Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the structure and function of knowledge in medicine can lead to practical improvements in clinical medicine. This understanding requires some familiarity with epistemology, the study of knowledge and its structure, in medicine. Michael Polanyi's theory of tacit knowing (...) is advanced as the basis for developing a more accurate understanding of medical knowledge. Tacit knowing, which explores the taken-for-granted background knowledge that underlies all human knowing, is explained in detail with a focus on its relevance for clinical medicine. The implications of recognizing tacit knowing in medicine and medical decisions are discussed. These include the ability to explain the importance of the clinical encounter in medical practice, mechanisms for analysing patient and doctor as persons, and the need for humility given the uncertainty that the tacit dimension injects into all medical decisions. This more robust medical epistemology allows clinicians to better articulate the nature and importance of patient-centred care, to avoid pitfalls inherent in reductionist approaches to medical knowledge, and to think more clearly about the relationships between medicine and health care at the individual and population levels. (shrink)

The evidence-based medicine movement advocates basing all medical decisions on certain types of quantitative research data and has stimulated protracted controversy and debate since its inception. Evidence-based medicine presupposes an inaccurate and deficient view of medical knowledge. Michael Polanyi’s theory of tacit knowledge both explains this deficiency and suggests remedies for it. Polanyi shows how all explicit human knowledge depends on a wealth of tacit knowledge which accrues from experience and is essential for problem solving. Edmund Pellegrino’s classic treatment of (...) clinical judgment is examined, and a Polanyian critique of this position demonstrates that tacit knowledge is necessary for understanding how clinical judgment and medical decisions involve persons. An adequate medical epistemology requires much more qualitative research relevant to the clinical encounter and medical decision making than is currently being done. This research is necessary for preventing an uncritical application of evidence-based medicine by health care managers that erodes good clinical practice. Polanyi’s epistemology shows the need for this work and provides the structural core for building an adequate and robust medical epistemology that moves beyond evidence-based medicine. (shrink)

Harry Collins’ book Tacit and Explicit Knowledge seeks to clarify the concept of tacit knowledge made famous by Michael Polanyi. Collins’ tripartite taxonomy of tacit knowledge is explained using illustrative examples from clinical medicine. Collins focuses on distinguishing the kinds of tacit knowledge that can (in principle) be made wholly explicit from the kinds of tacit knowledge that are inescapably tacit. Polanyi’s writings, on the other hand, emphasize the process of tacit knowing. Collins’ investigation of tacit knowledge makes an important (...) scholarly contribution that is distinct from and complementary to investigations that focus on tacit knowing. (shrink)

In recent years, the opioid crisis in the United States has sparked significant discussion on doctor–patient interactions concerning chronic pain treatments, but little to no attention has been given to investigating the vocal aspects of patient talk. This exploratory sociolinguistic study intends to fill this knowledge gap by employing prosodic discourse analysis to examine context-specific linguistic features used by the interlocutors of two distinct medical interactions. We found that patients employed both low pitch and creak as linguistic resources when describing (...) chronic pain, narrating symptoms and requesting opioids. The situational use of both features informs us about the linguistic ways in which patients frame fraught issues like chronic pain in light of the current opioid crisis. This study expands the breadth of phonetic analysis within the domain of discourse analysis, serving to illuminate discussions surrounding the illocutionary role of the lower vocal tract in expressing emotions. (shrink)

In 1906, Henry Stephens Salt published a short collection of essays that presented several rhetorically powerful, if formally deficient arguments for the vegetarian position. By interpreting Salt as a moral sentimentalist with ties to Aristotelian virtue ethics, I propose that his aesthetic argument deserves contemporary consideration. First, I connect ethics and aesthetics with the Greek concepts of kalon and kalokagathia that depend equally on beauty and morality before presenting Salt’s assertion: slaughterhouses are disgusting, therefore they (...) should not be promoted. I suggest three areas of development since Salt’s death that could be fruitfully plumbed to rebuild this assertion into a contemporary argument: an updated analysis of factory farm conditions, insights from moral psychologists on the adaptive socio-biological benefits of disgust as a source of cognitive information, and hermeneutical considerations about the role of the audience that allow blameworthiness for slaughterhouse atrocities to be laid upon the meat-eater. (shrink)

With the help of American friends, he revised the book and published it anew six years later. The present volume is the third version of the biography, completed in 1908 but never published in Salt's lifetime.

This paper consists of commentaries about and the reprint of an autobiographical essay authored by Italian medium Eusapia Palladino and published in 1910. The details of the essay are discussed in terms of the writings of other individuals about the life and performances of the medium. The essay conveys a view of Palladino as a person who has suffered much in life and has a mission to help scientific research into mediumship. Typical of the positive emphasis in autobiographies in general, (...) the medium did not discuss negative aspects of her performances. Due to the fact that the essay appeared during Palladino's visit to New York City in which many authors branded her as a fraud, it may be speculated that the purpose of this autobiography was to elicit sympathy from the American public. While some of the statements that Palladino made about phenomena are consistent with the statements of other authors who have written about her, there are several statements that show alternate or incomplete versions of particular events in her life. The differences suggests that Palladino's essay and other discussions about the medium's life are not reliable when it comes to specific details and to biographical accuracy. (shrink)

RESUMEN En este documento se presenta la traducción al español de la obra de teatro A lover of animals, escrita hace 120 años por Henry Stephens Salt, intelectual inglés activista por el trato justo hacia los humanos y los animales. Se introducen elementos que permiten al lector acercarse a la discusión planteada en la obra y se enfatiza en el personaje Claud Kersterman, médico y vivisector que expone una serie de ideas sobre la medicina, la ciencia y (...) el valor de los animales que se pueden apreciar en la actualidad. Finalmente, se resalta el valor que la literatura teatral puede tener para analizar discusiones como las que suscita el trato hacia los animales en contextos generales o particulares como el de la vivisección. ABSTRACT This document presents the Spanish translation of the play A lover of animals, written 120 years ago by Henry Stephens Salt, an English intellectual activist in favor of humans and animals being treated fairly. Elements are introduced which allow the reader to understand the discussion which is set out in the play. Emphasis is placed on the character of Claud Kersterman, a doctor and vivisector who states a series of ideas on medicine, science and the importance of animals, which can be appreciated nowadays. Finally, it is highlighted the significance that theatre literature can have to analyze discussions such as the ones given rise to by the way animals are treated in general or specific contexts such as vivisection. (shrink)

This study traces the history of Newman’s personal papers that are archived at the Birmingham Oratory. Newman was the “master archivist” who spent considerable time during the last two decades of his life in assembling his papers. Subsequently, three major catalogues of Newman’s papers were prepared: the first began in 1920, under the supervision of Richard Garnett Bellasis and Henry Lewis Bellasis; a second catalogue was compiled in the mid-1950s by Yale University Library for microfilming Newman’s papers; the third (...) catalogue was compiled by Gerard Tracey in 1980. (shrink)

This essay, originally a presentation at the annual conference of the Newman Association of America at St. Anselm’s College, Manchester, New Hampshire, in 2011, argues that The Idea of a University reflects a notion of university education that was already present in all its essentials in Newman’s thought by 1830. Newman’s experience as an undergraduate, his early years as a Fellow of Oriel College and his correspondence with Edward Hawkins during the Tutorship dispute indicate that Newman’s ideas about university education (...) could only have originated in the Anglican Oxford of his time. (shrink)

Stephen Clark’s article The Rights of Wild Things from 1979 was the starting point for the consideration in the animal ethics literature of the so-called ‘predation problem’. Clark examines the response of David George Ritchie to Henry Stephens Salt, the first writer who has argued explicitly in favor of animal rights. Ritchie attempts to demonstrate—via reductio ad absurdum—that animals cannot have rights, because granting them rights would oblige us to protect prey animals against predators that wrongly violate (...) their rights. This article navigates the reader through the debate sparked off by Clarke’s article, with as final destination what I consider to be the best way to deal with the predation problem. I will successively discuss arguments against the predation reductio from Singer’s utilitarian approach, Regan’s deontological approach, Nussbaum’s capability approach, and Donadson and Kymlicka’s political theory of animal rights. (shrink)

Can Newman be classified as an “historian”? On the one hand, Newman did not adhere to, indeed cared very little for, modern scientific methods of empirical research; he detested the cold, clinical nature of German intellectualism of the mid-ninetheenth century. On the other hand, Newman’s historical investigation relied upon conservative methods of historical research: the use of original sources and the rules of historical criticism; his techniques were self-taught, but they were adequate to meet the historical standards of his times. (...) Most importantly, Newman never conceived of himself purely and simply as an historian: he studied history in the service of religion and, for example, examined the fourth century in order to provide answers to the theological questions of the nineteenth. (shrink)

A major contribution to Descartes studies, this book provides a panorama of cutting-edge scholarship ranging widely over Descartes's own primary concerns: metaphysics, physics, and its applications. It is at once a tool for scholars and--steering clear of technical Cartesian science--an accessible resource that will delight nonspecialists. The contributors include Edwin Curley, Willis Doney, Alan Gabbey, Daniel Garber, Marjorie Grene, Gary Hatfield, Marleen Rozemond, John Schuster, Dennis Sepper, Stephen Voss, Stephen Wagner, Margaret Welson, Jean Marie Beyssade, Michelle Beyssade, Michel Henry, (...) Evert van Leeuwen, Jean-Luc Marion, Genevieve Rodis-Lewis, and Jean-Pierre Seris. Combining new textual sensitivity with attentiveness to history, they represent the best established scholars and most exciting new voices, including both English speaking and newly-translated writers. Part I examines the foundations of Descartes's philosophy: Cartesian certainty; the phenomenology of the cogito and its modulations in the passions; and the defensibility and comprehensibility of the Cartesian God. The second part examines Descartes's groundbreaking metaphysics: mind's distinctness from and interaction with body; imagination; perception; and language. Part III examines Cartesian science: the revolutionary rhetoric of the Rules and the Discourse; the metaphysical foundations of physics; the interplay of rationalism and empiricism; the mechanics and human biology that flow from Descartes's physics. (shrink)

The term 'agnostic' was probably coined by T. H. Huxley during a speech to the Metaphysical Society in 1869. From the Greek 'agnostos', 'unknown', it was derived from St Paul's mention of an Athenian altar inscribed 'to the unknown god'. With these overtones of ancient philosophy, agnosticism became the tag of an emergent school of thought which posited that the existence of anything beyond the material and measurable should be considered unknowable. In this collection of seven essays, first published as (...) one volume in 1893, Leslie Stephen makes a study of the 'unknown'. Across the essays, he presents arguments for the intrinsic agnosticism of many of the basic tenets of deism, explores the way in which humans construct dreams and realities, and examines the relationship between physics and philosophy. This readable and entertaining book will be of interest to students of both theology and philosophy. (shrink)

Epistemology and Inference was first published in 1983. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions. Henry Kyburg has developed an original and important perspective on probabilistic and statistical inference. Unlike much contemporary writing by philosophers on these topics, Kyburg's work is informed by issues that have arisen in statistical theory and practice as well as issues familiar to professional philosophers. In two (...) major books and many articles, Kyberg has elaborated his technical proposals and explained their ramifications for epistemology, decision-making, and scientific inquiry. In this collection of published and unpublished essays, Kyburg presents his novel ideas and their applications in a manner that makes them accessible to philosophers and provides specialists in probability and induction with a concise exposition of his system. (shrink)

Berkeley's immaterialism has more in common with views developed by Henry More, the mathematician Joseph Raphson, John Toland, and Jonathan Edwards than those of thinkers with whom he is commonly associated (e.g., Malebranche and Locke). The key for recognizing their similarities lies in appreciating how they understand St. Paul's remark that in God "we live and move and have our being" as an invitation to think to God as the space of discourse in which minds and ideas are identified. (...) This way of speaking about God, adapted by Karl Barth and Paul Tillich, opens up new ways to think about the relation between God and finite minds. (shrink)

The laser scanning confocal microscope (LSCM)LSCM: laser scanning confocal microscope; FISH: fluorescence in situ hybridisation; DiO6: 3,3′‐dihexyloxacarbocyanine iodide; NBD‐ceramide: 6‐((N‐(7‐nitrobenz‐2‐oxa‐1,3‐diazol‐4‐yl)amino)‐caproyl)sphingosine; DiO: 3,3′‐dioctadecyloxacarbocyanine perchlorate; DiI: 1,1′‐dioctadecyl‐3,3,3′,3′‐tetramethyl‐indocarbocyanine perchlorate; CCD: charge‐coupled device; DIC: differential interference contrast; FURA2: (‐(2‐(5‐carboxyoxazol‐2‐yl)‐6‐aminobenzofuran‐5‐oxy)‐2‐)2′‐amino‐5′‐methylphenoxy)‐ethane‐N,N,N′,N′‐ tetraacetic acid, sodium salt);BCECF: 2′,7′‐bis‐(carboxyethyl)‐5‐(and‐6‐)‐carboxyfluorescein;fluo‐3: 1‐(2‐amino‐5‐(2,7‐dichloro‐6‐hydroxy‐3‐oxo‐3H‐xanthen‐9‐yl)‐2‐(2′amino‐5′‐methylphenoxy)‐ethane‐N,N, N′,N′,‐tetraacetic acid, ammonium salt; DAPI: 4′,6‐diamidino‐2‐phenylindole, dihydrochloride; PET: positron emission tomogrophy; CT: computer‐assisted tomogrophy; CiD: cubitus interruptus dominus; MRC: Medical Research Council; TOTO‐1: benzothiazolium‐4‐quinolinium dimer; YOYO‐1: benzoxazolium‐4‐quinolinium dimer; ex.: excitation wavelength; em.: emission wavelength. is now established as an invaluable (...) tool in developmental biology for improved light microscope imaging of fluorescently labelled eggs, embryos and developing tissues. The universal application of the LSCM in biomedical research has stimulated improvements to the microscopes themselves and the synthesis of novel probes for imaging biological structures and physiological processes. Moreover the ability of the LSCM to produce an optical series in perfect register has made computer 3‐D reconstruction and analysis of light microscope images a practical option. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 36.4 (2003) iv [Access article in PDF] Editors' Remarks I am pleased to announce that Gerard Hauser will assume the editorship of Philosophy and Rhetoric. Professor Hauser has been closely associated with the journal for decades, and I can think of no one better suited to realizing its distinctive mission. I wish to express my heartfelt gratitude to the many authors and reviewers who have contributed (...) to the achievement of this journal. Henry, be assured, would have been pleased. Stephen H. Browne * * *Assuming the editorship of Philosophy and Rhetoric is a joyous return to a prior calling. My association with the journal as its book review editor, as Donald Verene's associate editor, and as Henry Johnstone's co-editor marked active engagement in the first quarter-century of its contribution to the ancient dialogue reflected in its name. I am honored to have been asked to succeed Stephen Browne, who has provided a decade of leadership in sustaining the journal's high standards. As editor, my intention is to continue Philosophy and Rhetoric's tradition of advancing deep scholarship and new thought in the areas reflected in its statement of purpose. Gerard A. Hauser... (shrink)

hen the Right Honorable and Reverend Francis Henry, earl of Bridgewater, died in February, 1829, he left £8,000 to support a series of books "on the power, wisdom and goodness of God, as manifested in the creation." William Buckland, England's first official academic geologist and later dean of Westminster, was invited to compose one of the nine Bridgewater Treatises. In it he discussed the most pressing problem of natural theology: if God is benevolent and the creation displays his "power, (...) wisdom and goodness," then why are we surrounded with pain, suffering, and apparently senseless cruelty in the animal world? (shrink)

Thomas Henry Huxley designated three men as the finest intellects of 19th century natural history: his dear friend Charles Darwin; his most worthy opponent Georges Cuvier; and Karl Ernst von Baer, who discovered the mammalian egg cell in 1827 and wrote the founding treatise of modern embryology in 1828. Of these three, posterity has largely forgotten von Baer, who suffered a severe mental breakdown in the 1830's, but then recovered and moved to Russia (not uncommon for a German-speaking Estonian (...) national), where he enjoyed a distinguished second university career, largely in anthropology and lasting well into the 1870's. (shrink)

For two and a half months in 1928, the Japanese philosopher Shûzô Kuki had weekly talks with a young French student of philosophy—Jean-Paul Sartre. In 1928, Kuki had just come to Paris after having studied with Heidegger and Husserl. Freshly ac­quainted with the new phenomenology, Kuki in­troduced Sartre to this emerging movement in philosophy. In a well-researched introductory essay, Stephen Light details the eight years Kuki spent in Europe in the 1920s, a period during which Kuki came to know Henri (...) Bergson, Heinrich Rickert, and Emile Brehier, as well as Husserl and Heidegger. Light includes translations of two of Kuki’s essays on time and often of his short essays on matters Japanese, culminating in the insightful “General Characteristics of French Philosophy.” None of the Kuki essays were previously available in English. The final section of the book is a facsimile of the never before published notebook Kuki used during his discussions with Sartre. (shrink)

My objective is a better comprehension of two theoretically fundamental concepts. One, the concept of a substance in an ordinary (non-Aristotelian) sense, ranging over such things as salt, carbon, copper, iron, water, and methane – kinds of stuff that now count as (chemical) elements and compounds. The other I’ll call the object-concept in the abstract sense of Russell, Wittgenstein, and Frege in their logico-semantical enquiries. The material object-concept constitutes the heart of our received logico / ontic system, still massively (...) influenced by Aristotle after almost 2.5 millennia. On such an account, the fundamentality of material objects and their attributes are the metaphysical basis of the cosmos, as reflected in our received logic, Quine’s ‘canonical notation’ – derived via the empiricism of Russell from Frege’s function-based Begriffschrifft, and consisting of concrete singular terms and variables, quantifiers and predicate-expressions. The inadequacy of Frege’s approach to understanding concepts is reflected in his initial question. Frege enquires of ‘what it is that we are calling an object’, remarking that he regards a regular definition as impossible: “we have here something too simple to admit of logical analysis”. The imagined ultimacy or simplicity of the idea of a single object (arithmetically, just a unit – one as against two, three, four, etc.) as foundational to the calculus is just that – imagined. It is also guaranteed to block the comprehension of the substance-concept. (shrink)