginning with the work of Aristotle, has developed into a powerful and rigorous mathematical theory with many applications in mathematics and ...

The story of the greatest of all philosophical friendships—and how it influenced modern thought David Hume is widely regarded as the most important philosopher ever to write in English, but during his lifetime he was attacked as “the Great Infidel” for his skeptical religious views and deemed unfit to teach the young. In contrast, Adam Smith was a revered professor of moral philosophy, and is now often hailed as the founding father of capitalism. Remarkably, the two were best friends for (...) most of their adult lives, sharing what Dennis Rasmussen calls the greatest of all philosophical friendships. The Infidel and the Professor is the first book to tell the fascinating story of the friendship of these towering Enlightenment thinkers—and how it influenced their world-changing ideas. The book follows Hume and Smith’s relationship from their first meeting in 1749 until Hume’s death in 1776. It describes how they commented on each other’s writings, supported each other’s careers and literary ambitions, and advised each other on personal matters, most notably after Hume’s quarrel with Jean-Jacques Rousseau. Members of a vibrant intellectual scene in Enlightenment Scotland, Hume and Smith made many of the same friends, joined the same clubs, and were interested in many of the same subjects well beyond philosophy and economics—from psychology and history to politics and Britain’s conflict with the American colonies. The book reveals that Smith’s private religious views were considerably closer to Hume’s public ones than is usually believed. It also shows that Hume contributed more to economics—and Smith contributed more to philosophy—than is generally recognized. Vividly written, The Infidel and the Professor is a compelling account of a great friendship that had great consequences for modern thought. (shrink)

There is a duality in our everyday view of belief. On the one hand, we sometimes speak of credence as a matter of degree. We talk of having some level of confidence in a claim (that a certain course of action is safe, for example, or that a desired event will occur) and explain our actions by reference to these degrees of confidence – tacitly appealing, it seems, to a probabilistic calculus such as that formalized in Bayesian decision theory. On (...) the other hand, we also speak of belief as an unqualified, or flat-out, state (‘plain belief’ as it is sometimes called), which is either categorically present or categorically absent. We talk of simply believing or thinking that something is the case, and we cite these flat-out attitudes in explanation of our actions – appealing to classical practical reasoning of the sort formalized in the so-called ‘practical syllogism’.1 This tension in everyday discourse is reflected in the theoretical literature on belief. In formal epistemology there is a division between those in the Bayesian tradition, who treat credence as graded, and those who think of it as a categorical attitude of some kind. The Bayesian perspective also contrasts with the dominant view in philosophy of mind, where belief is widely regarded as a categorical state (a token sentence of a mental language, inscribed in a functionally defined ‘belief box’, according to one popular account). A parallel duality is present in our everyday view of desire. Sometimes we talk of having degrees of preference or desirability; sometimes we speak simply of wanting or desiring something tout court, and, again, this tension is reflected in the theoretical literature. What should we make of these dualities? Are there two different types of belief and desire – partial and flat-out, as they are sometimes called? If so, how are they related? And how could both have a role in guiding rational action, as the everyday view has it? The last question poses a particular challenge in relation to flat-out belief and desire.. (shrink)

Einstein regarded as one of the triumphs of his 1915 theory of gravity - the general theory of relativity - that it vindicated the action-reaction principle, while Newtonian mechanics as well as his 1905 special theory of relativity supposedly violated it. In this paper we examine why Einstein came to emphasise this position several years after the development of general relativity. Several key considerations are relevant to the story: the connection Einstein originally saw between Mach's analysis of inertia and both (...) the equivalence principle and the principle of general covariance, the waning of Mach's influence owing to de Sitter's 1917 results, and Einstein's detailed correspondence with Moritz Schlick in 1920. (shrink)

This chapter discusses the nature of software maintenance in light of software’s ontological status. A realist view of software need not commit us to the otiose position that software maintenance is impossible. Many philosophers and computer scientists have been concerned with drawing attention to software’s dual nature, its being both symbolic and physical, abstract and concrete. There are strong connections to be found between this topic and recent investigations in the philosophy of linguistics, particularly the metaphysics of words. It is (...) shown, contra Irmak, that software can be best understood through a realist type-token distinction employing an ontology of composite objects that was put forward by Katz. This approach employs both non-spatiotemporal abstract types and tokens of those types. Further developing Katz’s realist approach can help to make better sense of the dual nature of computational artefacts and their maintenance than the alternatives outlined. Young claims that a prevalent imbalanced view of maintenance as solely conservative is due to a misunderstanding of the nature of artefacts as being realisations of their producers’ intentions. This is a problem for theories of artefacts that employ intentions, such as the one involved with the realist view of software and software maintenance. Software maintenance on this view is not solely conservative but also adaptive and enhancive, constituting a source of counterexamples to Young’s claim. An alternative explanation of the imbalanced view is provided, based on observations by software engineers, especially Sommerville. (shrink)

In _The Search for Meaning: A Short History, _Dennis Ford explores eight approaches human beings have pursued over time to invest life with meaning and to infuse order into a seemingly chaotic universe. These include myth, philosophy, science, postmodernism, pragmatism, archetypal psychology, metaphysics, and naturalism. In engaging, companionable prose, Ford boils down these systems to their bare essentials, showing the difference between viewing the world from a religious point of view and that of a naturalist, and comparing a scientific worldview (...) to a philosophical one. Ford investigates the contributions of the Greeks, Kant, and William James, and brings the discussion up to date with contemporary thinkers. He proffers the refreshing idea that in today's world, the answers provided by traditional religions to increasingly difficult questions have lost their currency for many and that the reductive or rationalist answers provided by science and postmodernism are themselves rife with unexamined assumptions. (shrink)

While researching my 2001 book on sickle cell disease, I became aware of the politics of pain. In that malady—a painful disorder associated with African Americans and characterized by frequent infections and recurring painful “crises”—the politics of pain recognition and adequate relief intersect not only with drug concerns, but also with American racial politics. One cannot understand fully the history of sickle cell patients without understanding politics on two levels: the macropolitics of race in America and the micropolitics of medicinal (...) encounters. How these two kinds of politics collided in clinical decision-making about diagnosis, treatment, and pain management has long been a focus of my scholarship—not... (shrink)