In a time when we as a society are in the process of deciding what our basic rights to health care are, it is critically important for us to have a full and complete understanding of what constitutes health. We argue for an analysis of health according to which certain states are healthy not in themselves but because they allow an individual to reach actual goals. Recognizing that the goals of an individual considered from the point of view of biology (...) and the goals of the same individual considered as an agent in the world might be different, we introduce a distinction between the health of an individual qua organism and the health of an individual qua person. We then argue that this distinction characterizes the evaluations made by patients and healthcare providers better than the widely discussed distinction between disease and illness. (shrink)

Does systems theory need rethinking? Most social scientists would probably say no. It had its run, was debated critically, and found wanting. If at all, it should be treated historically. Why then might systems theory need rethinking, as the title of this symposium claims? The reason is that, unlike in the natural and biosocial sciences, any conception of system in the social sciences has remained suspect in the wake of problematic Parsonian and cybernetic systems theories. The premise of this special (...) issue is that abandoning conceptions of systems has imposed a high price on the social sciences: a lack of ontologies and methodologies that are both philosophically profound and scientifically defensible. It has left social scientists who choose to ignore ontology in their theoretical and empirical work defenseless against enterprising settlers from a variety of humanities and social science disciplines who attack mainstream work with—often simplistic and naïve, but nevertheless fundamental—philosophical arguments, whether anti-scientific postmodernists or pseudo-scientific rational choice theorists. The goal of this special issue is to showcase new and original work that contributes to a rethinking of systems theory by taking the conception of systems seriously. This introduction offers a programmatic statement of a systemic ontology and methodology as well as a brief general outline and examples of what a systems-based approach in the social sciences entails. Key Words: systems theory • systemism • systemic approach • complexity theory • self-organization • emergentism • paradigms • social mechanisms • Mario Bunge. (shrink)