Defining the Boundaries of Disease
Date: Thursday – Friday 15 – 16 October 2015
Venue: Dunmore Lang College, Macquarie University
Time: 09:00 – 17:00
A two-day multi-disciplinary conference will be held at Macquarie University, Sydney, on October 15-16, 2015. This conference brings together scholars in the philosophy of medicine together with practicing clinicians in discussing just where, and why, the boundaries of disease should be set.
Organisers:
Wendy Rogers (Macquarie University)
Mary Walker (Macquarie University)
Confirmed participants:
Wendy Craig (Department of Surgery, Aberdeen Royal Infirmary)
Jenny Doust (Centre for Research in Evidence-based Practice, Bond University)
Wendy Rogers (Philosophy Department and Australian School of Advanced Medicine, Macquarie University)
Thomas Schramme (Department of Philosophy, University of Hamburg)
Mary Walker (Philosophy Department, Macquarie University)
Questions relating to what should and should not be counted as disease, and where exactly the boundary between disease and non-disease should lie, are critical to the provision of appropriate health care. However, these questions have become increasingly complex with changes in medical knowledge and diagnostic technologies. The distinction between risk factor and disease has become blurred; common diseases have been redefined expansively (e.g. type 2 diabetes or chronic kidney disease); and sophisticated diagnostic tests now detect abnormalities which may or may not have pathological implications.
Responding to these questions requires engaging with medical and scientific knowledge and with the philosophical literature on disease definition. But these are not merely interesting academic questions: there are serious practical implications to setting disease boundaries. Where is the ‘right’ place for these boundaries, such that patients receive appropriate treatments to avoid excess morbidity and mortality, while avoiding the harms of overdiagnosis and overtreatment?
PROVISIONAL Program (As of 17 Sept):
Thursday 15 October:
09:15 – 10:45 : Welcome and introduction
10:45 – 10:45 : Thomas Schramme, “Delineating disease from a naturalist point of view.”
10:45 – 11:15 : Morning tea
11:15 – 12:15 : Wendy Rogers and Mary Rogers, “The line drawing problem.”
12:15 – 13:15 : Rachel Ankeny, “Geneticisation in the OMIM: Distinguishing Disease from Variation.”
13:15 – 14:00 : Lunch
14:00 – 14:45 : Jenny Doust, “When should we agree to changes to disease boundaries?”
14:45 – 15:30 : Lynette Reid, “Truth or spin? Disease definition in cancer screening.”
15:30 – 16:00 : Afternoon tea
16:00 – 16:45 : Wendy Craig, “Thyroid Cancer: an opportunity to redefine disease.”
18:30 : Conference dinner
Friday 16 October:
09:00 – 10:00 : Patrick McGivern and Sarah Sorial, “Harm and Disease.”
10:00 – 11:00 : John Mathewson and Paul Griffiths, “Boundaries from biology.”
11:00 – 11:30 : Morning tea
11:30 – 12:30 : Stacy Carter and Chris Degeling, “A negotiated, sociotechnical, outcomes-oriented approach to diagnosing health-related conditions
12:30 – 13:30 : Lunch
13:30 – 15:00 : Panel: “Implications of the boundary issue in five research areas:
Lanei Alexander (Obesity)
Yves Aquino (Asian cosmetic surgery)
Nikki Coleman (lyme disease)
Harry Schone (fibromyalgia)
Anke Snoek (addiction)
15:00 – 15:30 : Afternoon tea
15:30 – 16:30 : Summary and closing comments
Program for download [PDF KB]
Abstracts [PDF 87KB]
Contact: Mary Walker
Taking Pregnancy Seriously in Metaphysics II: Identity and Persistence
“Taking Pregnancy Seriously in Metaphysics II: Identity and Persistence”
http://www.southampton.ac.uk/philosophy/news/events/2015/09/18-identity-and-persistence.page
18 September, University of Southampton, UK.
SPEAKERS & TITLES
Lynne Baker (Amherst): ‘A Puzzle about Pregnancy: first there is one person, then there are two.’
Ellen Clarke (Oxford): ‘Reproduction and Evolution’
Elselijn Kingma (Southampton): ‘Budding Humans? Pregnancy & Identity’
Steinvor Arnadottir (Stirling): ‘On the Metaphysical Implications of the Part-Whole View.
DESCRIPTION
Although philosophers have explored metaphysical questions related to pregnancy – most obviously abortion and the metaphysical status of the fetus – little philosophical attention has been paid to pregnancy itself. That is a remarkable omission because pregnancy raises important philosophical problems in metaphysics, ethics and epistemology: should the foetus be regarded as part of or ‘merely surrounded by’ the mother? If persons can be parts of other persons, what does this imply for bodily ownership and personal and numerical identity? What special rights and duties does the unique status of pregnancy bestow? Does the radically transformative character of pregnancy mean that those who have never been pregnant are excluded from certain kinds of knowledge about pregnancy and its consequences? This workshop explores the implications of pregnancy for personal identity and personal ontology.
This workshop is one of a series of four in the project Taking Pregnancy Seriously in Metaphysics, Ethics & Epistemology, funded by the Southampton Ethics Centre and the University of Southampton ‘Adventures in Research’ Scheme, with added support from the British Society for Philosophy of Science and the Aristotelian Society. It is preceded by another workshops on Metaphysics, on ‘the foetus and the maternal organism’ on the 21st of Julyhttp://www.southampton.ac.uk/philosophy/news/events/2015/07/21-the-foetus-and-the-maternal-organism.page?, and, prior to that, two workshops on Ethics and Epistemology on the 18th of June 2014 and the 13th of April 2015. http://www.southampton.ac.uk/philosophy/research/projects/taking-pregnancy-seriously.page#events
REGISTRATION
Registration is free of charge, and will include tea/coffee/refreshments. Delegates must provide/ pay for their own meals; there is an option to sign up for a buffet lunch (cost: GBP 8.50) when registering via the online store:http://go.soton.ac.uk/6go
Please register by September 10th. If you would like to attend but childcare duties render your attendance difficult, please contact the organisers (as far in advance as possible).
MORE INFORMATION
For more information, program, accessibility information & registration: http://www.southampton.ac.uk/philosophy/news/events/2015/09/18-identity-and-persistence.page
International Philosophy of Medicine Roundtable 
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