DOCSLIB.ORG

Valuing and Evaluating Evidence in Medicine

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Valuing and Evaluating Evidence in Medicine Valuing and Evaluating Evidence in Medicine by Kirstin Borgerson A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy Graduate Department of Philosophy University of Toronto © Copyright by Kirstin Borgerson (2008) Library and Archives Bibliothèque et Canada Archives Canada Published Heritage Direction du Branch Patrimoine de l’édition 395 Wellington Street 395, rue Wellington Ottawa ON K1A 0N4 Ottawa ON K1A 0N4 Canada Canada Your file Votre référence ISBN: 978-0-494-57849-0 Our file Notre référence ISBN: 978-0-494-57849-0 NOTICE: AVIS: The author has granted a non- L’auteur a accordé une licence non exclusive exclusive license allowing Library and permettant à la Bibliothèque et Archives Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par télécommunication ou par l’Internet, prêter, telecommunication or on the Internet, distribuer et vendre des thèses partout dans le loan, distribute and sell theses monde, à des fins commerciales ou autres, sur worldwide, for commercial or non- support microforme, papier, électronique et/ou commercial purposes, in microform, autres formats. paper, electronic and/or any other formats. The author retains copyright L’auteur conserve la propriété du droit d’auteur ownership and moral rights in this et des droits moraux qui protège cette thèse. Ni thesis. Neither the thesis nor la thèse ni des extraits substantiels de celle-ci substantial extracts from it may be ne doivent être imprimés ou autrement printed or otherwise reproduced reproduits sans son autorisation. without the author’s permission. In compliance with the Canadian Conformément à la loi canadienne sur la Privacy Act some supporting forms protection de la vie privée, quelques may have been removed from this formulaires secondaires ont été enlevés de thesis. cette thèse. While these forms may be included Bien que ces formulaires aient inclus dans in the document page count, their la pagination, il n’y aura aucun contenu removal does not represent any loss manquant. of content from the thesis. Abstract Valuing and Evaluating Evidence in Medicine Kirstin Borgerson Doctor of Philosophy (2008) Department of Philosophy, University of Toronto Medical decisions should be based on good evidence. But this does not mean that health care professionals should practice evidence-based medicine. This dissertation explores how these two positions come apart, why they come apart, and what we should do about it. I begin by answering the descriptive question, what are current standards of evidence in medicine? I then provide a detailed critique of these standards. Finally, I address the more difficult normative question, how should we determine standards of evidence in medicine? In medicine, standards of evidence have been established by the pervasive evidence-based medicine (EBM) movement. Until now, these standards have not been subjected to comprehensive philosophical scrutiny. I outline and defend a theory of knowledge – a version of Helen Longino’s Critical Contextual Empiricism (CCE) – which enables me to critically evaluate EBM. My version of CCE emphasizes the critical evaluation of background assumptions. In accordance with this, I identify and critically evaluate the three substantive assumptions underlying EBM. First, I argue that medicine should not be held to the restrictive definition of science assumed by proponents of EBM. Second, I argue that epidemiological evidence should not be the only “base” of medical decisions. Third, I argue that not only is the particular hierarchy of evidence assumed by EBM unjustified, but that any attempt to hierarchically rank ii research methods is incoherent and unjustifiably restricts medical knowledge. Current standards of evidence divert attention from many legitimate sources of evidence. This distorts medical research and practice. In the remainder of the dissertation I propose means for improving not only current standards of medical evidence but also the process of producing and defending future standards. On the basis of four CCE norms, I argue that we have reason to protect and promote those features of the medical community that facilitate diversity, transparency, and critical interaction. Only then can we ensure that the medical community retains its ability to produce evidence that is both rigorous and relevant to practice. iii Acknowledgements I wish to thank my supervisor, Margaret Morrison, for her good judgment on everything from the scope and content of the thesis to the inner workings of academia. Thanks also to Ross Upshur for his good humour, love of philosophy and heretical insider perspective on EBM, and Barry Brown for sharing his wealth of experience on everything related to alternative health care. In the course of a PhD in philosophy you expect to learn a lot about your topic of research. In addition you hope that you will learn about what it means to be a philosopher and what value philosophy brings to the world. I learned the most about these deeply important issues from my graduate student colleagues. Particular thanks to Joseph Millum, Michael Garnett, Danielle Bromwich, Marika Warren, Vida Panitch and Lauren Bialystok. I would also like to thank my first philosophy professor, Rudy Krutzen, for his persistence; Kathryn Morgan for advocating for me when it really mattered; Heather Boon for her encouragement; Jim Brown for his mentorship; Bob Perlman from Perspectives in Biology and Medicine for believing that two graduate students in philosophy had something important to say and for giving us a venue to say it; Joshua Goldstein for his unwavering support; the EBM infidels, Robyn Bluhm and Maya Goldenberg, who have become not only colleagues and collaborators, but also friends; fellow members of the Varsity Rowing Team – particularly Kiran van Rijn – for sharing sunrises over Lake Ontario; Shannon Urbaniak for setting such a fine example in so many ways; and Murray Enkin for reminding me that there are some advances that have to be made one step at a time, whether in medicine or in life. Thanks also to Joanne Beckett and Dave White, Donna and Neil Larsen, Pat and Trent Cooley, and all the Svenkes. I was generously supported, both financially and intellectually, by several programs while at the University of Toronto. I received funding from the Ontario Graduate Scholarship program on several occasions. In addition, the Comparative Program on Health and Society (CPHS) awarded me two doctoral fellowships and one research associateship and provided me with opportunities to give my first public seminar presentation and to publish my first working paper. I am deeply grateful to everyone at the CPHS for their support. I was also awarded a CIHR Strategic iv Research and Training Doctoral Fellowship in Health Care, Technology and Place in the last two years of my PhD. Through this program I met a number of researchers from other disciplines, many of whom introduced me to new areas of research. I am confident that these encounters will shape my future research for the better. Finally, my deepest thanks go to my family. Thanks to my grandparents, two of whom experienced the worst of health care, and two of whom experienced the best. I hope that my research goes some way to shifting those odds for future patients. Thanks to my mother, Val Drummond, whose intelligence is equaled only by her compassion. I am completing a PhD today because she is such a strong feminist role model and because she has provided me with unconditional support at every stage of my life. Sharing equal credit for phenomenal acts of parenting is my endlessly energetic and incredibly generous father, Lon Borgerson, who always knew I was bright but who pushed me to be more than that: to be creative, to be passionate, and to make a difference. Thanks to my sister, Erika Borgerson, for being my best friend for as long as I can remember and for being there every time I needed to talk. Finally, thanks to my partner, Kieran Cooley, for so many things but most importantly because he always knows how to make me smile. v Contents Valuing and Evaluating Evidence in Medicine Abstract ii Acknowledgements iv Contents vi Introduction 1 1. Why Standards Matter: The ECMO Case 1 2. Standards of Evidence and the Rise of Evidence-based Medicine 4 3. Locating the Project within Philosophy 5 3.1. The Role of Philosophy 3.2. Bioethics and Philosophy of Medicine 3.3. Epistemological Framework 3.4. Context 4. The Argument Ahead 11 4.1. Chapter One: Social Epistemology 4.2. Chapter Two: Critical Contextual Empiricism 4.3. Chapter Three: Evidence-based Medicine 4.4. Chapter Four: Critiquing the Background Assumptions of Evidence-based Medicine: Part I 4.5. Chapter Five: Critiquing the Background Assumptions of Evidence-based Medicine: Part II 4.6. Chapter Six: The Future of Evidence-based Medicine: Diversity and Evidence-based Complementary and Alternative Medicine 4.7. Chapter Seven: The Future of Evidence-based Medicine: Interactive Objectivity and the Open Science Movement 5. Aim of the Dissertation 15 Chapter One Social Epistemology 17 1. Individual and Social Epistemology 17 2. Social Epistemology 18 2.1. Past and Present 2.2. Reasons for Social Epistemology vi 3. Criteria for Choosing a Theory Within Social Epistemology 23 4. Applying the Criteria 26 4.1. Focus on Epistemic Justification 4.2. Preservation of Individualistic Intuitions 4.2.1. Collective Entities 4.2.2. Inter-individual Relationships 4.3. Mechanisms for Managing Social Values 4.4. Robust Relationship between the Rational and the Social 4.4.1. Observation 4.4.2. Reason 5. Critical Contextual Empiricism 34 5.1. Naturalized Epistemology 5.2. Feminist Epistemology 6. Summary 38 Chapter Two Critical Contextual Empiricism 39 1. Constitutive and Contextual Values 40 2. Background Assumptions 41 3. CCE Norms 44 4. Modifications to CCE 45 5.
Load more

Recommended publications
  • Situating Objectivity: a Feminist Conceptualization
    SITUATING OBJECTIVITY: A FEMINIST CONCEPTUALIZATION BURCU ERCIYES A DISSERTATION SUBMITTED TO THE FACULTY OF GRADUATE STUDIES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY GRADUATE PROGRAM IN PHILOSOPHY YORK UNIVERISTY TORONTO, ONTARIO MAY 2015 © BURCU ERCIYES, 2015 Abstract This dissertation focuses on the ideal of objectivity in science. My aim is to understand and situate how objectivity has been conceptualized in the philosophy of science, and to question whether these conceptualizations are consistent with the actual ways in which objectivity has been sought in scientific practice. I examine the dominant views of objectivity in mainstream philosophy of science and feminist reactions to them. Ultimately, I argue that Helen Longino’s understanding of objectivity, complemented by some aspects of Sandra Harding’s “strong objectivity”, provides a more comprehensive and practical ideal to guide scientific practice than the received view’s conception where objectivity is sought by adopting an impersonal methodology. One of the main criticisms against feminist epistemologies, which argue for the gender specificity of knowledge, is that they lead to epistemic relativism. And hence it is argued that feminist epistemologies undermine “scientific objectivity”. In arguing for the fruitfulness and consistency of a feminist account of objectivity, I examine in what ways claims about the gender specificity of knowledge could be understood without rendering the notion of objectivity redundant. ii Dedication For my parents, İsmail & Gül Erciyes iii Acknowledgements Writing this dissertation has been a long and enlightening journey. I would like to express my gratitude to those who did not let go of my hand during this process.
    [Show full text]
  • Annualreport2018-19.Pdf
    Consortium for History of Science, Technology and Medicine Annual Report 2018-2019 CONSORTIUM FOR HISTORY OF SCIENCE, TECHNOLOGY AND MEDICINE As I step down after six years as Chair of the Board, I want to take the opportunity to reflect on the honor of serving the Consortium during this time of tremendous change. In my time as chair, we chose a new name to reflect our new reach and geographical range (though admittedly many still called us PACHS for a while….). We gained new institutional members including professional societies. We engaged new donors and created new fellowships. We matched our NEH Challenge Grant and established an endowment. And we expanded our public outreach in novel and promising ways. Those are just a few of the highlights. It has been a time of recurring and spirited discussions relating to size, goals, outreach, membership, fees, budgets, advocacy, and leadership. It has been a time of thinking strategically about the future of this institution, which is increasingly seen as central to our academic field. Many years ago Marty Levitt, who more or less singlehandedly dreamed up the idea of PACHS, pointed out to me that there were people in institutions across Philadelphia who had profound stakes in the history of science, medicine and technology, with whom I probably never interacted. We all worked within a few miles of each other, and all cared deeply about museums, archives, collections and scholarship in the history of science, technology and medicine. He thought it was time for us to start working together to build and support the field.
    [Show full text]
  • Of the American Philosophical Association Apa the AMERICAN PHILOSOPHICAL ASSOCIATION
    January 2006 Volume 79, Issue 3 Proceedings and Addresses of The American Philosophical Association apa THE AMERICAN PHILOSOPHICAL ASSOCIATION Pacific Division Program University of Delaware Newark, DE 19716 www.apaonline.org Pacific Intro.indd 1 1/3/2006 2:28:33 PM The American Philosophical Association Pacific Division Eightieth Annual Meeting Host Institutions: Lewis and Clark College Reed College University of Portland The Portland Hilton Portland, OR March 22 - 26, 2006 Pacific Intro.indd 3 1/3/2006 2:28:33 PM Proceedings and Addresses of The American Philosophical Association Proceedings and Addresses of the American Philosophical Association (ISSN 0065-972X) is published five times each year and is distributed to members of the APA as a benefit of membership and to libraries, departments, and institutions for $75 per year. It is published by The American Philosophical Association, 31 Amstel Ave., University of Delaware, Newark, DE 19716. Second-Class Postage Paid at Newark, DE and additional mailing offices. POSTMASTER: Send address changes to Proceedings and Addresses, The American Philosophical Association, University of Delaware, Newark, DE 19716. Editor: William E. Mann Phone: (302) 831-1112 Publications Coordinator: Erin Shepherd Fax: (302) 831-8690 Associate Editor: Anita Silvers Web: www.apaonline.org Meeting Coordinator: Linda Smallbrook Proceedings and Addresses of The American Philosophical Association, the major publication of The American Philosophical Association, is published five times each academic year in the months of September, November, January, February, and May. Each annual volume contains the programs for the meetings of the three Divisions; the membership list; Presidential Addresses; news of the Association, its Divisions and Committees, and announcements of interest to philosophers.
    [Show full text]
  • The Social Epistemology of Experimental Economics
    THE SOCIAL EPISTEMOLOGY OF EXPERIMENTAL ECONOMICS DE SOCIALE EPISTEMOLOGIE VAN EXPERIMENTELE ECONOMIE THE SOCIAL EPISTEMOLOGY OF EXPERIMENTAL ECONOMICS DE SOCIALE EPISTEMOLOGIE VAN EXPERIMENTELE ECONOMIE Thesis to obtain the degree of Doctor from the Erasmus University Rotterdam by command of the rector magnificus Prof.dr. S.W.J. Lamberts and in accordance with the decision of the Doctorate Board. The public defence shall be held on Thursday 9th of November 2006 at 13.30 hours by Ana Cristina Cordeiro dos Santos born in Lisbon, Portugal. ISBN 90 9021 076 8 © Ana C. Cordeiro dos Santos, 2006 All rights reserved. No part of this book may be reproduced in any form by any electronic or mechanical means (including information storage and retrieval) without permission in writing from the author. Cover Design by Luis Carlos Amaro See http://eps.eur.nl/dissertations for the electronic version of the thesis Printed by Gráficos à Lapa, Lisbon, Portugal DOCTORAL COMMITTEE Promotor: Prof.dr. I. U. Mäki Other members: Prof.dr. D. McCloskey Prof.dr. J. Sonnemans Dr. J.J. Vromen Para os meus pais, Conceição e António CONTENTS Acknowledgements ix 1 Introduction: Epistemology, Experiments and Economics 1 Part One: The Social Epistemology of Experiment 2 Experiment, Coherence and Materiality 25 3 The Argument from Sociality 61 4 The Social Epistemology of Experiment 89 Part Two: The Social Epistemology of Experimental Economics 5 The Market Experiment and the Foundation of Experimental Economics 107 6 The Epistemological Arguments of Experimental Economics 137 7 Human agency (or lack thereof) in Economic Experiments 175 8 ‘Human Agency’ and Inference 193 9 Preference Reversals or Good Experimental in Economics 209 10 Conclusion 237 References 243 Appendix 1 21 Appendix 2 57 Appendix 3 173 Summary (Dutch) 257 Curriculum Vitae 258 ACKNOWLEDGMENTS The Social Epistemology of Experimental Economics (SEEE) is about the inescapably collective nature of knowledge production, in time and space.
    [Show full text]
  • Norms of Epistemic Diversity Miriam Solomon
    Norms of Epistemic Diversity Miriam Solomon Episteme: A Journal of Social Epistemology, Volume 3, Issue 1-2, 2006, pp. 23-36 (Article) Published by Edinburgh University Press DOI: https://doi.org/10.1353/epi.0.0007 For additional information about this article https://muse.jhu.edu/article/209438 [ This content has been declared free to read by the pubisher during the COVID-19 pandemic. ] Miriam Solomon Norms of Epistemic Diversity abstract Epistemic diversity is widely approved of by social epistemologists. Th is paper asks, more specifi cally, how much epistemic diversity, and what kinds of epistemic diversity are normatively appropriate? Both laissez-faire and highly directive approaches to epistemic diversity are rejected in favor of the claim that diversity is a blunt epistemic tool. Th ere are typically a number of diff erent options for adequate diversifi cation. Th e paper focuses on scientifi c domains, with particular attention to recent theories of smell. Epistemic diversity is widely approved of by social epistemologists. Epistemic diversity oft en produces dissent on the theories or the strategies worth pursuing. Dissent is valued for at least three reasons: it produces worthwhile criticism (e.g. Mill, Feyerabend, Popper, Longino), division of cognitive labor (e.g. Hull, Goldman, Kitcher, Solomon) and social distribution of knowledge (e.g. Haraway, Longino, Solomon, Sunstein). Another epistemic value of diversity is creativity. Intellectual biographies oft en point out aspects of an investigator’s background that made them diff erent from others thinking about the subject and led to their unique contribution to a fi eld. For example, Wegener’s experience with icebergs in Arctic exploration and his knowledge of meteorology were cognitive resources for his later idea that continents can drift .
    [Show full text]
  • The Role of Community in Inquiry
    THE ROLE OF COMMUNITY IN INQUIRY: A PHILOSOPHICAL sTUDY by K. Brad Wray Department of Philosophy Submitted in partial fulfihent of the requirements for the degree of Doctor of Philosophy Faculty of Graduate Studies The Universi@ of Western Ontario London, Ontario April 1997 O K. Brad Wray 1997 National Library Bibliothéque nationale du Canada Acquisitions and Acquisitions et Bibliogaphic SeMces services bibliographiques 395 Wellington Street 395. rue Wellington OttawaON K1AON4 ûltawaON K1AON4 Canada Canada The author has granted a non- L'auteur a accordé une licence non exclusive licence allowing the exclusive pemettant à la National Library of Canada to Bibliothèque nationale du Canada de reproduce, loan, distribute or sell reproduire, prêter, distribuer ou copies of this thesis in rnicrofmm, vendre des copies de cette thèse sous paper or electronic formats. la forme de microfiche/fïlm, de reproduction sur papier ou sur format électronique. The author retains ownership of the L'auteur conserve la propriété du copyright in this thesis. Neither the droit d'auteur qui protège cette thèse. thesis nor substantial extracts fiom tt Ni la thèse ni des extraits substantiels may be printed or otherwise de celle-ci ne doivent être imprimés reproduced without the author's ou autrement reproduits sans son permission. autorisation. ABSTRACT 1 examine a number of recent challenges to traditional individualist epistemologies. In chapter 1, 1 examine Margaret Gilbert's clah that certain types of cornmunities, "plural subjects," are capable of having what she calls "collective beliefs." In chapter II7 I examine Lynn Hankinson Nelson's claim that communities, and not individuals, are the primary epistemological agents.
    [Show full text]
  • Leah M Mcclimans
    Leah M McClimans Address: Philosophy Department University of South Carolina Columbia, SC 29208 Email: [email protected] Website: www.leahmcclimans.com Education B.A., Philosophy, 1999, College of William and Mary, Magna Cum Laude B.S., Biology, 1999, College of William and Mary, Magna Cum Laude M.A., Philosophy, 2002, University of California, Riverside Ph.D., Philosophy, 2007, London School of Economics and Political Science Philosophical Areas of Specialty: Philosophy of Measurement, Philosophy of Medicine, Medical Ethics Philosophical Areas of Concentration: Feminist Philosophy, Hermeneutics Academic Positions Associate Professor (tenured), Philosophy, University of South Carolina 2014-present Undergraduate Director for Women and Gender Studies, 2014-2017 Placement Officer, Philosophy, 20011-present Founding Co-Director of the Ann Johnson Institute for Science, Technology & Society (endowed for $2.2 million), 2017-present Assistant Professor, Philosophy University of South Carolina, 2007-2014 Post-doctoral Fellow, Joint Centre for Bioethics, University of Toronto, 2006-07 Journal Articles McClimans, L. “First-person epidemiological measures: Vehicles for patient-centered care”, Synthese, Online First 28 January 2019 doi: 10.1007/s11229-019- 02094-z McClimans, L., Pressgrove, G., and Campbell, E. 2019. “Objectives and Outcomes of Clinical Ethics Services: A Delphi Study”, Journal of Medical Ethics 45: 761-9. McClimans, L, Browne, J and Stefan, C. 2017. “Clinical Outcome Measurement: Models, Theory, Psychometrics and Practice”, Studies in the History and Philosophy of Science Part A, 65-66: 67-73. McClimans, L 2017. “Place of Birth: Evidence and Ethics”, Topoi, 36: 531-8. McClimans, L and Slowther, A. 2016. “Moral Expertise in the Clinic: Lessons from Medicine and Science” Journal of Medicine and Philosophy, 41: 401-15.
    [Show full text]
  • Proceedings Vol. 86, No. 3
    January 2013 Volume 86, Issue 3 Proceedings and Addresses of The American Philosophical Association apa The AmericAn PhilosoPhicAl AssociATion Central Division Program University of Delaware Newark, DE 19716 www.apaonline.org The American Philosophical Association Central Division One Hundred Tenth Annual Meeting Hilton New Orleans Riverside New Orleans, Louisiana February 20–23, 2013 Proceedings and Addresses of The American Philosophical Association Proceedings and Addresses of the American Philosophical Association (ISSN 0065-972X) is published five times each year and is distributed to members of the APA as a benefit of membership and to libraries, departments, and institutions for $75 per year. It is published by the American Philosophical Association, 31 Amstel Ave., University of Delaware, Newark, DE 19716. Periodicals Postage Paid at Newark, DE and additional mailing offices. POSTMASTER: Send address changes to Proceedings and Addresses, The American Philosophical Association, University of Delaware, Newark, DE 19716. Editor: Amy E. Ferrer Phone: (302) 831-1112 Publications Coordinator: Erin Shepherd Fax: (302) 831-8690 Associate Editor: Robin Smith Web: www.apaonline.org Meeting Coordinator: Linda Smallbrook Proceedings and Addresses of the American Philosophical Association, the major publication of the American Philosophical Association, is published five times each academic year in the months of September, November, January, February, and May. Each annual volume contains the programs for the meetings of the three divisions; the membership list; presidential addresses; news of the association and its divisions and committees, and announcements of interest to philosophers. Other items of interest to the community of philosophers may be included by decision of the editor or the APA board of officers.
    [Show full text]
  • 1 Miriam Solomon Professor of Philosophy Department
    1 MIRIAM SOLOMON PROFESSOR OF PHILOSOPHY DEPARTMENT OF PHILOSOPHY TEMPLE UNIVERSITY Anderson Hall 718 1114 West Berks Street Temple University 022-32 Philadelphia, PA 19122 [email protected] http://sites.temple.edu/miriamsolomon/ ______________________________________________________________________________ EDUCATION 1979-86 Harvard University. PhD in Philosophy awarded November 1986. Dissertation: “Quine’s Point of View.” Advisors: Burton Dreben, Warren Goldfarb, Hilary Putnam. 1976-79 Newnham College, Cambridge University. BA in Natural Sciences with First Class Honours. AREAS OF SPECIALIZATION Philosophy of science, philosophy of medicine, philosophy of psychiatry, feminist epistemology and philosophy of science, epistemology, bioethics AREAS OF COMPETENCE History of science and medicine (especially twentieth century), philosophy of psychology/mind, history of analytic philosophy, logic, history of modern philosophy, ethics, philosophy of food. APPOINTMENTS 2020-21 Interim Chair of Philosophy, Temple University July 2020- Life Member at Clare Hall, Cambridge 2019-20 Visiting Fellow at Clare Hall and the Department of History and Philosophy of Science, Cambridge University 2015- Affiliated Professor in the Center for Bioethics, Urban Health and Policy, Temple University School of Medicine 2013-2019 Chair of Philosophy, Temple University July 2007 Lecturer at Vienna International Summer University (co-teaching a graduate seminar on Consensus in Science) Summer 2003 Instructor at the Center of Bioethics, University of Pennsylvania (teaching
    [Show full text]
  • Society for Women in Philosophy 2013 Distinguished Woman
    In celebration of Alison Wylie A life of the mind, digging in the dirt. Beginnings Swindon, UK, 1954 With brother Rob in Oxford, UK Alison at 15 Summer 1969 Ontario Summer digs at Ft. Walsh, Saskatchewan, 1974 Undergraduate philosopher Mount Allison University, Sackville, NB 1976 Graduate Studies M.A. 1979: Anthropology, SUNY Binghamton Ph.D. 1982: Philosophy, SUNY Binghamton Program in the History and Philosophy of the Social and Behavioral Sciences Dissertation: Positivism and the New Archaeology Director: Rom Harré Summer doctoral research, digging in Tucson, AZ 1977/78 Postdoctoral Fellowship Institute for the Humanities University of Calgary 1981-1983 With dancer/choreographer Anne Flynn at a performance of “Hempel’s Dilemma,” 1982 I first met Alison when I was a Masters student at the U of C – nearly thirty years ago. Alison’s influence has been a crucial part of my professional development, and of my image of what a philosopher is, and can be. When we met, Alison was pretty much at the start of her career, but it was already obvious to everyone that she was just an extraordinary force. It wasn’t just her phenomenal work ethic – how does she do it? – it was the way that she drew students in by being interested in what they thought, and supportive of their work. No matter how tentative (or, it must be said, overconfident) a student’s fledgling efforts were, Alison was never dismissive or harsh, she never sent students away to read what the important people have had to say on a topic, she encouraged us to ask for courses, to write, to engage in dialogue, to present at conferences, to submit for publication, just as though we were already philosophers, until, almost without noticing it, we were.
    [Show full text]
  • Rationality and Irrationality in the History of Continental Drift Was the Hypothesis of Continental Drift Worthy of Pursuit?
    Rationality and Irrationality in the History of Continental Drift Was the Hypothesis of Continental Drift Worthy of Pursuit? Dunja Seˇseljaˇ 1, Erik Weber1 Abstract The revolution in geology, initiated with Alfred Wegener’s theory of continental drift, has been the subject of many philosophical discussions aiming at resolv- ing the problem of rationality underlying this historical episode. Even though the debate included analyses in terms of scientific methodology, applications of concrete accounts of epistemic justification to this case study have been rare. In particular, the question as to whether Wegener’s theory was epistemically worthy of pursuit in the first half of the twentieth century, that is, in its early development, remained open or inadequately addressed. The aim of this paper is to offer an answer to this question. The evaluation of Drift will be done by means of an account of theory evaluation suitable for the context of pursuit, developed in Seˇseljaˇ & Straßer (201x). We will argue that pursuing the theory of continental drift was rational, i.e., that it was irrational to reject its pursuit as unworthy. Key words: Alfred Wegener, continental drift, rationality, context of pursuit, pursuit worthiness 1. Introduction Ever since the revolution in the earth sciences culminated in the overall ac- ceptance of the theory of plate tectonics, philosophers and historians of science have been analyzing this shift in geology. What made the development in ge- ology very interesting is its specific dynamics. Even though the hypothesis of continental drift was proposed by Alfred Wegener already around the 1920s, it was firmly rejected by many geologists not only as unacceptable but even as unworthy of further pursuit.
    [Show full text]
  • Science, Values, and Democracy the 2016 Descartes Lectures
    The Rightful Place of Science: Science, Values, and Democracy The 2016 Descartes Lectures The Rightful Place of Science: Science, Values, and Democracy The 2016 Descartes Lectures Heather Douglas Foreword by Sir Peter Gluckman Edited by Ted Richards Consortium for Science, Policy & Outcomes Tempe, AZ, and Washington, DC THE RIGHTFUL PLACE OF SCIENCE: Science, Values, and Democracy The 2016 Descartes Lectures Consortium for Science, Policy & Outcomes Arizona State University This volume is published under a Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International license (CC-BY- NC-ND). The essays included in this volume are individually re- leased under the same license, and included in the volume with the permission of the authors. See http://creativecommons.org/li- censes/by-nc-nd/4.0/legalcode for more information. The terms of the CC license apply only to the original material. The use of material from other sources (indicated by a reference), such as diagrams and text samples, may require further permis- sion from the respective copyright holder. Printed in Charleston, South Carolina. The Rightful Place of Science series explores the complex inter- actions among science, technology, politics, and the human condition. For information on The Rightful Place of Science series, write to: Consortium for Science, Policy & Outcomes PO Box 875603, Tempe, AZ 85287-5603 Or visit: http://www.cspo.org Model citation for this volume: Douglas, H. 2021. The Rightful Place of Science: Science, Values, and Democracy: The 2016 Descartes Lectures. Tempe, AZ: Consortium for Science, Policy & Outcomes. ISBN: 099958779X ISBN-13: 978-0999587799 FIRST EDITION, AUGUST 2021 CONTENTS Foreword i Sir Peter Gluckman Introduction: Why Science, Values, and Democracy? 1 Heather Douglas LECTURE 1: SCIENCE AND VALUES The Pervasive Entanglement 9 Heather Douglas Tensions Among Ideals 37 Kristina Rolin The Descriptive, the Normative, and the Entanglement of 51 Values in Science Matthew J.
    [Show full text]