An integral approach to health science and healthcare
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Defining disease and delineating its boundaries is a contested area in contemporary philosophy of medicine. The leading naturalistic theory faces a new round of difficulties related to defining a normal environment alongside normal organismic functioning and to delineating a discrete boundary between risk factors and disease. Normative theories face ongoing and seemingly intractable difficulties related to value pluralism and the problematic relation between theory and practice. In this article, I argue for an integral—as opposed to a hybrid—philosophy of health based on Bernard Lonergan’s notion of generalized empirical method that provides a way to settle these difficulties dynamically and comprehensively, both in theory, by orienting functional and statistical investigation toward an explanatory ecological viewpoint, and in practice, by framing critiques in relation to the normativity intrinsic to all human inquiry.
KeywordsPhilosophy of health Inquiry Generalized empirical method Schemes of recurrence Functional investigation Statistical investigation
The author wishes to thank Wendy Rogers and Mary Walker for their detailed and helpful comments on earlier versions of this article. He is also grateful for improvements suggested by Daniel Kim, as well as an editor and an anonymous reviewer of this journal.
Compliance with ethical standards
Conflict of interest
Patrick Daly declares that he has no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
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