Rationality in medicine is frequently construed as hypotheticodeductive. This article argues that such a model gives a distorted view of the rational character of an enterprise that makes judgments about individual human well-being. Medicine as a science is a practical human science. Seen as such, its rational orientation is one that applies general knowledge to particular situations. It is argued that such an orientation is not deductive but interpretative. The Aristotelian concept of practical wisdom (‘phron sis’) is used as a (...) model of the rational orientation of clinical judgment. Keywords: clinical judgment, rationality, human sciences CiteULike Connotea Del.icio.us What's this? (shrink)

Contemporary empiricism has attempted to ground its analysis of science in a falsificationism based in selection theory. This paper links these evolutionary epistemologies with commitments to certain epistemological and ontological assumptions found in the later work of K. Popper, D. Campbell, and D. Hull, I argue that their assumptions about the character of contemporary empiricism are part of a shared paradigm of epistemological explanation which results in unresolved tensions within their own projects. I argue further that their claim to be (...) doing a science of science is not defensible. Hull's selectionism is analyzed to show how this epistemological agenda has played itself out in late empiricism. I suggest some directions that Hull might take toward an historical epistemology. (shrink)

The essay explores the connection between ecological wisdom and feminist spirituality. It takes a careful look at the difficulties that feminist thinkers have had in establishing such wisdom through a tradition of ethics focused on intrinsic value, a tradition of scientific thinking in which the knower is distanced from nature, and Western religious thinking in which both the feminine and nature are taken as profane. The suggestion is made that the resources of American Naturalism may provide a truly spiritual means (...) to the needed transformation. (shrink)

This work contrasts the formalist approach to defining explanation in science, exemplified in the Deductive-Nomenological Model of Carl G. Hempel, with the contextualist approach of Thomas Kuhn. It is argued that both of these attempts to define the explanatory processes of science are inadequate. A connection is made between the view of rationality upon which each view is based and the way that it defines explanation. It is argued that a process of thought, which scientific explanation represents, is considered rational (...) by these thinkers only if it meets the criteria of constraint under a rule, distance from subjective considerations and instrumental connection of method and goal. Given this strong definition of rationality, explanation is defined by both Kuhn and Hempel as thought within the constraint of a theory or a theoretical paradigm. Under this construal, explanation is separated as a process from theory invention which both thinkers hold to involve primarily non-cognitive criteria of choice. It is argued in this work that such a view contradicts the actual practice of science where theory invention seems to be primarily a process of rational explaining. ;A detailed historical case of an attempt to explain organic morphogenesis is given. It centers on the theory of generation of Pierre Louis Moreau de Maupertuis, an 18th Century scientific thinker. This case is meant to illustrate the kinds of cognitive interest and strategies of invention that go into dealing with an explanatory problem in science. ;Finally some general programmatic conclusions are made relating the foregoing arguments and the case, to the need to explore the nature of scientific explanation in the domain of theory invention where the reasoning processes seem to involve analogical reasoning and critical metaphysical thought. (shrink)