35 research outputs found

    The tribunal of philosophy and its norms: History and philosophy in Georges Canguilhem's historical epistemology

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    In this article I assess Georges Canguilhem's historical epistemology with both theoretical and historical questions in mind. From a theoretical point of view, I am concerned with the role that history can play in the understanding and evaluation of philosophical concepts. From a historical point of view, I regard historical epistemology, as developed by Gaston Bachelard and Georges Canguilhem, as a conception and practice which came out of the project, elaborated in France from the 1920s to the 1940s, of combining history of science and philosophy. I analyse in particular Canguilhem's epistemology in his theory and practive of history of science. What he called 'normative history' is the focus of my analysis. I evaluate the question of the nature and provenience of the norm employed in normative history, and I compare it with the norm as discussed by Canguilhem in _Le normal et le pathologique_. While I am critical of Canguilhem's treatment of history, I conclude that his philosophical suggestion to analyse the formation of scientific concepts 'from below' represents a useful model for history and philosophy of science, and that it can be very profitably extended to philosophical concepts

    Narrative and epistemology: Georges Canguilhem’s concept of scientific ideology

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    In the late 1960s, Georges Canguilhem introduced the concept of ‘scientific ideology’. This concept had not played any role in his previous work, so why introduce it at all? This is the central question of my paper. Although it may seem a rather modest question, its answer in fact uncovers hidden tensions in the tradition of historical epistemology, in particular between its normative and descriptive aspects. The term ideology suggests the influence of Althusser’s and Foucault’s philosophies. However, I show the differences between Canguilhem’s concept of scientific ideology and Althusser’s and Foucault’s respective concepts of ideology. I argue that Canguilhem was in fact attempting to solve long-standing problems in the tradition of historical epistemology, rather than following the lead of his younger colleagues. I argue that Canguilhem’s ‘refurbishment without rejection’ of Bachelard’s epistemology, which the concept of scientific ideology was aimed to implement, was necessary to justify the historical narratives that Canguilhem had constructed in his own work as a historian of concepts. A strict acceptance of Bachelard’s epistemology would have made it impossible to justify them. Canguilhem’s concept of scientific ideology therefore served as a theoretical justification of his practice as a historian. I maintain that the concept of scientific ideology was needed to reconcile Bachelard’s normative epistemology with Canguilhem’s view of the history of science and its aims, which differed from Bachelard’s more than it is generally acknowledged

    Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

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    IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P < .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

    Gaston Bachelard's Places of the Imagination and Images of Space

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    This chapter explores Gaston Bachelard’s hermeneutics of place, or ‘topoanalysis’, in the context of his philosophy of the imagination. In turn, his philosophy of the imagination is considered as part of his whole philosophical project, which includes his philosophy of science, and is based on his view of the ‘double anthropology’ of the ‘diurnal man’ and the ‘nocturnal man’. By broadening the narrow focus on The Poetics of Space, which has been predominant in Anglophone criticism, we can better understand Bachelard’s approach to the analysis of space. I examine Bachelard’s approach to the study of space, and consider his use of Jungian analytical psychology, phenomenology and hermeneutics. I conclude that he consciously, and indeed explicitly, steered away from any fully-fledged and rational method in his study of place. I also argue that the aims of his philosophy, including his hermeneutics of place, are pedagogical

    Hélène Metzger, Historian and Historiographer of the Sciences

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    Is there something important to learn from the history of science about knowledge and the mind? Do habits and emotions play a significant role in science? To what extent do present concerns and knowledge distort our understanding of past texts and practices? These are crucial questions in current debates, but they are not new. This monograph evaluates the answers to these and other questions that Hélène Metzger (1889-1944) provided. Metzger, who was the leading historian of chemistry of her generation, left us unparalleled reflections on the theory, practice and aims of history writing. Despite her influence on subsequent generations of thinkers, including Thomas Kuhn, this is the first full-length monograph on her. Beginning with an overview of her life, and the challenges faced by a Jewish woman working within academia, the book goes on to discuss the most important themes of her historiography, and her engagement with other disciplines, notably general history, philosophy, ethnology and religious studies. The book also explores both Metzger’s immediate legacy and the relevance of her ideas for a host of current debates in science studies. The Appendices include four of her historiographical papers, translated into English for the first time
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