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'What is (mental) disease?': an open letter to Christopher Boorse

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Abstract

This "open letter" to Christopher Boorse is a response to his influential naturalist (value-excluding) analysts of disease from the perspective of linguistic-analytic value theory. The hey linguistic-analytic point against Boorse (and other naturalists) is that, although defining disease value free, he land they) continue to use the term with clear evaluative,e connotations. A descriptivist (value-entailing) analysis of disease would allow value-free definition consistently with value-laden use: but descriptivism fails when applied to mental disorder because it depends on shared values whereas the values relevant to mental disorders are highly diverse. A parr-function analysis, similarly, although initially persuasive for physical disorders,fails with the psychotic mental disorders because these, characteristically, involve disturbances of the rationality of the person as a whole. The difficulties encountered in applying: naturalism to mental disorders point, linguistic-analytically, to the possibility that there is, after all, an evaluative element of meaning, deeply hidden bur still logically operative, in the concept of disease

Topics: BJ, R, HM, H
Publisher: BRITISH MED JOURNAL PUBL GROUP
OAI identifier: oai:wrap.warwick.ac.uk:12279
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