An important part of the Unified Medical Language System (UMLS) is its Semantic Network, consisting of 134 Semantic Types connected to each other by edges formed by one or more of 54 distinct Relation Types. This Network is however for many purposes overcomplex, and various groups have thus made attempts at simplification. Here we take this work further by simplifying the relations which involve the three Semantic Types – Diagnostic Procedure, Laboratory Procedure and Therapeutic or Preventive Procedure. We define operators (...) which can be used to generate terms instantiating types from this selected set when applied to terms designating certain other Semantic Types, including almost all the terms specifying clinical tasks. Usage of such operators thus provides a useful and economical way of specifying clinical tasks. The operators allow us to define a mapping between those types within the UMLS which do not represent clinical tasks and those which do. This mapping then provides a basis for an ontology of clinical tasks that can be used in the formulation of computer-interpretable clinical guideline models. (shrink)

Outcomes research in healthcare has been a topic much addressed in recent years. Efforts in this direction have been supplemented by work in the areas of guidelines for clinical practice and computer-interpretable workflow and careflow models.In what follows we present the outlines of a framework for understanding the relations between organizations, guidelines, individual patients and patient-related functions. The derived framework provides a means to extract the knowledge contained in the guideline text at different granularities, in ways that can help us (...) to assign tasks within the healthcare organization and to assess clinical performance in realizing the guideline. It does this in a way that preserves the flexibility of the organization in the adoption of the guidelines. (shrink)

Predictivists use the no miracle argument to argue that “novel” predictions are decisive evidence for theories, while mere accommodation of “old” data cannot confirm to a significant degree. But deductivists claim that since confirmation is a logical theory-data relationship, predicted data cannot confirm more than merely deduced data, and cite historical cases in which known data confirmed theories quite strongly. On the other hand, the advantage of prediction over accommodation is needed by scientific realists to resist Laudan’s criticisms of the (...) no miracle argument. So, if the deductivists are right, the most powerful argument for realism collapses. There seems to be an inescapable contradiction between these prima facie plausible arguments of predictivists and deductivists; but this puzzle can be solved by understanding what exactly counts as novelty, if novel predictions must support the no miracle argument, i.e., if they must be explainable only by the truth of theories. Taking my cues from the use-novelty tradition, I argue that (1) the predicted data must not be used essentially in building the theory or choosing the auxiliary assumptions. This is possible if the theory and its auxiliary assumptions are plausible independently of the predicted data, and I analyze the consequences of this requirement in terms of best explanation of diverse bodies of data. Moreover, the predicted data must be (2) a priori improbable, and (3) heterogeneous to the essentially used data. My proposed notion of novelty, therefore, is not historical, but functional. Hence, deductivists are right that confirmation is independent of time and of historical contingencies such as if the theorist knew a datum, used it, or intended to accommodate it. Predictivists, however, are right that not all consequences confirm equally, and confirmation is not purely a logical theory-data relation, as it crucially involves background epistemic conditions and the notion of best explanation. Conditions (1)–(3) make the difference between prediction and accommodation, and account for the confirming power of theoretical virtues such as non ad-hocness, non-fudging, non-overfitting, independence and consilience. I thus show that functional novelty (a) avoids the deductivist objections to predictivism, (b) is a gradual notion, in accordance with the common intuition that confirmation comes in degrees, and (c) supports the no miracle argument, so vindicating scientific realism. (shrink)

There are two possible realist defense strategies against the pessimistic meta-induction and Laudan’s meta-modus tollens: the selective strategy, claiming that discarded theories are partially true, and the discontinuity strategy, denying that pessimism about past theories can be extended to current ones. A radical version of discontinuity realism is proposed by Gerald Doppelt: rather than discriminating between true and false components within theories, he holds that superseded theories cannot be shown to be even partially true, while present best theories are demonstrably (...) completely true. I argue that this position, running counter both the cumulativity of science and fallibilism, is untenable; it cannot account for the success of past theories, nor for the failures of current theories, and rather than shutting the door to the pessimistic historical objections it opens it wide. The best strategy, instead, joins the selective idea there was both some truth and some falsity in discarded theories, like in current ones, with the moderate discontinuity idea that the truth rate in present best theories is much greater than in past ones. (shrink)

Entrevista concedida por Antonio Negri a Homero Santiago e Mario Marino por ocasião do lançamento da segunda edição da tradução brasileira de A anomalia selvagem: poder e potência em Espinosa.

Criticisms à la Laudan can block the “no miracles” argument for the (approximate) truth of whole theories. Realists have thus retrenched, arguing that at least the individual claims deployed in the derivation of novel predictions should be considered (approximately) true. But for Lyons (2002) there are historical counterexamples even to this weaker “deployment” realism: he lists a number of novel predictions supposedly derived from (radically) false claims. But if so, those successes would seem unexplainable, even by Lyons’ “modest surrealism” or (...) other surrogates to realism. In fact, I argue, some of those predictions were an easy guess, or independently probable in the light of available evidence; hence, they are no counterexamples to deployment realism, for the no miracles argument wouldn’t apply to them. In other instances, pace Lyon, the prediction was actually false, and could be reinterpreted as true only by interpreting as true also the claim from which it was derived; or again, a false claim was employed in the derivation of a true prediction, but inessentially, the essential role being played by a weaker true claim. But as soon as the paradoxical air of such historical cases is explained away in any of these manners, they cease to represent counterexamples to deployment realism. If, as I suggest, all of them can be dealt with by these strategies, a theoretical claim can still be assumed to be true if it is crucial in deriving an improbable novel prediction. (shrink)

El propósito de este artículo consiste en mostrar el carácter social del contractualismo de Fichte. Para realizar ese propósito se comienza examinando la conexión entre trabajo y ciudadanía como una condición de la legitimidad política. Luego se presenta esa conexión en el marco del siempre posible desarrollo histórico de la naturaleza humana. Por último, se indican las razones de la recepción de Fichte como un precursor del socialismo germánico.

Gerald Doppelt claims that Deployment Realism cannot withstand the antirealist objections based on the “pessimistic meta-induction” and Laudan’s historical counterexamples. Moreover it is incomplete, as it purports to explain the predictive success of theories, but overlooks the necessity to explain also their explanatory success. Accordingly, he proposes a new version of realism, presented as the best explanation of both predictive and explanatory success, and committed only to the truth of best current theories, not of the discarded ones. Elsewhere I criticized (...) his new brand of realism. Here instead I argue that Doppelt has not shown that Deployment Realism cannot solve the problems raised by the history of science, explaining explanatory success does not add much to explaining novel predictive success, and Doppelt is right that truth is not a sufficient explanans, but for different reasons, and this does not refute Deployment Realism, but helps to detail it better. In a more explicit formulation, the realist IBE concludes not only to the truth of theories, but also to the reliability of scientists and scientific method, the order and simplicity of nature, and the approximate truth of background theories. (shrink)

Many formulations of scientific realism (SR) include some commitment to metaphysical realism (MR). On the other hand, authors like Schlick, Carnap and Putnam held forms of scientific realism coupled with metaphysical antirealism (and this has analogies in Kant). So we might ask: do scientific realists really need MR? or is MR already implied by SR, so that SR is actually incompatible with metaphysical antirealism? And if MR must really be added to SR, why is that so? And which additional arguments (...) scientific realists need to support it? After reviewing and classifying a number of different kinds of realisms, metaphysical and not, I answer that SR and MR are logically independent of each other, so that there is no logical inconsistency in holding SR while rejecting MR. However, I argue that the “no miracle” argument (NMA) not only is the “ultimate” argument for SR, but by the same token it also supports MR. Therefore one cannot effectively defend SR without also subscribing to MR, but this can be done at no additional argumentative cost. I show this by discussing not only the standard version of the NMA, but also three more versions which are not usually considered as such in the literature. (shrink)

Originally published as Scientific Research, this pair of volumes constitutes a fundamental treatise on the strategy of science. Mario Bunge, one of the major figures of the century in the development of a scientific epistemology, describes and analyzes scientific philosophy, as well as discloses its philosophical presuppositions. This work may be used as a map to identify the various stages in the road to scientific knowledge. Philosophy of Science is divided into two volumes, each with two parts. Part 1 (...) offers a preview of the scheme of science and the logical and semantical took that will be used throughout the work. The account of scientific research begins with part 2, where Bunge discusses formulating the problem to be solved, hypothesis, scientific law, and theory. The second volume opens with part 3, which deals with the application of theories to explanation, prediction, and action. This section is graced by an outstanding discussion of the philosophy of technology. Part 4 begins with measurement and experiment. It then examines risks in jumping to conclusions from data to hypotheses as well as the converse procedure. Bunge begins this mammoth work with a section entitled "How to Use This Book." He writes that it is intended for both independent reading and reference as well as for use in courses on scientific method and the philosophy of science. It suits a variety of purposes from introductory to advanced levels. Philosophy of Science is a versatile, informative, and useful text that will benefit professors, researchers, and students in a variety of disciplines, ranging from the behavioral and biological sciences to the physical sciences. (shrink)

With special relativity, we seem to be facing a conundrum. It is a very well-tested theory; in this way, the Minkowski spacetime must be “capturing” essential features of space and time. However, its geometry seems to be incompatible with any sort of global notion of time. We might only have local notions of now (present moment) and time flow, at best. In this note, we will explore the possibility that a pretty much global notion of now (and time flow) might (...) be hiding in plain sight in the geometry of the Minkowski spacetime. (shrink)

This paper assesses the novelty of NSMs - or better, of any social and political movement in contemporary Western societies - in the light of their capacity to develop systems of relationships which cut across established social and political cleavages. It illustrates first the relational bases of Rokkan's concept of cleavage, and its contribution to the understanding of social movements; it then shows how Simmel's concept of the intersection of social circles and his distinction between concentric and crosscutting circles may (...) be fruitfully applied to the analysis of political cleavages and their changing forms. In the conclusions, the elements of an approach to the study of the newness of social movements, based on the integration of Rokkan's and Simmel's principles, are introduced. (shrink)

Different methods are available in clinical ethics consultation. In our experience as ethics consultants, certain individual methods have proven insufficient, and so we use a combination of methods. Based on these considerations, we first critically analyze the pros and cons of two well-known methods in the working field of clinical ethics, namely Beauchamp and Childress’s four-principle approach and Jonsen, Siegler, and Winslade’s four-box method. We then present the circle method, which we have used and refined during several clinical ethics consultations (...) in the hospital setting. (shrink)

The question of the animal is one of the most intensely debated in the contemporary philosophical arena. The present article makes the case that Husserl’s phenomenological approach offers a stimulating and open-ended perspective on this discussion. The animal, indeed, is an instance of extreme otherness, which pushes phenomenology to its limits. The paper opens with an outline of the methodological issues raised by the question of the animal. It then examines what the animal—at this point, taken as a whole—and the (...) human being have in common and what Husserl sees as the main differences between them. A critical aspect here is the question of personhood. Finally, Sect. 3 traces Husserl’s progression from a general concept of animality to detailed and nuanced phenomenological descriptions of different animals and their intra- and inter-specific relationships. Husserl understands that the threshold that joins and divides human beings and animals is difficult to pin down, because there is more than one threshold: it is plural. (shrink)

El presente artículo es una breve aproximación al contexto legal y político de las comunidades judías catalanas entre 1240 y 1391. A través del uso combinado de fuentes hebreas y cristianas, se ofrecerá una síntesis de la compleja red de factores, reglas y teorías que moldearon el ecosistema social de las comunidades hebreas en Cataluña. En este sentido, el autogobierno comunal era el resultado de la convergencia entre la legislación real y la producción normativa y teórica de las comunidades. Nuestro (...) objetivo es presentar el carácter poliédrico de esta realidad a través de los privilegios concedidos por los monarcas aragoneses a sus súbditos judíos, los modelos políticos desarrollados por los intelectuales hebreos, la legislación interna de las comunidades y el conjunto de factores sociales e históricos que impulsaron la evolución del sistema comunal. (shrink)

In this paper, it is presented a historical account of the formulation of the quantum relativistic wave equation of an electron – the Dirac equation, issues regarding its interpretation that arose from the very beginning, and the later formulation of this equation in relation to a quantized electron-positron field, which implies a new interpretation. The way in which solutions obtained under each interpretation of the equation relate to one another is also considered for the simple case of hydrogen-like problems.

On the basis of Levin’s claim that truth is not a scientific explanatory factor, Michel Ghins argues that the “no miracle” argument (NMA) is not scientific, therefore scientific realism is not a scientific hypothesis, and naturalism is wrong. I argue that there are genuine senses of ‘scientific’ and ‘explanation’ in which truth can yield scientific explanations. Hence, the NMA can be considered scientific in the sense that it hinges on a scientific explanation, it follows a typically scientific inferential pattern (IBE), (...) and it is based on an empirical fact (the success of science). Scientific realism, in turn, is scientific in the sense that it is supported both by a meta-level scientific argument (the NMA), and by first level scientific arguments through semantic ascent and generalization. However, both the NMA and scientific realism are not purely scientific, since they go beyond properly scientific concerns, and require additional philosophical reasoning. In turn, naturalism is correct in the sense that philosophy is continuous with science, partly based on it, and potentially equally well warranted. Beside denying the scientific nature of the NMA, Ghins raises some objections to its cogency , to which I reply in the final section. (shrink)

Review of: Communauté (Gemeinschaft), Martin Buber (2018) Paris: Éditions de l’éclat, 157 pp., ISBN 978-2-84162-432-4, p/bk, €10.

The Italian debate about the role of clinical ethics and ethics consultation has brought about the need to create a working group of Healthcare Ethics Consultation. The group began to take shape an...

Among the influential contributions of Alfred Tarski to logic and philosophy, and close in importance to his widely applied and discussed definition of truth, one finds his definition of logical consequence for formal languages. Like his definition of truth, Tarski's definition of logical consequence has been widely and fruitfully applied. Unlike the definition of truth, that of logical consequence has been rarely discussed philosophically. The main aim of this dissertation is to offer a thorough discussion of some philosophical issues arising (...) from the neglected definition. ;The point of departure is an interpretative reading of the relevant writings by Tarski. This reading yields historically interesting data that refute other recent readings. It also provides philosophical illumination, by clarifying how Tarski thought that his definition satisfied some pretheoretic desiderata. ;Next it is discussed whether Tarski's definition satisfies other pretheoretic desiderata, not stated by Tarski and in some cases not endorsed by him, but which are desiderata nonetheless from reasonable standpoints. These include the desiderata that all instances of logical consequence in Tarski's defined sense be instances of analytical implication, and that they be instances of valid implication. The conclusion of this part of the dissertation is that, under reasonable assumptions regarding the field of applicability of the definition and the concepts used in it, there are reasons to believe that these desiderata are met, and none to believe they are not. ;Finally, the problem of logical constants is examined. The concept of a "logical constant" is the only concept not taken from logic and mathematics that appears in Tarski's definition. The problem of logical constants is that of replacing the primitive 'logical constant' with a defined, better understood concept, and in a such a way that the resulting defined concept of logical consequence meets the previously discussed desiderata. The main conclusion of this part is that some attempts to do this replace the obscure with the more obscure, while other attempts that seem to be in the right spirit have shortcomings of their own. (shrink)

This is an attempt to sort out what is it that makes many of us uncomfortable with the perdurantist solution to the problem of change. Lewis argues that only perdurantism can reconcile change with persistence over time, while neither presentism nor endurantism can. So, first, I defend the endurantist solution to the problem of change, by arguing that what is relative to time are not properties, but their possession. Second, I explore the anti-perdurantist strategy of arguing that Lewis cannot solve (...) the problem of change, for he cannot account for how some properties are possessed by objects in time. However, I argue that this strategy fails, for if by saying that objects in time can have properties ‘timelessly’ we mean “at no particular time” and “tenselessly”, only objects outside time can have properties in that way; but if we mean “for all the time they exist”, or “essentially”, perdurantists can account for this. Finally, I argue that actually perdurantism cannot solve the problem, but for different reasons: for either it sweeps the problem under the carpet, denying change, and in general subverting our conceptual scheme in a dangerous way, or it becomes equivalent to the endurantist picture that properties are had at times. Nor perdurantism is justified by the Relativity Theory or the B-theory of time, because while endurantism is certainly comfortable with presentism, it need not be committed to it; and even if it were, presentism need not be refuted by the Relativity Theory. (shrink)

Considering Butler's "tragic trilogy"-a set of interventions on Sophocles' Antigone, Euripides' Bacchae, and Aeschylus's Eumenides-this book seeks to understand not just how Butler uses and interprets Greek tragedy, but also how tragedy shapes Butler's thinking, even when their gaze is directed elsewhere. Through close readings of these tragedies, this book brings to light the tragic quality of Butler's writing. It shows how Butler's mode of reading tragedy-and, crucially, reading tragically-offers a distinctive ethico-political response to the harrowing dilemmas of our current (...) moment. (shrink)

In 1951 Eric Voegelin dedicated a long and very dense essay to the Utopia of Thomas More, subsequently integrated in a larger portrait of the Renaissance political thought. The critical interpretation of Voegelin focuses on the breakdown of the traditional order and the emerging of a new vision of Man and Politics in the early sixteenth century, and particularly on the risks related to the mundane eschatology of which the work of More is involuntary and somewhat inconsistent anticipation.

In this article we will put forward the proposal that the concept of functional diversity can be considered as a relevant analytical category necessarily applicable as a perspective of analysis to the social sphere. To this end, we will situate the idea of functional diversity in six different and interrelated dimensions of human experience, which we call: body dimension, relational, political, ethical, social and cultural dimension, in relation to the corresponding dimensions of the social sphere. The idea of functional diversity (...) will appear as a fundamental element in each of these six dimensions, extending from the body to culture. We consider this breadth in the scope of the idea’s presence to be essential as an argument in favour of its conceptual importance. This approach to the idea of functional diversity will involve, at the same time, a deconstructive examination of the discourse of ableism, which we consider to be opposed to the discourse emanating from the anti-ableist perspective of functional diversity. If, as such a category, functional diversity manages to embrace such a wide spectrum of dimensions of human experience and social life, the possibility of beginning to include it in an epistemic-political sense as a necessary analytical perspective in the social sphere acquires value, perhaps as relevant in the future as the gender perspective is at present. (shrink)