This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1985.

This is the first book that analyzes and systematizes all the general ideas of medicine, in particular the philosophical ones, which are usually tacit. Instead of focusing on one or two points — typically disease and clinical trial — this book examines all the salient aspects of biomedical research and practice: the nature of disease; the logic of diagnosis; the discovery and design of drugs; the design of lab and clinical trials; the crafting of therapies and design of protocols; the moral duties and rights of physicians and patients; the distinctive features of scientific medicine and of medical quackery; the unique combination of basic and translational research; the place of physicians and nurses in society; the task of medical sociology; and the need for universal medical coverage. Health care workers, medicine buffs, and philosophers will find this thought-provoking book highly useful in their line of work and research.

Scientific research is viewed as a deliberate activity and the logic of discovery consists of strategies and arguments whereby the best objectives (questions) and optimal means for achieving these objectives (heuristics) are chosen. This book includes a discussion and some proposals regarding the way the logic of questions can be applied to understanding scientific research and draws upon work in artificial intelligence in a discussion of heuristics and methods for appraising heuristics (metaheuristics). It also includes a discussion of a third source for scientific objectives and heuristics; episodes and examplars from the history of science and the history of philosophy. This book is written to be accessible to advanced students in philosophy and to the scientific community. It is of interest to philosophers of science, philosophers of biology, historians of physics, and historians of biology.

Kenneth F. Schaffner compares the practice of biological and medical research and shows how traditional topics in philosophy of science—such as the nature of theories and of explanation—can illuminate the life sciences. While Schaffner pays some attention to the conceptual questions of evolutionary biology, his chief focus is on the examples that immunology, human genetics, neuroscience, and internal medicine provide for examinations of the way scientists develop, examine, test, and apply theories. Although traditional philosophy of science has regarded scientific discovery—the questions of creativity in science—as a subject for psychological rather than philosophical study, Schaffner argues that recent work in cognitive science and artificial intelligence enables researchers to rationally analyze the nature of discovery. As a philosopher of science who holds an M.D., he has examined biomedical work from the inside and uses detailed examples from the entire range of the life sciences to support the semantic approach to scientific theories, addressing whether there are "laws" in the life sciences as there are in the physical sciences. Schaffner's novel use of philosophical tools to deal with scientific research in all of its complexity provides a distinctive angle on basic questions of scientific evaluation and explanation.

Bremen's study examines the development of William Carlos Williams's poetics, focusing in particular on Williams's ongoing fascination with the effects of poetry and prose, and his life-long friendship with Kenneth Burke. Using a framework based on Burke's and Williams's theoretical writings and correspondence, as well as on the work of contemporary cultural critics, Bremen looks closely at how Williams's poetic strategies are intimately tied to his medical practice, incorporating a form of methodological empiricism that extends his diagnoses beyond the individual to include both language and community. The book develops a series of rhetorical, cognitive, medical, and political analogues that clarify the poetic and cultural achievements Williams hoped to realize in his writing.

First multi-year cumulation covers six years: 1965-70.

A major focus of the philosophy of medicine and, in general, of the philosophy of science has been the interplay of facts and values. Nowhere is an evaluation of this interplay more important than in the ethics of diagnosis. Traditionally, diagnosis has been understood as an epistemological activity which is concerned with facts and excludes the intrusion of values. The essays in this volume challenge this assumption. Questions of knowledge in diagnosis are intimately related to the concerns with intervention that characterize the applied science of medicine. Broad social and individual goals, as well as diverse ethical frameworks, are shown to condition both the processes and results of diagnosis. This has significant implications for bioethics, implications that have not previously been developed. With this volume, `the ethics of diagnosis' is established as an important branch of bioethics.

This new volume illuminates the growing corporate in-roads into the health care system and its probable consequences, especially for physicians and other practitioners. Its fourteen contributors examine both the delivery and supply functions in the health sector in America. Ambulatory care, hospitals, health maintenance organizations, and health promotion activities are each critically dissected. A major thrust of the investigations focuses upon implications for the medical profession, principally how the increased scrutiny over clinical decision making by corporate purchasers and payors threatens the traditional role and relative autonomy of physicians. Varying theoretical perspectives are debated, with an additional Canadian perspective offered.

It is fast becoming a cliche that scientific discovery is being rediscovered. For two philosophical generations (that of the Founders and that of the Followers of the logical positivist and logical empiricist movements), discovery had been consigned to the domain of the intractable, the ineffable, the inscrutable. The philosophy of science was focused on the so-called context of justification as its proper domain. More recently, as the exclusivity of the logical reconstruc tion program in philosophy of science came under question, and as the critique of justification developed within the framework of logical and epistemological analysis, the old question of scientific discovery, which had been put on the back burner, began to emerge once again. Emphasis on the relation of the history of science to the philosophy of science, and attention to the question of theory change and theory replacement, also served to legitimate a new concern with the origins of scientific change to be found within discovery and invention. How welcome then to see what a wide range of issues and what a broad representation of philosophers and historians of science have been brought together in the present two volumes of the Boston Studies in the Philosophy of Science! For what these volumes achieve, in effect, is the continuation of a tradition which had once been strong in the philosophy of science - namely, that tradition which addressed the question of scientific discovery as a central question in the understanding of science.

Is a genuine logic of scientific discovery possible? In the essays collected here, Hintikka not only defends an affirmative answer; he also outlines such a logic. It is the logic of questions and answers. Thus inquiry in the sense of knowledge-seeking becomes inquiry in the sense of interrogation. Using this new logic, Hintikka establishes a result that will undoubtedly be considered the fundamental theorem of all epistemology, viz., the virtual identity of optimal strategies of pure discovery with optimal deductive strategies. Questions to Nature, of course, must include observations and experiments. Hintikka shows, in fact, how the logic of experimental inquiry can be understood from the interrogative vantage point. Other important topics examined include induction (in a forgotten sense that has nevertheless played a role in science), explanation, the incommensurability of theories, theory-ladenness of observations, and identifiability.