Scientism is a philosophy which purports to define what the world ‘really is’. It adopts what the philosopher Thomas Nagel called ‘an epistemological criterion of reality’, defining what is real as that which can be discovered by certain quite specific methods of investigation. As a consequence all features of experience not revealed by those methods are deemed ‘subjective’ in a way that suggests they are either not real, or lie beyond the scope of meaningful rational inquiry. This devalues capacities that (...) (we argue) are in fact essential components of good reasoning and virtuous practice. Ultimately, the implications of scientism for statements of value undermine value-judgements essential for science itself to have a sound basis. Scientism has implications, therefore, for ontology, epistemology and also for which claims we can assert as objective truths about the world. Adopting scientism as a world view will have consequences for reasoning and decision-making in clinical and other contexts. We analyse the implications of this approach and conclude that we need to reject scientism if we are to avoid stifling virtuous practice and to develop richer conceptions of human reasoning. (shrink)

This paper provides a commentary on “Vascular amputees: A study in disappointment” and its significance in the development of the disability rights movement, as well as the movements for values-based medicine and person-centred health and social care.

When opinion polls are conducted on some urgent matter of the day those polled are permitted to declare themselves ‘Don't Knows’. It is usually a minority who are so ill-disposed as to forget their civic duty to have an opinion on each and every subject, and they can usually expect to be rebuked as fence-sitters or slugabeds. People confronted by the demand that they take sides can generally produce a ‘view’ which they maintain against all-comers without the slightest attempt to (...) seek out confirmation or counter-evidence. Sometimes, no doubt, this view ‘bubbles up’ from the speaker's entrenched evaluations and opinions; sometimes it has simply been selected, off the cuff, from the available alternatives and entered in the speaker's ‘axiom set’, the things she'll say when asked, or which she may even ‘act on’ in some more material way—without any implication that the alternative opinion would not once have done as well. (shrink)

When opinion polls are conducted on some urgent matter of the day those polled are permitted to declare themselves ‘Don't Knows’. It is usually a minority who are so ill-disposed as to forget their civic duty to have an opinion on each and every subject, and they can usually expect to be rebuked as fence-sitters or slugabeds. People confronted by the demand that they take sides can generally produce a ‘view’ which they maintain against all-comers without the slightest attempt to (...) seek out confirmation or counter-evidence. Sometimes, no doubt, this view ‘bubbles up’ from the speaker's entrenched evaluations and opinions; sometimes it has simply been selected, off the cuff, from the available alternatives and entered in the speaker's ‘axiom set’, the things she'll say when asked, or which she may even ‘act on’ in some more material way—without any implication that the alternative opinion would not once have done as well. (shrink)

1. Believing Enough to ThinkThe Scottish system of university education requires most aspirants to an Ordinary Degree to study some philosophy. Philosophers in Scottish Universities must therefore contend with enormous first-year classes, stocked with youngsters who have little real desire to be philosophers, or even to philosophize. Some years ago, at Glasgow, a question in the final exam was as follows: ‘“Philosophy is of no use, and so should not be studied.” Discuss’. A couple of hundred students answered, more or (...) less fluently, that one should not assume that what was of no use should not be studied, since some things were worth studying in their own right, but that in any case the study of philosophy was useful since it helped one to question what authoritative figures said. No essayist, apparently, saw any paradox in this reply, which was, of course, taken word for word from the professor's lectures. (shrink)