TY - JOUR
T1 - On illness, disease, and priority
T2 - a framework for more fruitful debates
AU - Bueter, Anke
PY - 2019/9
Y1 - 2019/9
N2 - The distinction between 'disease' and 'illness' has played an important role in the debate between naturalism and normativism. Both employ these notions, yet disagree on whether to assign priority to 'disease' or 'illness'. I argue that this discussion suffers from implicit differences in the underlying interpretations: While for naturalists the distinction between 'disease' and 'illness' is one between a descriptive and a prescriptive notion, for normativists it is one between cause and effect. This discrepancy is connected to different interpretations of priority, which also tend to be conflated in the debate. I disambiguate these different usages and develop a distinction between 'disease' and 'illness' that is theoretically neutral with regard to naturalism or normativism. Moreover, I propose a concept of heuristic priority that could serve as a common focus. This framework can avoid common confusions by providing a shared terminology and thereby help to make debates on disease-concepts more fruitful.
AB - The distinction between 'disease' and 'illness' has played an important role in the debate between naturalism and normativism. Both employ these notions, yet disagree on whether to assign priority to 'disease' or 'illness'. I argue that this discussion suffers from implicit differences in the underlying interpretations: While for naturalists the distinction between 'disease' and 'illness' is one between a descriptive and a prescriptive notion, for normativists it is one between cause and effect. This discrepancy is connected to different interpretations of priority, which also tend to be conflated in the debate. I disambiguate these different usages and develop a distinction between 'disease' and 'illness' that is theoretically neutral with regard to naturalism or normativism. Moreover, I propose a concept of heuristic priority that could serve as a common focus. This framework can avoid common confusions by providing a shared terminology and thereby help to make debates on disease-concepts more fruitful.
KW - Concepts of disease and illness
KW - Christopher Boorse
KW - Reverse view
KW - Lennart Nordenfelt
KW - Psychiatric classification
KW - MENTAL-DISORDER
KW - HEALTH
U2 - 10.1007/s11019-019-09886-7
DO - 10.1007/s11019-019-09886-7
M3 - Journal article
C2 - 30652249
SN - 1386-7423
VL - 22
SP - 463
EP - 474
JO - Medicine, Health Care and Philosophy
JF - Medicine, Health Care and Philosophy
IS - 3
ER -