Paracetamol, poison, and polio: Why Boorse's account of function fails to distinguish health and disease

British Journal for the Philosophy of Science 61 (2):241-264 (2010)
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Abstract

Christopher Boorse's Bio Statistical Theory (BST) defines health as the absence of disease, and disease as the adverse departure from normal species functioning. This paper presents a two-pronged problem for this account. First I demonstrate that, in order to accurately account for dynamic physiological functions, Boorse's account of normal function needs to be modified to index functions against situations. I then demonstrate that if functions are indexed against situations, the BST can no longer account for diseases that result from specific environmental factors. The BST is impaled on either horn of this dilemma and therefore must be dismissed

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Elselijn Kingma
Cambridge University (PhD)

Citations of this work

Biological normativity: a new hope for naturalism?Walter Veit - 2021 - Medicine, Health Care and Philosophy 24 (2):291-301.
A Second Rebuttal On Health.Christopher Boorse - 2014 - Journal of Medicine and Philosophy 39 (6):683-724.
A Generalized Selected Effects Theory of Function.Justin Garson - 2017 - Philosophy of Science 84 (3):523-543.
Evolution, Dysfunction, and Disease: A Reappraisal.Paul E. Griffiths & John Matthewson - 2018 - British Journal for the Philosophy of Science 69 (2):301-327.

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References found in this work

Health as a theoretical concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.
Just Health Care.Norman Daniels - 1985 - New York: Cambridge University Press.
Discovery and explanation in biology and medicine.Kenneth F. Schaffner - 1993 - Chicago: University of Chicago Press.
On the distinction between disease and illness.Christopher Boorse - 1975 - Philosophy and Public Affairs 5 (1):49-68.

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