The influence of popular management gurus derives from two factors: the willingness of their management audience to outsource or subcontract thinking and the ability of gurus to deliver apparently relatively simple messages to an audience that probably does not want or need to think deeply, while retaining their leadership status. As managers look to management gurus to provide them only with reasons to be, to behave or act as opposed to reasons to think, per se, the nature of a popular (...) guru’s output can never address the unseen innovating process which true leadership demands. As a result, popular management gurus are not in a position to promote insights, awakening or higher consciousness in others and cannot fulfil the traditional raison d’être of a guru as an enlightened being. The output of popular management gurus probably communicates more about their audience than it usefully communicates about the guru’s thinking. (shrink)

This study examines the contestability of “relevance” as an abstract construction with no fixed meaning when applied, and questions its usage in the research quality debate. It finds that different research agendas and approaches have their own idiosyncratic logic and that any logic has its own criteria for assessing quality which cannot be applied to assess the quality of others. This is illustrated by delineating practitioner-led research from academic-led research and by comparing and contrasting research perspectives as examples. The research (...) quality debate becomes meaningless when it is limited to a singular research agenda or approach as in practice these are invariably combined. Having said this, however, every agenda and approach can be argued to be legitimate as potentially each can find what otherwise cannot be noticed. As a result, this study challenges the conventional unitarist wisdom that conceptualises knowledge as commodity, and suggests instead that heterogeneity, linked to tolerance and relative independence of means and mind, free from the control or influence of others to enable critical distance from context and status quo and facilitate judgement, is the key to those seeking a meaningful research quality debate that acknowledges tolerance of the diversity of knowledge, difference, contestation and struggle. Although such heterogeneity may at first appear to add confusion rather than clarity, without first looking at this heterogeneity it is not possible to develop a dialogue, in the context of the present neo-liberal post-political drift that emphasises consensus, the annulment of dissensus and diverts attention from relationships of power, through which a positive contribution can be made to the research quality debate. (shrink)

Organisations are socially constructed in that their members are socialised in a world of language that enables them to understand, communicate and share. They use language to create patterns that help them make choices and relate their actions to the patterns they create and the choices they make. The world of organisations and their management is, therefore, a matter of language. In this world, rationality plays a fundamental role in legitimising choices together with the actions that express them. This study (...) suggests that the limited expressive resources of a dominant version of rationality limit the world of management in a way that undermines its legitimacy and that it is possible for management to break free from this limited world by learning to think in other languages that express contrasting versions of rationality. (shrink)

Phenomenal Conservatism is an approach to epistemological justification that, based on "appearances" and "seemings" and in line with the theory of common sense epistemology, attempt to set up an internal and non-inferential justification, at least for some kind of beliefs. According to this view, justification and non-justification have a direct relationship with the mental state of the agent. Based on this assumption that “Things are as they seem”, phenomenal conservatism offers its central idea that if, for an agent, something seems (...) to be true -and there is no defeater for that until doubting in - that agent thereby has at least some justification for believing that. In this article, we will interpret this new approach with an empathetic attitude and, in addition to explaining its main components, we will effort to answer the most important objections of phenomenal conservatism and show that this view is a significant approach to the justification and rationality of human beliefs. (shrink)

Medical practice is practiced morality, and clinical research belongs to normative ethics. The present book elucidates and advances this thesis by: 1. analyzing the structure of medical language, knowledge, and theories; 2. inquiring into the foundations of the clinical encounter; 3. introducing the logic and methodology of clinical decision-making, including artificial intelligence in medicine; 4. suggesting comprehensive theories of organism, life, and psyche; of health, illness, and disease; of etiology, diagnosis, prognosis, prevention, and therapy; and 5. investigating the moral and (...) metaphysical issues central to medical practice and research. Many systems of (classical, modal, non-classical, probability, and fuzzy) logic are introduced and applied. Fuzzy medical deontics, fuzzy medical ontology, fuzzy medical concept formation, fuzzy medical decision-making and biomedicine and many other techniques of fuzzification in medicine are introduced for the first time. -/- . (shrink)

The research aims to harness spatial interpolation techniques to produce maps with a high level of perceptual accuracy in representing the population data of the study area. This is achieved after exploring the statistical and spatial nature of the databases used, analyzing them, and determining their distribution using a variety of spatial data exploration tools available within the GIS (Geographic Information Systems) environment. These tools contribute to evaluating the characteristics, distribution, and analysis of data, including testing data distribution, identifying its (...) direction, and uncovering its spatial correlations. This highlights the importance of the study and understanding the distribution pattern of the population data in the study area, thereby facilitating the preparation of future that serve spatial organization by building spatial models for the numerical distribution of the data for age groups: young, middle-aged, and elderly, at the level of administrative units of the study area by relying on the inductive approach and the quantitative analysis approach. This is done using Geostatistical Analysis methods within the concept of spatial interpolation in GIS. The research also seeks to predict the population maps for Thi Qar Governorate by comparing spatial interpolation methods, namely Inverse Distance Weighting (IDW) and Simple Kriging (SK). The study concluded, after verifying the accuracy of the results using the Cross-Validation curve, that the Simple Kriging (SK) method is the most accurate model in spatial prediction of population data for representing the data of the young age group in the study area, as it had the lowest Root Mean Square Error (RMSE) of 10.012. It was followed by the Inverse Distance Weighting (IDW) method for representing the data of the elderly age group with an RMSE of 350.48. This indicates that the use of statistical criteria improves the accuracy of spatial interpolation and that the spatial prediction of the population data for the study area using the Simple Kriging (SK) method was more accurate than the Inverse Distance Weighting (IDW) method based on statistical indicators. (shrink)

What follows is a brief comment on Ludwik Fleck's paper on the foundations of medical knowledge translated by Thaddeus J. Trenn in this issue. Since the original is much older than I am, I have some scruples in presenting the critical thoughts which occurred to me when I read it a few years ago. Despite the criticism, I am very sympathetic to most of what Fleck has told us in his tragically neglected work. Two facts make Fleck's tragedy even more (...) disturbing: (i) others have given rise to post-Fleck revolutions in epistemology by exploiting his ideas while omitting proper references to him, and (ii) sociology of science, precisely what Fleck wanted to promote, has emerged without his work being operative in any sense. In my commentary, I shall examine his concept of social conditioning of knowledge. CiteULike Connotea Del.icio.us What's this? (shrink)

Religiosity has been linked with prosocial behavior and a preference for religious ingroups over outgroups. Yet, there are important differences in religious people’s beliefs, values, and practices. Fundamental and quest orientation toward religion may differentially predict intergroup bias in prosociality. Also, individualizing and binding moral foundations may have diverse effects on ingroup and outgroup bias in helping, as moral foundations theory suggests that individualizing and binding foundations differ in how much they focus on ingroup and outgroup moral considerations. In this (...) study, we examined the relationship between religious dimensions, moral foundations, prosocial behavior, and intergroup bias in helping. We found evidence for the effect of individualizing foundations, religious fundamentalism, and quest religion above and beyond demographics and other religious dimensions on intergroup bias in helping. Furthermore, there were independent positive effects of individualizing foundations, religious activity, and age, and independent negative effects of female gender and religious fundamentalism on prosocial behavior. This study provides a more nuanced understanding of the relations between religion, prosociality, and moral intuitions in a Muslim context. (shrink)

The notions of health, illness, and disease are fuzzy-theoretically analyzed. They present themselves as non-Aristotelian concepts violating basic principles of classical logic. A recursive scheme for defining the controversial notion of disease is proposed that also supports a concept of fuzzy disease. A sketch is given of the prototype resemblance theory of disease.

According to the principles of transcendent philosophy, the human soul as a contingent existence after being created in this world has a continuous motion from an actuality to another one until becoming immaterial. This means that he leaves his body and continues to his evolution immaterially. According to the principle of “Impossibility of Return” it seems impossible for human being to return to the mundane life after his death. This belief is apparently inconsistent with the Islamic doctrine of “dead human (...) beings’ return to the life”. So, since transcendent philosophers reject the doctrine of reincarnation on the basis of the principle of “Impossibility of Return”, they should explain the doctrine of Raj’ah in a consistent way. Sayyed Abolhasan Rafī’ee-Qazvīnī is one of the few transcendent philosophers who have taken this issue into account. Although he validates the principle of Impossibility of Return, he asserts that it does not include the doctrine of Raj’ah. He tries to defend the doctrine of Raj’ah and differentiate it from the doctrine of reincarnation through a couple of philosophical principles. For example he accepts that Coercion does not last and every existent has its exclusive existential influence which is necessarily emergent. (shrink)

At least as important as a particular item of medical knowledge itself is to know something about the relationships of that knowledge to the experiential world it is talking about. The reason is that the patients the physician is concerned with are parts of that experiential world. So, when using any knowledge in her practice, e.g., some knowledge on infectious diseases, a morally conscientious doctor will be interested in whether, and in what way, this knowledge relates to the ‘world out (...) there’. Does the medical knowledge she employs bear any relevance to the bodies and souls of her patients? Does it enable her to understand the patient’s suffering, illness experience, and illness narrative? Will it help her find useful diagnoses and treatments? Are there in fact any indicators of such qualities of medical knowledge? Why not use astrology, Ayurveda, or exorcism instead of the theory of infectious diseases? A prerequisite for dealing with such questions is the awareness of the relationships between medical knowledge and its referent, i.e., of the semantics of medical knowledge, on the one hand; and of the pragmatic factors beyond this semantics, which influence the role medical knowledge plays in health care, on the other, e.g., social and economic processes. In the present chapter, we shall look at these issues with an eye toward understanding why some particular information is allowed to enter the medical world as knowledge, whereas other information is considered unacceptable or quackery. Is there a clear line of demarcation between medical knowledge and self-deception? To begin with, we will discuss the issues of truth and justification because, as pointed out in Section 10.1 on page 402, knowledge is traditionally defined as justified true belief . These two defining features of knowledge, truth and justifiedness, are due to the classical conception of knowledge as the representation of some ‘reality’. This ancient, representational postulate brings with it that the predominant view on the semantics of medical knowledge is realism, i.e., the view that medical knowledge is concerned with and represents ‘the real world out there’. We shall therefore need to inquire into the philosophy and medical relevance of this doctrine before we proceed to alternative views. Our discussion thus divides into the following five parts: 12.1 Justified True Belief; 12.2 Realism; 12.3 Anti-Realism; 12.4 Beyond Realism and Anti-Realism in Medicine; 12.5 Social Epistemology. (shrink)

Due to the intricate nature of its subject matter, medicine is always threatened by speculations and disagreements about which among its entities exist, e.g., any specific biological structures, substructures or substances, pathogenic agents, pathophysiological processes, diseases, psychosomatic relationships, therapeutic effects, and other possible and impossible things. To avoid confusion, and to determine what entities an item of medical knowledge presupposes to exist if it is to be true, we need medical ontology. The term “medical ontology” we understand to mean the (...) study that seeks to ascertain what entities exist in the world of medicine, which formal relations hold between them, and whether there are any relatioships between types of medical research and practice, on the one hand; and the new worlds they create, on the other. (shrink)

On the basis of a ten-place comparative value relation, artificially reduced to a binary relation, some human value structures are studied and a concept of value kinematics is proposed. A miniature value logic is outlined, making it possible with precision to handle several explicated value notions and to analyze interrelations between them. Finally, the question is discussed whether health can be said to be an absolute and an intrinsic value.

Western (deductive) logic originated in Greek antiquity. It found its first expression in those works of the great philosopher Aristotle (384–322 BC) which have come to be known as the Organon, i.e., ‘instrument’. Aristotle’s logic, also known as syllogistics, was unsystematically concerned with patterns of reasoning and argumentation. It remained in this rudimentary state relatively unchanged and unchallenged until the second half of the nineteenth century. At that time, logic underwent a period of unprecedented reform and modernization, due in large (...) part to the German mathematician Gottlob Frege (1848– 1925) It thus became more and more a mathematical endeavor of studying the structure and peculiarities of artificial, formal languages. In this new form, logic gave rise in the twentieth century to disciplines such as theoretical informatics and programming languages, and transformed our lives through computation, information processing, and the Internet. A formal language consists, in effect, of a particular alphabet and some precise rules of forming, and transforming, strings over this alphabet. There exist several types of formal languages analyzed in logic. Depending on their structure, they are called first-order languages, second-order languages, and so on. Today a logic is considered a theory of such a language and is, correspondingly, referred to as a first-order logic, a second-order logic, and so on. In this chapter, we shall outline a first-order logic as a paragon of deductive logic. Its full name is: “Classical, first-order predicate logic with identity”. What all these expressions mean exactly, will become clear below. The logic we shall study first is termed classical logic because the idea to create such an instrument, or ‘organon’, is rooted in Greek antiquity. Owing to its origin, it is based on three time-honored Aristotelian doctrines. For these and several other reasons that we shall discuss later in this chapter, it is also called a logic of the Aristotelian style, or an Aristotelian logic for short. (shrink)

Clinical practice is where the clinical encounter and decision-making occur. Thus, it constitutes the focus of medicine. Since the time of Hippocrates, it has been composed of five activities that have come to be known as anamnesis, i.e., history taking or clinical interview, diagnosis, prognosis, therapy, and prevention. These five activities are fundamental features of the healing relationship. The present chapter is devoted to the analysis and discussion of their logical, methodological, and philosophical problems. Usually, the patient expects the physician (...) to be an expert of her specialty devoid of a bad reputation. This constitutes what may be called a good doctor, i.e., one whose clinical decisions are right and good in most cases, at least in as many cases as another expert in the same area also achieves. In what follows, we shall analyze the characteristics and presuppositions of such right and good clinical decisions. To this end, we shall undertake a conceptual analysis of the clinical encounter and its outcomes, in order to develop a theory of clinical practice. Our analysis consists of the following five parts: 9.1 The Clinical Encounter; 9.2 Anamnesis and Diagnosis; 9.3 Prognosis; 9.4 Therapy; 9.5 Prevention. (shrink)

The language of medicine is an extension of everyday language by adding technical terms such as "appendicitis", "angina pectoris", "blood pressure" and the like. It is therefore characterized by semantic chaos. Most of its terms are either not defined or ill-defined. The chaos would not deserve any attention, however, if it were not practically detrimental in research and practice. The best way to prevent the damage it causes is to learn in medicine something about methods of scientific concept formation. The (...) present chapter provides a concise and unrivalled introduction to such a methodology. We shall discuss the main methods of scientific concept formation known today, that is, all methods of definition and explication. Our discussion divides into the following four sections and is based on, and extends, the most valuable pioneering studies by Carl Gustav Hempel and, especially, Patrick Suppes (Hempel, 1952; Suppes, 1957, 151–173, 246–260): 6.1 What a Definition is; 6.2 What Role a Definition Plays; 6.3 Methods of Definition; 6.4 What an Explication is. (shrink)

As a science and practice of intervention and control, medicine is concerned with cure and care, the promotion and protection of health, and the prevention of maladies and human suffering. This wide-ranging task is accomplished through medical practice and medical research, though no sharp boundary between them can be drawn. A widespread misconception about medicine has it that medicine is concerned with illness and disease. However, the subject of medicine is the patient, i.e., Homo patiens, but not illness or disease, (...) with the ends being directed toward the relief, prevention of human suffering, and saving human life. Accordingly, medicine needs a theory of the patient first of all. Nosology and pathology as studies of illness and disease may be viewed as elements of such a theory of the Homo patiens. Seen from this perspective, clinical research and practice are to be based on the question: What is a patient? That is, what characteristics distinguish a patient from a non-patient? The present chapter is concerned with this question. The inquiry into what a patient, i.e., Homo patiens, is, intersects with anthropology that is concerned with the question of what is a human being? This is the fundamental philosophical question of medicine because, as an experimental and diagnostic-therapeutic discipline, it undertakes momentous interventions in human life. It therefore needs an image of the human being so as to ascertain whether medical interventions are in accord with, or contravene, that image. For example, it is a legitimate question to ask whether the transplantation of animal cells, tissues, and organs into humans, i.e., xenotransplantation, or whether the designing of offspring by genetic engineering, is morally permissible. Since anthropology is basically a philosophical endeavor, medicine at its foundations turns out to intersect with philosophy. We shall consider the patient as a bio-psycho-social agent who is suffering or whose life is threatened by some occurrences inside or outside of her body, usually called diseases, pathogenic environments, etc. Our aim is to understand what these occurrences may look like and how they may be conceptualized, systematized, recognized, causally analyzed, and controlled. Thus, our discussion consists of the following five sections: 7.1 The Suffering Individual; 7.2 The Bio-Psycho-Social Agent; 7.3 Health, Illness, and Disease; 7.4 Systems of Disease; 7.5 Etiology (= Science of Clinical Causation). (shrink)

The brief sketch of the problematic character of the traditional semantic conception of meaning demonstrated that meaning cannot be separated from the role the users of a language play in their communication with one another. One of the features of this role is the control of the language use and verbal behavior of individuals by the community. It is thus the community that determines and judges what words and sentences ‘mean’. This is just indicative of the pragmatic dimension of language. (...) Consequently, what medical terms and sentences ‘mean’, and what someone ‘means’ by using a particular medical term or sentence, also depends on pragmatic contexts and circumstances. To understand the importance and practical consequences of this pragmatic perspective, we will now consider the following three central aspects: 3.1 The So-Called Language Games, 3.2 Assertion, Acceptance, and Rejection, 3.3 Speech Acts in Medicine, 3.4 The Pragmatic Impact of Medical Language, 3.5 The Communal Origin of Medical Language. (shrink)

Patrick Suppes'' set-theoretical approach to the analysis of theories, and Joseph D. Sneed''s metatheory are briefly outlined. The notions of observation, illusion and hallucination are reconstructed according to these approaches. It is argued that the terms perception and truth are theoretical with respect to observation but nontheoretical with respect to illusion and hallucination. Hallucination is construed as a special kind of illusion.

The concepts of categorical diagnosis and conjectural diagnosis are introduced. It is argued that in diagnostic reasoning conjectural diagnosis plays a more important role than categorical diagnosis. Attention is called to the inevitable vagueness of clinical language and to the suitability of epistemic logic and fuzzy logic for diagnostic reasoning.

Clinical judgment, also called clinical reasoning, clinical decision-making, and diagnostic-therapeutic decision-making, lies at the heart of clinical practice and thus medicine. In thepast, clinical judgment was considered the expert task of the physician. But the advent of computers in the 1940s and their use in medicine as of the late 1950s gradually changed this situation. In the 1960s, a new discipline emerged that has come to be termed medical computer science or medical informatics, including clinical informatics. Clinical informatics is concerned (...) with all aspects of the application of computing machinery in clinical research and practice. As one of its accomplishments in clinical practice, the physician’s capacity for clinical judgment is in the process of being turned over to computers. We are told that computers will be responsible for making diagnoses and treatment decisions in a not-too-distant future. This prospect, its historical, methodological and philosophical background, and its impact on health care will be discussed in the present Part VI which divides into these three chapters: 19 Medical Decision-Making 20 Clinical Decision Support Systems 21 Artificial Intelligence in Medicine? (shrink)