Need scientists worry about philosophy? Or should philosophers get off their backs and let them do their work in peace? Unsurprisingly, many scientists want to stay clear of philosophical discussions. What is more disturbing is when I hear philosophers themselves announce that our discipline has nothing useful to offer science. In my view, they could not be more wrong.
In a recent paper published in European Journal for Person Centered Healthcare, I argue that the choice between EBM and person centered healthcare is a choice between conflicting ontologies, involving two very different notions of causation. While the methodology and practice of EBM seems perfectly supported by positivism and a Humean theory of causation, person centered healthcare does not. There is, however, a trend called the EBM Renaissance Movement, attempting to make EBM more person centered. In the CauseHealth project, we urge that person centered healthcare and practice requires a very different ontology and methodology from the positivist scientific ideal inspired by David Hume. Continue reading
There is a philosophical problem within medicine: how to deal with causal complexity and variations. While existing methods are designed for large scale population data and sufficiently homogenous sub-groups, a number of medical conditions are characterised by their heterogenic and complex nature: low back pain (LBP), chronic fatigue syndrome (CFS), fibromyalgia syndrome (FMS), irritable bowel syndrome (IBS), tension-type headache (TTH), post-traumatic stress disorder (PTSD), and many others. Continue reading