We do not all make choices, reason, interpret our experience, or respond to our environment in the same way. A recent surge of scientific interest has thrust these individual differences into the spotlight: researchers in cognitive psychology and neuroscience are now devoting increasing attention to cognitive variation. The philosophical dimensions of this research, however, have yet to be systematically explored. Here I make an initial foray by considering how cognitive variation is characterized. I present a central dilemma facing descriptions of (...) individual differences, discuss several distinctions used to categorize variation, and show that these distinctions require further elaboration. Finally, by canvassing several philosophical topics for which the characterization of cognitive variation may have significant implications, I argue that philosophers should take note of how and why our minds differ. (shrink)

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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)

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Modern medicine is often said to have originated with nineteenth century germ theory, which attributed diseases to bacterial contagions. The success of this theory is often associated with an underlying principle referred to as the “doctrine of specific etiology”. This doctrine refers to specificity at the level of disease causation or etiology. While the importance of this doctrine is frequently emphasized in the philosophical, historical, and medical literature, these sources lack a clear account of the types of specificity that it (...) involves and why exactly they matter. This paper argues that nineteenth century germ theory involves two types of specificity at the level of etiology. One type receives significant attention in the literature, but its influence on modern medicine has been misunderstood. A second type is present in this model, but it has been completely overlooked in the extant literature. My analysis clarifies how these types of specificity led to a novel conception of etiology that continues to figure in medicine today. (shrink)

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The conceptual pair of own-world (ídios kósmos) and common world (koinós kósmos) constitutes an archaic pair, originally introduced by Heraclitus. More than two millennia after its introduction, Binswanger picked up this conceptual pair in the attempt to understand existence and mental disorder. Ever since, this conceptual pair has been part of the conceptualization of schizophrenia in phenomenological psychopathology. However, the concepts of ídios kósmos and koinós kósmos have seldomly been elaborated and expanded upon, and certain unclarities rest within the literature. (...) This paper resolves some of these unclarities and contributes to a theory of anthropological proportions, which furthers our understanding of ídios kósmos and koinós kósmos. The paper begins with an exploration of the theoretical underpinnings of this conceptual pair, i.e., it discusses the concept of world, what is understood by common world, and what it means to live in an own-world. This theoretical exploration segues into an in-depth analysis of the alterations of experiential life in schizophrenia, which can be illuminated via this conceptual pair. It is further argued that this conceptual pair contributes to an understanding of the puzzling phenomenon of double bookkeeping. Finally, the paper concludes in a discussion of clinical implications of this conceptual pair, stressing the importance of a mindfulness of the alterations to the ídios kósmos and koinós kósmos in schizophrenia. (shrink)

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Statistical procedures can be applied to episodes in the history of science in order to weight attributes to predict short-term survival of theories; an asymptotic method is used to show that short-term survival is a valid proxy for ultimate survival; and a theoretical argument is made that ultimate survival is a valid proxy for objective truth. While realists will appreciate this last step, instrumentalists do not need it to benefit from the actuarial procedures of cliometric metatheory. Introduction A plausible proxy (...) for Peircean consensus Assessing the validity of theory attributes as predictors of theory survival 3.1 Linear discriminant function 3.2 Factor analysis 3.3 Taxometric analysis Verisimilitude index Satisfying both instrumentalists and realists Recapitulation Implementation of cliometric metatheory * Correspondence about this article may be addressed to Leslie Yonce at pemeehle{at}umn.edu' + u + '@' + d + ''//--> This article had been completed by Paul Meehl at the time of his death on 14 February 2003. His wife, Leslie J. Yonce, is grateful to Keith Gunderson (University of Minnesota, Center for Philosophy of Science) and Niels G. Waller (Psychology Department, Vanderbilt University) for advice with some final editing details. (shrink)

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This research explores how stakeholder scholarship can evolve into a puzzle-solving tool, akin to more advanced scientific fields. Only a unified stakeholder management science can address issues like firms that, despite the looming threat of climate disaster, prioritize profits over environmental concerns. Such unification, however, depends on a computational turn of mind outlined herein. Stakeholder scholarship has failed to progress toward this end, because stakeholder theory has fallen short of shedding light on the inner workings of the firm in search (...) of the mechanisms that govern its relations with stakeholders, instead lingering over the outermost parts of the social phenomena where stakeholder macro dynamics are obvious. This lays open several hurdles that must be overcome for stakeholder scholarship to become a puzzle-solving tool at the service of the environment and society. Thus, a computational fix may be within reach in the next few decades if the following five steps, elaborated upon herein, guide the transition: 1) probe firm-level mechanisms, 2) focus on qualitative institutional data, 3) adopt computational language to reduce ambiguities, 4) develop algorithms for how activities discharge powers or capacities to fulfill functions, and 5) break with peer-review silos that have made stakeholder theory self-referential. (shrink)

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