Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-26T19:49:21.063Z Has data issue: false hasContentIssue false

Naturalistic and Phenomenological Theories of Health: Distinctions and Connections

Published online by Cambridge University Press:  03 April 2013

Fredrik Svenaeus*
Affiliation:
Södertörn Universityfredrik.svenaeus@sh.se

Abstract

In this paper I present and compare the ideas behind naturalistic theories of health on the one hand and phenomenological theories of health on the other. The basic difference between the two sets of theories is no doubt that whereas naturalistic theories claim to rest on value neutral concepts, such as normal biological function, the phenomenological suggestions for theories of health take their starting point in what is often named intentionality: meaningful stances taken by the embodied person in experiencing and understanding her situation and taking action in the world.

Although naturalism and phenomenology are fundamentally different in their approach to health, they are not necessarily opposed when it comes to understanding the predicament of ill persons. The starting point of medical investigations is what the patient feels and says about her illness and the phenomenological investigation should include the way diagnoses of different diseases are interpreted by the person experiencing the diseases as an embodied being. Furthermore, the two theories display similarities in their emphasis of embodiment as the central element of health theory and in their stress on the alien nature of the body displayed in illness. Theories of biology and phenomenology are, indeed, compatible and in many cases also mutually supportive in the realm of health and illness.

Type
Papers
Copyright
Copyright © The Royal Institute of Philosophy and the contributors 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Svenaeus, F., The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Medical Practice (Dordrecht: Kluwer, 2000)CrossRefGoogle Scholar, 59 ff.

2 Engel, G. L., ‘The Need for a New Medical Model: A Challenge for Biomedicine’, Science 196 (1977), 129136CrossRefGoogle ScholarPubMed.

3 For an overview see Nordenfelt, L., On the Nature of Health: An Action-Theoretic Approach (Dordrecht: Reidel Publishing, 1987)CrossRefGoogle Scholar.

4 E.g. Chopra, D., Creating Health: How to Wake up the Body's Intelligence (New York: Houghton Mifflin, 1987)Google Scholar.

5 Engelhardt, H. T., ‘The Disease of Masturbation: Values and the Concepts of Disease’, Bulletin of the History of Medicine 48 (1974), 234248Google Scholar; The Concepts of Health and Disease’, in Engelhardt, H.T. and Spicker, S. (eds.) Evaluation and Explanation in the Biomedical Sciences (Dordrecht: Reidel, 1975)Google Scholar.

6 Elliott, C., Better than Well: American Medicine Meets the American Dream (New York: Norton, 2003)Google ScholarPubMed.

7 Svenaeus, The Hermeneutics of Medicine and the Phenomenology of Health.

8 Canguilhem, G., The Normal and the Pathological (New York: Zone Books, 1991), 229Google Scholar.

9 Angell, M., The Truth About the Drug Companies: How They Deceive Us and What To Do About It (New York: Random House, 2005)Google Scholar.

10 Illich, I., Medical Nemesis: The Expropriation of Health (London: M. Boyars, 1976)Google Scholar.

11 Boorse, C., ‘A Rebuttal on Health’, in Humber, J. and Almeder, R. (eds.) What is Disease? (New Jersey: Humana Press, 1997), 100Google Scholar.

12 Keller, E. Fox and Longino, H.E. (eds.) Feminism & Science (Oxford: Oxford University Press, 1996)Google ScholarPubMed.

13 Nordenfelt, On the Nature of Health.

14 Ibid., 78 ff.

15 Ibid., 105 ff.

16 Zaner, R.M., The Context of Self: A Phenomenological Inquiry Using Medicine as a Clue (Athens, OH: Ohio University Press, 1981)Google Scholar.

17 Toombs, S.K., The Meaning of Illness: A Phenomenological Account of the Different Perspectives of Physician and Patient (Dordrecht: Kluwer, 1992)CrossRefGoogle Scholar.

18 Leder, D., The Absent Body (Chicago: University of Chicago Press, 1990)Google Scholar.

19 Carel, H., Illness: The Cry of the Flesh (Stocksfield: Acumen Publishing, 2008)Google Scholar.

20 Svenaeus, The Hermeneutics of Medicine and the Phenomenology of Health.

21 Nordenfelt, L., Quality of Life, Health and Happiness (Aldershot: Avebury, 1993)Google Scholar, 106 ff.

22 Toombs, S.K., (ed.) Handbook of Phenomenology and Medicine (Dordrecht: Kluwer, 2001)CrossRefGoogle Scholar.

23 Merleau-Ponty, M., Phenomenology of Perception, trans. Smith, C. (London: Routledge, 1962 [1945])Google Scholar.

24 Gallagher, S., How the Body Shapes the Mind (Oxford: Oxford University Press, 2005)CrossRefGoogle Scholar.

25 Leder, The Absent Body.

26 Sartre, J.-P., Being and Nothingness, trans. Barnes, H.E. (New York: Washington Square Press, 1956 [1943]), 437Google Scholar.

27 Heidegger, M., Being and Time, trans. Stambaugh, J.. (Albany, NY: State University of New York Press, 1996 [1927])Google Scholar.

28 Ibid., 134 ff.

29 Gadamer, H.-G., The Enigma of Health: The Art of Healing in a Scientific Age, trans. Gaiger, J. and Walker, N. (Stanford, CA: Stanford University Press, 1996 [1993])Google Scholar.

30 Heidegger, Being and Time.

31 H.-G. Gadamer, The Enigma of Health; J.-P. Sartre, Being and Nothingness; and Merleau-Ponty, Phenomenology of Perception.

32 Heidegger, Being and Time, 69 ff.

33 Svenaeus, The Hermeneutics of Medicine and the Phenomenology of Health.

34 Ibid., 78 ff.

35 Svenaeus, Fredrik, ‘Organ Transplantation and Personal Identity: How Does Loss and Change of Organs Have Effects on the Self?’, Journal of Medicine and Philosophy, 37 (2012), 163172.CrossRefGoogle ScholarPubMed

36 Fuchs, T., Psychopathologie von Leib und Raum: Phänomenologisch-empirische Untersuchungen zu depressiven und paranoiden Erkrankungen (Darmstadt: Steinkopff, 2000)CrossRefGoogle Scholar.

37 Ricoeur, P., From Text to Action: Essays in Hermeneutics, II (Evanston, IL: Northwestern University Press, 1991), 142Google Scholar.

38 Svenaeus, The Hermeneutics of Medicine and the Phenomenology of Health, 140 ff.

39 Reiser, S., Technological Medicine: The Changing World of Doctors and Patients (New York, NY: Cambridge University Press, 2009)Google Scholar.

40 Frank, A., At the Will of the Body: Reflections on Illness (Boston, MA: Houghton Mifflin, 2002)Google Scholar.

41 Canguilhem, The Normal and the Pathological, 196–201.

42 Raymond, D., (ed.) Nietzsche ou la grande santé (Paris: Éditions L'Harmattan, 1999)Google Scholar.

43 I explore this in: Svenaeus, Fredrik, ‘Illness as Unhomelike Being-in-the-World: Heidegger and the Phenomenology of Medicine’, Medicine, Health Care and Philosophy, 14 (2011), 333343CrossRefGoogle Scholar.