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Benjamin Smart 
The Philosophy of Disease 

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Disease is everywhere. Everyone experiences disease, everyone knows somebody who is, or has been diseased, and disease-related stories hit the headlines on a regular basis. Many important issues in the philosophy of disease, however, have received remarkably little attention from philosophical thinkers.



This book examines a number of important debates in the philosophy of medicine, including ‘what is disease?’, and the roles and viability of concepts of causation, in clinical medicine and epidemiology. Where much of the existing literature targets conceptual analyses of health and disease, this book provides the reader with an insight into these debates, and develops plausible alternative accounts. The author explores a range of related subjects, discussing a host of interesting philosophical questions within clinical medicine, pathology and epidemiology. In the second part of the book, the author examines the concepts of causation employed by clinicians and pathologists, how one should classify diseases, and whether the epidemiologist’s models for inferring the causes of disease are all they’re cracked up to be.

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Acknowledgements

List of abbreviations

Introduction

1. The Concept of Disease in Clinical Medicine

The maximally value laden conception – Rachel Cooper on disease

The pure statistical conception

The frequency and negative consequences approach, and the line-drawing problem

The etiological account of function, and disease as harmful dysfunction

Disease as harmful function – ‘drawing the line’ on the etiological account of disease

2. What is a Pathological Condition?

Boorse’s naturalism

Objections to Boorse’s naturalism

The frequency and negative consequences approach revisited

The etiological theory of pathological condition

3. Concepts of Causation in the Philosophy of Disease

Causation as counterfactual dependence

Clinical medicine and the dispositional account of causation

The classification of diseases, and the sufficient-cause model of causation

4. Causal Inference in Public Health

Hill’s criteria and the evidence-based medicine evidence hierarchy

The epidemiologist’s potential outcomes approach

Hernan and Taubman’s potential outcomes approach

Diffusing Broadbent – a Popperian take on the potential outcomes approach

The importance of nonmanipulable causes

5. Concluding Remarks



Giới thiệu về tác giả

Benjamin Smart was awarded his Ph D by the University of Nottingham, UK, in 2012, before lecturing for two years at the University of Birmingham, UK. He joined the University of Johannesburg, South Africa, in 2014 as a Senior Research Associate, where he now works as a Senior Lecturer.
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