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Interdisciplinary research: a philosophy, art form, artifact or antidote?

Interdisciplinary research has many faces--a philosophy, an art form, an artifact, and an antidote. It is all of these things because interdisciplinary research attempts to ask questions in ways that cut across disciplinary boundaries. This is not politically correct and universities especially find it difficult to manage interdisciplinarians and their projects. The author argues that interdisciplinary research has persisted as an alternative when traditional research approaches have failed to come up with answers to common problems. Interdisciplinary research will continue to survive as long as there are creative, risk-taking scientists who are dissatisfied with the political and organizational boundaries we establish around disciplines which limit our ability to learn about their commonalities.

Philosophy↗

[The role of philosophy in psychiatry].

Philosophy as a basic study for psychiatry is again attracting interest. Scientific observations in this field are supplementary to empirical science and provide a needed balance to empirical results. In this article we consider the interdisciplinary relationship of both fields and examine its present institutional application.

Anthropology, Cultural↗

[Rokitansky and the Vienna Medical School--from the philosophy of nature to natural science].

On February 19th 2004 we celebrated the 200th anniversary of Carl Rokitansky's birth. Together with Morgagni and Virchow, Rokitansky paved the way for the development of modern pathology. In addition, he was the co-founder of the so-called Second Vienna Medical School. Rokitansky represents a personality on the threshold of the change in medicine from a phenomenological-dominated philosophy to an evidence-based science. This jubilee essay aims at outlining this development particularly with regard to the Vienna Medical School before and after Rokitansky.

Austria↗

Philosophy of biology: outline of a transcendental project.

This paper analyses the actual meaning of a transcendental philosophy of biology, and does so by exploring and actualising the epistemological and metaphysical value of Kant's viewpoint on living systems. It finds inspiration in the Kantian idea of living systems intrinsically resisting objectification, but critically departs from Kant's philosophical solution in as far as it is based in a subjectivist dogmatism. It attempts to overcome this dogmatism, on the one hand by explicitly taking into account the conditions of possibility at the side of the subject, and on the other hand by embedding both the living and the knowing system into an ontology of complexly organized dynamical systems. This paper fits into the transcendental perspective in acknowledging the need to analyse the conditions of knowability, prior to the contents of what is known. But it also contributes to an expansion and an actualisation of the issue of transcendentality itself by considering the conditions of possibility at the side of the object as intrinsically linked to the conditions of possibility at the side of the subject.

Animals↗

Community science, philosophy of science, and the practice of research.

Embedded in community science are implicit theories on the nature of reality (ontology), the justification of knowledge claims (epistemology), and how knowledge is constructed (methodology). These implicit theories influence the conceptualization and practice of research, and open up or constrain its possibilities. The purpose of this paper is to make some of these theories explicit, trace their intellectual history, and propose a shift in the way research in the social and behavioral sciences, and community science in particular, is conceptualized and practiced. After describing the influence and decline of logical empiricism, the underlying philosophical framework for science for the past century, I summarize contemporary views in the philosophy of science that are alternatives to logical empiricism. These include contextualism, normative naturalism, and scientific realism, and propose that a modified version of contextualism, known as perspectivism, affords the philosophical framework for an emerging community science. I then discuss the implications of perspectivism for community science in the form of four propositions to guide the practice of research.

Behavioral Research↗

Quality of life considered as well-being: views from philosophy and palliative care practice.

The main measure of quality of life is well-being. The aim of this article is to compare insights about well-being from contemporary philosophy with the practice-related opinions of palliative care professionals. In the first part of the paper two philosophical theories on well-being are introduced: Sumner's theory of authentic happiness and Griffin's theory of prudential perfectionism. The second part presents opinions derived from interviews with 19 professional palliative caregivers. Both the well-being of patients and the well-being of the carers themselves are considered in this empirical exploration. In the third part the attention shifts from the description of "well-being" to prescriptions for the promotion of well-being. Our interview data are analysed in light of the theories of Sumner and Griffin for clues to the promotion of "well-being." The analysis (1) underscores the subject-relativity of well-being, (2) points out that values that are considered important in every life still seem to be relevant (at least in palliative care practice), and (3) shows the importance of living a certain sort of life when aiming to enhance dying patients' well-being.

Humans↗

The medical theory of Richard Koch II: natural philosophy and history.

Richard Koch(1) became known in the 1920s with works on basic medical theory. Among these publications, the character of medical action and its status within the theory of science was presented as the most important theme. While science is inherently driven by the pursuit of knowledge for its own sake, medicine pursues the practical purpose of helping the sick. Therefore, medicine must be seen as an active relationship between a helping and a suffering person. While elucidating this relationship, Koch discusses the fundamental elements of medicine found in natural philosophy and the relationship of medicine to its own history. One of his aims is to unite natural history and the history of ideas without reducing intellectual processes to biological ones. Koch considers free will as something intuitively certain. It must serve as an axiom which will capture human as well as non-human reality. Based on the fact that human free will, considered a psychic quality, evolved out of inanimate matter, Koch grants matter (proto-) psychic qualities. They are evoked through specific constellations of matter. - With regard to history, Koch rejects the notion of constant progress. The history of medicine has provided insights that cannot be surpassed but can be obscured. Historical self-contemplation serves as a means for avoiding any deviations which may prevent medicine from fulfilling its ultimate purpose. Koch connects nature and history through the concept of a unity between natural history and the historical development of medicine. Medicine is considered an especially complex development of a purposive reaction to harmful stimuli, a reaction which can already be encountered in unicellular organisms. Without intending to reduce historical and mental processes to biological ones, Koch sets for himself the aim of gathering different phenomena and presenting them in one encapsulating unity.

History, 20th Century↗

Nursing's syntax revisited: a critique of philosophies said to influence nursing theories.

Lodged within the syntax of a discipline are the value systems and research constraints that influence theory development and research strategies. Humanism and postmodern philosophy have challenged natural science philosophical influences on nursing's syntax. This paper examines the construction of nursing's syntax from empiricist, hermeneuticist, feminist, and critical social theory views. In this critique, two requirements are placed on the world views: (1) they must accommodate theoretical (realist) terms important to nursing; and (2) they should provide explanatory power for these terms within nursing's disciplinary substance. Arguments are continued for a "within-the discipline" structure, a substantive and syntactical structure for the discipline of nursing that recognizes the centrality of biobehavioral processes in the practice of nursing [Gortner, IMAGE: J. Nurs. Scholarship 22, 101-105 (1990)].

Female↗

Medical ethics, moral philosophy and moral tradition.

Medical ethics is commonly assumed to be a form of 'applied moral philosophy' in which practical moral judgments are deduced from moral theories. This account of the relationship between moral theory and moral judgment is inadequate in several reports. The deductivist approach often results in inadequate attention being given to social, historical and developmental contexts. It also fails to explain some common phenomena in practical moral reasoning. In contrast to the emphasis in deductivism, a case-centered or casuistic practical ethics insists on immersion in the particularities of cases and on interpretation of details in light of moral maxims and other mid-level forms of moral reasoning. Two features of casuistics that ought to be distinguished but frequently are not, are: (1) the emphasis on immersion and interpretation, and (2) a claim about the relation between moral judgment and moral theory as sources of moral knowledge. Once we consider case-centered moral judgments as sources of moral knowledge, we must also begin to look critically but open-mindedly to moral traditions which, upon examination, appear to be more dynamic and to have more reformist potential than is commonly assumed.

Cultural Diversity↗

Empowerment: from philosophy to practice.

Our paper reviews the philosophical and theoretical foundations of the empowerment approach to chronic disease care and education. The fundamental differences between the compliance and empowerment approaches are elucidated. The empowerment philosophy is based on the premise that human beings have the capacity to make choices and are responsible for the consequences of their choices. Empowerment is defined as an educational process designed to help patients develop the knowledge, skills, attitudes, and degree of self-awareness necessary to effectively assume responsibility for their health-related decisions. Using empowerment as an intellectual foundation, an holistic approach to health education is presented. Topics such as well-being, self-image, motivation, adaptability, stress management, problem-solving, social support, self-awareness, and hope, are discussed. Our paper asserts that health educators have a responsibility to address the physical, emotional, cognitive, and spiritual needs of persons challenged to live with a chronic disease.

Choice Behavior↗

PAR Village for chemically dependent women. Philosophy and program elements.

The authors present a description of PAR Village, a demonstration project designed to examine the question of whether mothers in residential treatment accompanied by their children have better outcomes than those who enter treatment without their children. Issues related to the treatment of women in substance abuse programs are discussed as an introduction to the structure and purposes of the program. Details of the setting, client selection process, and program philosophy are provided. The workings of program services and treatment elements are described and illustrated by a case example.

Child↗

One surgeon's philosophy of surgical education.

The concept of a philosophy of surgical education provides a vehicle for ensuring that there is a united and comprehensive approach to surgical training. This is important because none of the current approaches to higher education provides a suitable model for surgical training and it is dangerous to uncritically adopt every prevailing fashion in education.

General Surgery↗

Challenging the philosophy of partnership with parents: a grounded theory study.

BACKGROUND: Parent participation is viewed as a pivotal concept to the provision of high quality nursing care for children and their families. Since the 1990's, the term 'partnership with parents' has increasingly been reported in the literature and adopted as a philosophy of care in most paediatric units in the United Kingdom. OBJECTIVES: To explore children's, parents', and nurses' views on participation in care in the healthcare setting. DESIGN: Using grounded theory, data were collected through in-depth interviews, and participant observation. Sample consisted of eleven children, ten parents and twelve nurses from four paediatric wards in two hospitals in England. RESULTS: Most nurses assumed that parents would participate in care and viewed their role as facilitators rather than 'doers'. Nurses reported that the ideology of partnership with parents did not accurately reflect or describe their relationships with parents. Parents could never be partners in care as control of the boundaries of care rested with the nurses. Parents felt compelled to be there and to be responsible for their children's welfare in hospital. CONCLUSIONS: The pendulum of parent participation has swung from excluding parents in the past to making parents feel total responsibility for their child in hospital. It is argued that the current models or theories on parent participation/partnership are inappropriate or inadequate because they do not address important elements of children's, parents' and nurses' experiences in hospital.

Adolescent↗

Education, philosophy and academic practice: nursing studies in the posthistorical university.

This paper is an amended and abridged version of a seminar given at the NET/NEP 1st Nurse Education International Conference in Vancouver, Canada. The topic of the paper arose from our growing concerns about the state of nurse education and its position in the university at the start of the twenty-first century. We share the fears expressed by Readings that the university has lost its way and is increasingly driven by a business agenda and a quest for ever-greater efficiency. Our biggest concern is with the impact that the so-called 'posthistorical university' is having on the study of nursing, particularly the growing pressure on nurse academics to focus their attention and energy on output at the expense of process, and on research at the expense of practice and practitioner development. We suggest that the solution might lie with Jean-Francois Lyotard's notion of postmodern philosophy as a way of opening up debate and, in his words, saving the honour of thinking.

Education, Nursing, Baccalaureate↗

Kant on the history of nature: the ambiguous heritage of the critical philosophy for natural history.

This paper seeks to show Kant's importance for the formal distinction between descriptive natural history and a developmental history of nature that entered natural history discussions in the late eighteenth century. It is argued that he developed this distinction initially upon Buffon's distinctions of 'abstract' and 'physical' truths, and applied these initially in his distinction of 'varieties' from 'races' in anthropology. In the 1770s, Kant appears to have given theoretical preference to the 'history' of nature [Naturgeschichte] over 'description' of nature [Naturbeschreibung]. Following Kant's confrontations with Johann Herder and Georg Forster in the late 1780s, Kant weakened the epistemic status of the 'history of nature' and gave theoretical preference to 'description of nature'. As a result, Kant's successors, such as Goethe, could draw from Kant either a justification for a developmental history of nature, or, as this paper argues, a warrant from the critical philosophy for denying the validity of the developmental history of nature as anything more than a 'regulative' idea of reason.

History, 18th Century↗

Folk concepts and intuitions: from philosophy to cognitive science.

Analytic philosophers have long used a priori methods to characterize folk concepts such as knowledge, belief and wrongness. Recently, researchers have begun to exploit social scientific methodologies to characterize such folk concepts. One line of work has explored folk intuitions with cases that are disputed within philosophy. A second approach, with potentially more radical implications, applies the methods of cross-cultural psychology to philosophical intuitions. Recent work in this area suggests that people in different cultures have systematically different intuitions surrounding folk concepts. A third strand of research explores the emergence and character of folk concepts in children. These approaches to characterizing folk concepts provide important resources that will supplement, and perhaps in some cases displace, a priori approaches.

Cognition↗

Science, philosophy and man's mind.

This paper argues, in disagreement with most of the writers in the special issue [see Reyna (1995) Cognition, behavior and causality: A broad exchange of views stemming from the debate on the causal efficacy of human thought, Journal of Behavior Therapy and Experimental Psychiatry, 20(3)], that: (1) science cannot be separated from philosophy even for the purpose of trying to see which set of assumptions is more "pragmatically useful;" (2) a true understanding of causality eliminates skepticism and reveals why private, conscious events are causes of action; (3) consciousness is directly observable; and (4) the belief in cognition, far from divorcing man from the real world of action, points to the actual cause of action and of political change.

Behaviorism↗

Testimony in seventeenth-century English natural philosophy: legal origins and early development.

This essay argues that techniques for assessing testimonial credibility were well established in English legal contexts before they appeared in English natural philosophy. 'Matters of fact' supported by testimony referred to human actions and events before the concept was applied to natural phenomena. The article surveys English legal views about testimony and argues that the criteria for credible testimony in both legal and scientific venues were not limited to those of gentle status. Natural philosophers became concerned with testimony when they shifted their attention from universal statements about nature to particular natural and experimental histories constructed by English naturalists. The shift to a more Baconian approach to natural investigation, itself shaped in part by legal concepts and practice, made it possible for members of the Royal Society to adopt an already familiar and societally approved approach to testimony. However, the essay also suggests how the use of scientific instruments and the desire to avoid the adversarial processes of the law modified legal conditions for fact determination, and made it possible for later generations to associate the concept of fact, supported by credible testimony, with the natural rather than the human sciences.

England↗