The fourfold way: Determinism, moral responsibility, and Aristotelean causation

Metamedicine 3 (3):375-396 (1982)
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Abstract

Thomas Szasz's emphasis on goal-oriented behavior and moral responsibility has raised profound theoretical questions about an ancient and enduring problem in philosophy, the relationships amongfree will, determinism, and moral responsibility. Two early thinkers, Jonathan Edwards and Aristotle, have both contributed to an understanding of this dilemma. Edwards (1754) demonstrated that the concept of man as a moral agent and the doctrine of philosophical necessity are inextricably intertwined, in opposition to the tenets of contingency, moral indifference, and self-determining volition. However, his argument rested on efficient causationalone. For further light on the problem we can turn to Aristotle's writings, notably the distinguishing criteria of the ‘practical’ sciences (including psychology) as opposed to the theoretical and the productive sciences; and multiple causation, one of the most powerful tools for intellectual analysis ever invented, which includes material, formal, and final causes as well as the efficient cause. The implications of Szasz's work force a re-examination of the contributions of both Edwards and Aristotle and make them relevant to contemporary psychiatry.

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original Grenander, M. E. (1982) "The fourfold way: Determinism, moral responsibility, and aristotelean causation". Theoretical Medicine and Bioethics 3(3):375-396

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Philosophical explanations.Robert Nozick - 1981 - Cambridge: Harvard University Press.
Metaphysics. Aristotle - 1941 - In W. D. Ross (ed.), The Basic Works of Aristotle. Random House.
The philosophy of quantum mechanics.Max Jammer - 1974 - New York,: Wiley. Edited by Max Jammer.
The basic works of Aristotle. Aristotle - 1941 - New York: Modern Library. Edited by Richard McKeon.

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