How Doctors Think defines the nature and importance of clinical judgment. Although physicians make use of science, this book argues that medicine is not itself a science but rather an interpretive practice that relies on clinical reasoning. A physician looks at the patient's history along with the presenting physical signs and symptoms and juxtaposes these with clinical experience and empirical studies to construct a tentative account of the illness. How Doctors Think is divided into four parts. Part one introduces the (...) concept of medicine as a practice rather than a science; part two discusses the idea of causation; part three delves into the process of forming clinical judgment; and part four considers clinical judgment within the uncertain nature of medicine itself. In How Doctors Think, Montgomery contends that assuming medicine is strictly a science can have adverse side effects, and suggests reducing these by recognizing the vital role of clinical judgment. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Elements of Eleatic Ontology' MONTGOMERY FURTH THE TASKOF AN INTERPRETERof Parmenides is to find the simplest, historically most plausible, and philosophically most comprehensible set of assumptions that imply (in a suitably loose sense) the doctrine of 'being' set out in Parmenides' poem. In what follows I offer an interpretation that certainly is simple and that I think should be found comprehensible. Historically, only more cautious claims are possible, (...) for several portions of the general view from which I 'deduce the poem' are not clearly stated in the poem itself; my explanation of this is that they are operating as tac/t assumptions, and indeed that the poem is best thought of as an attempt to force these very assumptions to the surface for formulation and criticism -that the poem is a challenge. To be sure, there are dangers in pretending, as for dramatic purposes I shall, that ideas are definite and explicit which for Parmenides himself must have been tacit or vague--that Parmenides knew what he was doing as clearly as I represent him; I try to avoid them, but the risk must be taken. I even believe that not to take it, in the name of preserving his thought pure from anachronous contamination, actually prevents us from seeing the extent to which he, pioneer, was ahead of his timc the argument works both ways. So let me hedge my historical claim in this way: the view I shall discuss could have been an active-indeed a controlling---element of Eleaticism; to suppose that Parmenides held it not only explains the poem, but also helps explain the subsequent reactions to Eleaticism of Anaxagoras, Democritus, and Plato (though there is not space to elaborate this here). In addition, it brings his thought astonishingly close to some contemporary philosophical preoccupations. In the first of the following sections, I lay down some sketchy but necessary groundwork concerning the early Greek concept of 'being.' Then in Section 2 an interpretation is given of what I take to be the central Parmenidean doctrine, that 'it cannot be said that anything is not.' This section is the lengthiest and most involved, but it also contains all the moves that appear to be important. Of the remaining sections, Section 3 exp]Mn.qthe principle: 'of what is, all that can be said is: it is,' Section 4 deals briefly with the remaining cosmology of "The Way of Truth," and Section 5 considers the question whether Parmenides himself believed the fantastic conclusions of his argument. There is a short postscript on a point of methodology. 1. A Word on 6v If we are to examine Parmenides' reasoning profitably, an indispensable pre1This paper wasprepared while the author was beneficiary of a Grant-in-Aid of Research from the American Council of Learned Societies, hereby gratefully acknowledged. [111] 112 HISTORY OF PHILOSOPHY liminary is to estabhsh at least a provisional reading for the Greek words translated "is" or "it is" (tar,v), "what is" or "being" (Sv,rb 5v), "to be" (alva0. For while it is evident enough that in his poem Parmenides purports to be delivering an insight of the utmost significance concerning rb tbv (as he calls it), still the construction which he puts upon the term and its cognates, and the understanding which he expects of his listener, are not so clear and have been topics of dispute. Especially notable, and often noted, is the fact that Parmenides' discussion of 'being' shows no sign of the conceptual distinction considered elementary nowadays, between the "is" linking subject and predicate and the "is" of existence; and in fact it needs no documentation here that this distinction was not reflected in either ordinary or philosophical Greek idiom until, at least, a much later date than his, the word tare expressing both concepts. Also highly visible in the poem is the abundance of occurrences of tare used absolutely, unaccompanied by any predicate expression. As a result of this last, the poem can create in the contemporary reader the impression that r5 tSv is being used to mean what is in the existential sense only, to mean what there is; indeed some students of the poem conclude not only that Parmenides... (shrink)

Dr. Seuss's imaginative, whimsical children's tales are in fact packed with insights on national security and military strategy. Theodor Geisel's anti-totalitarian and pro-democracy views coming out of his WWII experiences are embedded in his classic books illuminating military topics such as strategy, insurgency, deterrence, cyber war, and more.

This book is a re-thinking of Aristotle's metaphysical theory of material substances. The view of the author is that the 'substances' are the living things, the organisms: chiefly, the animals. There are three main parts to the book: Part I, a treatment of the concepts of substance and nonsubstance in Aristotle's Categories; Part III, which discusses some important features of biological objects as Aristotelian substances, as analysed in Aristotle's biological treatises and the de Anima; and Part V, which attempts to (...) relate the conception of substance as interpreted so far to that of the Metaphysics itself. The main aim of the study is to recreate in modern imagination a vivid, intuitive understanding of Aristotle's concept of material substance: a certain distinctive concept of what an individual material object is. (shrink)

In the last decade, the organization of pharmaceutical research on neglected tropical diseases has undergone transformative change. In a context of perceived “market failure,” the development of new medicines is increasingly handled by public-private partnerships. This shift toward hybrid organizational models depends on a particular form of exchange: the sharing of proprietary assets in general and of intellectual property rights in particular. This article explores the paradoxical role of private property in this new configuration of global health research and development. (...) Rather than a tool to block potential competitors, proprietary assets function as a lever to attract others into risky collaborative ventures; instead of demarcating public and private domains, the sharing of property rights is used to increase the porosity of that boundary. This reimagination of the value of property is connected to the peculiar timescape of global health drug development, a promissory orientation to the future that takes its clearest form in the centrality of “virtual” business models and the proliferation of strategies of deferral. Drawing on the anthropological literature on inalienable possessions, we reconsider property’s traditional exclusionary role and discuss the possibility that the new pharmaceutical “commons” proclaimed by contemporary global health partnerships might be the precursor of future enclosures. (shrink)

In this classic work, often described as "The History of the Rise, Decline, and Fall of the Love Affair," Denis de Rougemont explores the psychology of love from the legend of Tristan and Isolde to Hollywood. At the heart of his ever-relevant inquiry is the inescapable conflict in the West between marriage and passion--the first associated with social and religious responsiblity and the second with anarchic, unappeasable love as celebrated by the troubadours of medieval Provence. These early poets, according to (...) de Rougemont, spoke the words of an Eros-centered theology, and it was through this "heresy" that a European vocabulary of mysticism flourished and that Western literature took on a new direction.Bringing together historical, religious, philosophical, and cultural dimensions, the author traces the evolution of Western romantic love from its literary beginnings as an awe-inspiring secret to its commercialization in the cinema. He seeks to restore the myth of love to its original integrity and concludes with a philosophical perspective on modern marriage. (shrink)

A work which addresses the question: What constructive role can pragmatism play, either in structuring public debate or in dealing with life?. The contributors examine what pragmatism can offer in the way of a positive social programme in the field of law and political science.

Friedrich Schiller as Kantian romantic -- On reading Tolstoy's What is art? -- Seeing the country of reality -- Beauty, that which when seen pleases.

Transcending the standard critique of the politically correct university, Marion Montgomery reveals the ancient sources of our educational chaos. There can be no reform, he insists, without a new openness to the truth of things, which marks the character and work of the good teacher.

Montgomery makes a retrospective journey with Walker Percy, as Percy comes to an accommodation with the modern world in company with other companionable journeymen. Percy himself enjoyed a large company of pilgrims who prove amenable to his vision of the human condition - in Percy's words, man is "in a predicament and on the move in a real world of real things, a world which is a sacrament and a mystery," words celebratively spoken of as "the holiness of the (...) ordinary," as opposed to what he called the "losangelization" of the popular spirit, a spirit which increasingly takes refuge in enclaves of "selves" in the relapse into tribalism celebrated as our "New Age." Percy's long journey from and then back to the South, his acceptance of what his Uncle Will exhibited as "Southern stoicism," had a reorientation that proved to be a "fortunate fall" very personal to him, occurring in a world far removed from the Southern Delta culture. He begins to read and read: Gabriel Marcel, Kierkegaard, St. Thomas Aquinas, Camus and Sartre and Eliot and others. And he begins distinguishing between valid science and scientism as knowing of reality, recognized as limited by the finiteness of the intellectual soul. Percy left the field of medicine to doctor to man in a different way. When Percy, recuperating with TB, understands the "holiness of the ordinary," he discovers that this world "is a sacrament," and so requires of him through his gifts a deportment to existence itself in celebration of that sacredness. Thus Percy speaks a manner, not presuming himself the agent of grace through presumption of autonomous intellect, amused and as well regretful that so many about him appear lost in the cosmos. He puts that point to a sympathetic audience, down in Louisiana not far from his comforting "place" in Covington: "Catholic or Protestant, the believing writer is usually unhappy. He feels like Lancelot in search of the Holy Grail who finds himself at the end of his quest at a Tupperware party." But not really unhappy - rather sympathetically regretful that his usual hosts at that party (his possible audience) have lost recognition of the holiness of things that requires the pilgrim intellectual soul a deportment to things in "a sacrament" of consent, before the "mystery" larger than the pretenses of scientism. The world, that is, is not a desert to be plundered to self-comfort as justified by a positivistic apotheosis of the "Self" as a sovereign autonomy desert-bound. The "making" of sacramental piety, whether as novelist or Delta planter, requires the stewardship of love to things in themselves. (shrink)

In what follows I will say little if anything about the animadversions vis-à-vis Irwin and Lukasiewicz and Owen, because there is so much of such greater interest in what Code has told us about Aristotle, the great preponderance of which, in my opinion, is true. I will review some of this truth, specify one place where I have trouble reconciling his account with the evidence, and then try to give a better account that I think is entirely compatible with the (...) rest of what he has given us. (shrink)

In recent years an uneasy peace has descended in U.S. academe between those who feel research universities have done too little to advance the representation of minority groups and women and those who feel that the administrative policies developed to improve representation can and sometimes do come into conflict with core intellectual commitments of universities. Using quantitative and qualitative evidence from interviews with 47 natural sciences, engineering, and mathematics faculty members at a U.S. research university, the paper examines the background (...) characteristics of three sets of protagonists - academic progressives, academic traditionalists, and those whose views bridge the divide - and the way respondents discussed and justified their viewpoints. The paper draws on the theory of strategic action fields to illuminate the structure and dynamics of the conflict and suggests modifications to the theory that would improve its explanatory power for this case. (shrink)