Intrinsic Kinds in Internal Medicine

Authors

DOI:

https://doi.org/10.5195/pom.2024.189

Keywords:

Disease, Internal medicine, Intrinsic kinds, Pathogenesis

Abstract

What do we mean when we diagnose a patient with a disease? What does it mean to say that two people have the same disease? In this paper, I argue that diseases are natural kinds, using a conception of kinds derived from John Stuart Mill and Ruth Millikan. I demonstrate that each disease is a natural kind and that the shared properties occur as a result of the pathogenesis of the disease. I illustrate this with diverse examples from internal medicine and compare my account to alternative ontologies.   

References

Bird, Alexander, and Emma Tobin. 2022. “Natural Kinds.” In The Stanford Encyclopedia of Philosophy, edited by Edward Zalta. https://plato.stanford.edu/entries/natural-kinds/.

Boorse, Christopher. 1975. “On the Distinction Between Disease and Illness.” Philosophy & Public Affairs 5, no. 1: 49–68. https://www.jstor.org/stable/2265020.

———. 2011. “Concepts of Health and Disease.” In Philosophy of Medicine, edited by Fred Gifford, 13–64. Oxford: Elsevier.

Boyd, Richard. 1991. “Realism, Anti-foundationalism and the Enthusiasm for Natural Kinds.” Philosophical Studies 61: 127–148. https://doi.org/10.1007/BF00385837.

Boyd, Richard N. 2010. “Realism, Natural Kinds, and Philosophical Methods.” In The Semantics and Metaphysics of Natural Kinds, edited by Helen Beebee and Nigel Sabbarton-Leary, 220–242. New York: Routledge.

Bracken, Pat, and Philip Thomas. 2010. “From Szasz to Foucault: On the Role of Critical Psychiatry.” Philosophy, Psychiatry & Psychology 17, no. 3: 219–228. https://muse.jhu.edu/article/405314.

Choi, Sungho, and Michael Fara. 2021. “Dispositions.” In The Stanford Encyclopedia of Philosophy, edited by Edward N. Zalta. https://plato.stanford.edu/cgi-bin/encyclopedia/archinfo.cgi?entry=dispositions&archive=spr2021.

D’Amico, Robert. 1995. “Is Disease a Natural Kind?” Journal of Medicine and Philosophy 20, no. 5: 551–569. https://doi.org/10.1093/jmp/20.5.551.

Devitt, Michael. 2008. “Resurrecting Biological Essentialism.” Philosophy of Science 75, no. 3: 344–382. https://doi.org/10.1086/593566.

Dragulinescu, Stefan. 2010. “Diseases as Natural Kinds.” Theoretical Medicine and Bioethics 31: 347–369. https://doi.org/10.1007/s11017-010-9146-9.

Ereshefsky, Marc. 2009. “Defining ‘Health’ and ‘Disease’.” Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 40, no. 3: 221–227. https://doi.org/10.1016/J.SHPSC.2009.06.005.

Fuller, Jonathan. 2018. “What Are Chronic Diseases?” Synthese 195: 3197–3220. https://doi.org/10.1007/s11229-017-1368-1.

Furuse, Yuki, Akira Suzuki, and Hitoshi Oshitani. 2010. “Origin of Measles Virus: Divergence From Rinderpest Virus Between the 11th and 12th Centuries.” Virology Journal 7: 1–4. https://doi.org/10.1186/1743-422X-7-52.

Godman, Marion, Antonella Mallozzi, and David Papineau. 2020. “Essential Properties Are Super-Explanatory: Taming Metaphysical Modality.” Journal of the American Philosophical Association 6, no. 3: 316–334. https://doi.org/10.1017/apa.2019.48.

Godman, Marion, and David Papineau. 2020. “Species Have Historical Not Intrinsic Essences.” In Language and Reality from a Naturalistic Perspective: Themes from Michael Devitt, edited by Andrea Bianchi, 355–367. New York: Springer International Publishing. https://doi.org/10.1007/978-3-030-47641-0_18.

Gräsbeck, Ralph. 1984. “Health and Disease from the Point of View of the Clinical Laboratory.” In Health, Disease, and Causal Explanations in Medicine, edited by Lennart Nordenfelt and B. Ingemar B. Lindahl, 47–60. Dordrecht: Springer. https://doi.org/10.1007/978-94-009-6283-5_7.

Hacking, Ian. 1991. “A Tradition of Natural Kinds.” Philosophical Studies 61: 109–126. https://doi.org/10.1007/BF00385836.

Imarisio, Sara, Jenny Carmichael, Viktor Korolchuk, Chien-Wen Chen, Shinji Saiki, Claudia Rose, Gauri Krishna, et al. 2008. “Huntington’s Disease: From Pathology and Genetics to Potential Therapies.” Biochemical Journal 412, no. 2: 191–209. https://doi.org/10.1042/bj20071619.

Jensen, Uffe Juul. 1984. “A Critique of Essentialism in Medicine.” In Health, Disease, and Causal Explanations in Medicine, edited by Lennart Nordenfelt and B. Ingemar B. Lindahl, 63–73. Dordrecht: Springer. https://doi.org/10.1007/978-94-009-6283-5_8.

King, Lester S. 1954. “What Is Disease?” Philosophy of Science 21, no. 3: 193–203. https://doi.org/10.1086/287343.

Lange, Marc. 2007. “The End of Diseases.” Philosophical Topics 35, no. 1–2: 265–292. https://doi.org/10.5840/philtopics2007351/212.

Mackenbach, J. P., A. Cavelaars, A.E. Kunst, and F. Groenhof. 2000. “Socio-economic Inequalities in Cardiovascular Disease Mortality: An International Study.” European Heart Journal 21, no. 14: 1141–1151. https://doi.org/10.1053/euhj.1999.1990.

Mill, John Stuart. 1868. A System of Logic, Ratiocinative and Inductive. London: Longmans.

Millikan, Ruth Garrett. 1999. “Historical Kinds and the ‘Special Sciences’.” Philosophical Studies 95, no. 1–2: 45–65. https://www.jstor.org/stable/4320948.

———. 2000. On Clear and Confused Ideas: An Essay About Substance Concepts. Cambridge: Cambridge University Press.

———. 2017. Beyond Concepts: Unicepts, Language, and Natural Information. Oxford: Oxford University Press.

Perry, Robert T., and Neal A. Halsey. 2004. “The Clinical Significance of Measles: A Review.” Journal of Infectious Diseases 189, suppl. 1: S4–S16. https://doi.org/10.1086/377712.

Reznek, Lawrie. 1987. The Nature of Disease. London: Routledge & Kegan Paul.

———. 1995. “Dis-ease About Kinds: Reply to D’Amico.” Journal of Medicine and Philosophy 20, no. 5: 571–584. https://doi.org/10.1093/jmp/20.5.571.

Shlomchik, Mark J., Joseph E. Craft, and Mark J. Mamula. 2001. “From T to B and Back Again: Positive Feedback in Systemic Autoimmune Disease.” Nature Reviews Immunology 1, no. 2: 147–153. https://doi.org/10.1038/35100573.

Simon, Jeremy R. 2011. “Medical Ontology.” In Philosophy of Medicine, edited by Fred Gifford, 65–114. Oxford: Elsevier. https://doi.org/10.1016/B978-0-444-51787-6.50003-9.

Smart, Benjamin. 2014. “On the Classification of Diseases.” Theoretical Medicine and Bioethics 35, no. 4: 251–269. https://doi.org/10.1007/s11017-014-9301-9.

Sulmasy, Daniel P. 2005. “Diseases and Natural Kinds.” Theoretical Medicine and Bioethics 26, no. 6: 487–513. https://doi.org/10.1007/s11017-005-2206-x.

Van Rooij, Robert, and Katrin Schulz. 2021. “Natural Kinds and Dispositions: A Causal Analysis.” Synthese 198, suppl. 12: 3059–3084. https://doi.org/10.1007/s11229-019-02184-y.

Wakefield, Jerome C. 2014. “The Biostatistical Theory Versus the Harmful Dysfunction Analysis, Part 1: Is Part-Dysfunction a Sufficient Condition for Medical Disorder?” Journal of Medicine and Philosophy 39, no. 6: 648–682. https://doi.org/10.1093/jmp/jhu038.

Whitbeck, Caroline. 1977. “Causation in Medicine: The Disease Entity Model.” Philosophy of Medicine 44, no. 4: 619–637. https://doi.org/10.1086/288771.

Williams, Neil E. 2007. “The Factory Model of Disease.” The Monist 90, no. 4: 555–584. https://doi.org/10.5840/monist200790437.

———. 2011. “Arthritis and Nature’s Joints.” In Carving Nature at Its Joints: Natural Kinds in Metaphysics and Science, edited by Joseph Keim Campbell, Michael O’Rourke, and Matthew H. Slater, 199–230. Cambridge, MA: MIT Press. https://doi.org/10.7551/mitpress/9780262015936.003.0010.

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Published

2024-11-01

How to Cite

Raburn, I. (2024). Intrinsic Kinds in Internal Medicine. Philosophy of Medicine, 5(1). https://doi.org/10.5195/pom.2024.189

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Section

Original Research