Abstract
This essay compares in a preliminary way, concepts of disability to those of medicine, especially medical theory. Besides minor theses, I reach four major, not wholly original, conclusions. First, it does not seem that, in most usage, ‘disability’ has a clear enough meaning to determine how disability relates to medical status. Whether in common sense, ethics, or law, disability is a highly indeterminate concept. One reason is that the few paradigm cases at its core fall within many possible outer boundaries. Worse yet, even some core examples are disabilities in one context but not another. So, in practice, there is no one disability concept—or, if there is, it is ambiguous in including several variables fixed only by context. Second, all types of practical disability may be species of a value-free generic concept: organismic dysfunction, or gross impairment. But to call gross impairment disability will have consequences unattractive to many writers. Third, in two important contexts where usage is fairly clear by definition and example, disability currently bears no simple relation to the basic concept of medical theory, disorder or pathological condition.
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References
Adams, F. R. (1979). A goal-state theory of function attributions. Canadian Journal of Philosophy, 9, 493–518.
AMA Committee on Medical Rating of Physical Impairment. (1958). Guides to the evaluation of permanent impairment. Journal of the American Medical Association, 9, p. 3.
Allen, C., Bekoff, M., & Lauder, G. (Eds.). (1998). Nature’s purposes. Cambridge, MA: MIT Press.
APA (2000). Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association. (DSM-IV-TR).
Amundson, R. (2000). Against normal function. Studies in History and Philosophy of Biological and Biomedical Sciences, 31, 33–53.
Amundson, R., & Lauder, G. V. (1994). Function without purpose: The uses of causal role function in evolutionary biology. Biology and Philosophy, 9, 443–469.
Anderson, D. M. (2002). Mosby’s medical dictionary (6th ed.). St. Louis, MO: Mosby.
Ariew, A., Cummins, R., & Perlman, M. (Eds.). (2002). Functions. New York: Oxford.
Bagenstos, S. R. (2000). Subordination, stigma, and “disability”. Virginia Law Review, 86, 397–534.
Barnes, C., & Mercer, G. (2003). Disability. Cambridge, UK: Polity Press.
Barnes, C., Mercer, G., & Shakespeare, T. (1999). Exploring disability: A sociological introduction. Cambridge, UK: Polity Press.
Bedau, M. (1992). Where’s the good in teleology? Philosophy and Phenomenological Research, 52, 781–806.
Black, H. C. (1979). Black’s law dictionary (5th ed.). St. Paul, MN: West Publishing Co.
Blanck, P., Hill, E., Siegal, C. D., & Waterstone, M. (2004). Disability, civil rights law and policy. St. Louis, MO: Thomson (West).
Boorse, C. (1975). On the distinction between disease and illness. Philosophy and Public Affairs, 5, 49–68.
Boorse, C. (1976). Wright on functions. Philosophical Review, 85, 70–86.
Boorse, C. (1977). Health as a theoretical concept. Philosophy of Science, 44, 542–573.
Boorse, C. (1987). Concepts of health. In D. VanDeVeer & T. Regan (Eds.), Health care ethics (pp. 359–393). Philadelphia, PA: Temple University Press.
Boorse, C. (1997). A rebuttal on health. In J. M. Humber & R. F. Almeder (Eds.), What is disease? (pp. 1–134). Totowa, NJ: Humana.
Boorse, C. (2002). A rebuttal on functions. In A. Ariew, R. Cummins, & M. Perlman (Eds.), Functions (pp. 63–112). New York: Oxford.
Buller, D. J. (Ed.) (1999). Function, selection, and design. Albany, NY: SUNY Press.
Clouser, K. D., Culver, C. M., & Gert, B. (1997). Malady. In J. M. Humber & R. F. Almeder, (Eds.), What is disease? (pp. 175–217). Totowa, NJ: Humana Press.
Cocchiarella, L., & Andersson, G. B. J. (Eds.). (2001). Guides to the evaluation of permanent impairment (5th ed.). USA: AMA Press. [AMA Guides].
Colker, R. (2005). The disability pendulum: The first decade of the Americans with Disabilities Act. New York: NYU Press.
Cox-White, B., & Boxall, S. F. (2009). Redefining disability: maleficent, unjust, and inconsistent. Journal of Medicine and Philosophy, 33, 558–576.
Culver, C. M., & Gert, B. (1982). Philosophy in medicine. New York: Oxford.
Cummins, R. (1975). Functional analysis. Journal of Philosophy, 72, 741–765.
Demeter, S. L., & Andersson, G. B. J. (2003). Disability evaluation (2nd ed.). St. Louis, MO: Mosby.
Doyle, B. (2008). Disability discrimination: Law and practice (6th ed.). Bristol, UK: Jordans.
DPI (1982). Proceedings of the First World Congress. Singapore: Disabled People’s International.
Edmonds, C. D. (2002). Snakes and ladders: Expanding the definition of “major life activity” in the Americans with Disabilities Act. Texas Tech Law Review, 33, 321–376.
Edwards, S. D. (1997). Dismantling the disability/handicap distinction. Journal of Medicine and Philosophy, 22, 589–606.
Epstein, R. (1992). Forbidden grounds. Cambridge, MA: Harvard.
Feldblum, C. (2000). Definition of disability under federal anti-discrimination law: What happened? Why? And what can we do about it? Berkeley Journal of Employment and Labor Law, 21, 91–165.
Frisancho, A. R. (1993). Human adaptation and accommodation. Ann Arbor, MI: University of Michigan Press.
Jette, A. M., & Badley, E. (2002). Conceptual issues in the measurement of work disability. In G. S. Wunderlich, D. P. Rice, & N. L. Amado (Eds.), The Dynamics of Disability (pp. 183–210). Washington, DC: National Academies Press.
Jolls, C. (2000). Accommodation mandates. Stanford Law Review, 53, 223–306.
LaFave, W. R. (2003). Criminal law (4th ed.). St. Paul, MN: Thomson (West).
Lange, J. L. (Ed.). (2006). The Gale encyclopedia of medicine (3rd ed.). New York: Thomson Gale.
Mayerson, A. L. (1962). Introduction to insurance. New York: Macmillan.
Melander, P. (1997). Analyzing functions: An essay on a fundamental notion in biology. Stockholm: Almqvist & Wiksell.
Millikan, R. (1984). Language, thought, and other biological categories. Cambridge, MA: MIT Press.
Moore, M. S. (1984). Law and psychiatry: Rethinking the relationship. New York: Cambridge.
Moran, E. F. (2000). Human adaptability. Boulder, CO: Westview Press.
Murphy, E. A. (1976). The logic of medicine. Baltimore, MD: Johns Hopkins.
Murray, J. A. H. (Ed.) (1901). A new English dictionary on historical principles (Vol. V). Oxford, UK: Clarendon Press.
Murray, C. (1997). What it means to be a libertarian. New York: Broadway Books.
Nagel, E. (1961). The structure of science. NY: Harcourt, Brace & World.
Nagi, S. Z. (1965). Some conceptual issues in disability and rehabilitation. In M. B. Sussman (Ed.), Sociology and rehabilitation (pp. 100–113). Washington, DC: American Sociological Association.
Nagi, S. Z. (1969). Disability and rehabilitation. Columbus, OH: Ohio State University Press.
Nagi, S. Z. (1991). Disability concepts revisited: implications for prevention. In A. M. Pope & A. R. Tarlov (Eds.), Disability in America: Toward a national agenda for prevention (pp. 309–327). Washington, DC: National Academy Press.
NCHS (2007). Health, United States 2007. Hyattsville, MD: National Center for Health Statistics.
Neander, K. (1991). The teleological notion of function. Australasian Journal of Philosophy, 69, 454–468.
Nissen, L. (1997). Teleological language in the life sciences. Lanham, MD: Rowman and Littlefield.
Nordenfelt, L. (1987). On the nature of health. Dordrecht: Reidel.
Nordenfelt, L. (1997). The importance of a disability/handicap distinction. Journal of Medicine and Philosophy, 22, 607–622.
Rahdert, M. C. (2000). Arline’s ghost: some notes on working as a major life activity under the ADA. Temple Policy & Civil Rights Law Review, 9, 303–331.
Reznek, L. (1987). The nature of disease. London: Routledge and Kegan Paul.
Reznek, L. (1997). Evil or Ill? London: Routledge and Kegan Paul.
Rondinelli, R. D., & Duncan, P. W. (2000). The concepts of impairment and disability. In R. D. Rondinelli & R. T. Katz (Eds.), Impairment rating and disability evaluation (pp. 17–33). Philadelphia: W.B. Saunders.
Taber, C. W. (1940). Taber’s cyclopedic medical dictionary (1st ed.). Philadelphia: F. A. Davis. (20th ed., 2005).
Taylor, N. B., & Taylor, A. E. (Eds.). (1953). Stedman’s medical dictionary (18th ed.). Baltimore: Williams and Wilkins. (5th ed., 2005).
Thomson, J. (1971). A defense of abortion. Philosophy and Public Affairs, 1, 47–66.
Tucker, B. P., & Milani, A. A. (2004). Federal disability law in a nutshell (3rd ed.). St. Paul, MN: West.
UPIAS (1976). Fundamental principles of disability. London: Union of the Physically Impaired Against Segregation.
Wakefield, J. (1992). The concept of mental disorder: On the boundary between biological facts and social values. American Psychologist, 47, 373–388.
Wakefield, J. (1999). Evolutionary versus prototype analyses of the concept of disorder. Journal of Abnormal Psychology, 108, 374–399.
Wasserman, D. (2000). Stigma without impairment: Demedicalizing disability discrimination. In L. P. Francis & A. Silvers (Eds.), Americans with disabilities (pp. 146–162). New York: Routledge.
Wasserman, D. (2001). Philosophical issues in the definition and social response to disability. In G. L. Albrecht, K. D. Seelman, & M. Bury (Eds.), Handbook of disability studies (pp. 219–251). Thousand Oaks, CA: Sage.
Weber, M. C. (2007). Understanding disability law. Newark, NJ: LexisNexis.
Whitfield, G. (1997). The disability discrimination act: Analysis of data from an omnibus survey. London: Department of Social Security.
WHO (1980). International Classification of Impairments, Disabilities and Handicaps [ICIDH]. Geneva: World Health Organization.
WHO (1994). International Statistical Classification of Diseases and Related Health Problems, tenth revision [ICD-10]. Geneva: World Health Organization.
WHO (2001). International Classification of Functioning, Disability and Health [ICF]. Geneva: World Health Organization.
Wouters, A. (2005). The function debate in philosophy. Acta Biotheoretica, 53, 123–151.
Wright, L. (1973). Functions. Philosophical Review, 82, 139–168.
Zimmer, M. J., Sullivan, C. A., & White, R. H. (Eds.). (2008). Cases and materials on employment discrimination (7th ed.). New York: Aspen.
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Boorse, C. (2009). Disability and Medical Theory. In: Ralston, D., Ho, J. (eds) Philosophical Reflections on Disability. Philosophy and Medicine, vol 104. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-2477-0_4
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