Institute of Philosophy, Czech Academy of Sciences, Jilská 1, Praha 1, 110 00, Czech Republic.
Med Health Care Philos. 2023 Dec;26(4):529-537. doi: 10.1007/s11019-023-10167-7. Epub 2023 Aug 16.
Semmelweis' discovery of the etiology of childbed fever has long attracted the attention of historians of medicine and biographers. In recent years it has also become of increasing interest to philosophers. In this paper I discuss the interpretation of Semmelweis' methodology from the viewpoint of the inference to the best explanation and argue that Popperian methodology is better at capturing the dynamics of the growth of knowledge. Furthermore, I criticize the attempts to explain the failure of Semmelweis to have his discovery accepted on the basis of the Kuhnian concept of paradigms, and warn that this view may endorse dogmatism as the norm The Kuhnian position also raises the problem of the authoritarian nature of scientific institutions which defend a paradigm against unorthodox, rebellious views, such as in the case of Semmelweis. Popperian philosophy is seen as a challenge to promote a link between an open society and open science with its main aim being to cherish a free critical spirit.
塞麦尔维斯发现产褥热的病因长期以来一直引起医学史学家和传记作家的关注。近年来,哲学家也越来越感兴趣。在本文中,我从最佳解释推理的角度讨论了对塞麦尔维斯方法论的解释,并认为波普尔的方法论更能捕捉知识增长的动态。此外,我批评了试图用库恩的范式概念来解释塞麦尔维斯的发现为何未被接受的尝试,并警告说,这种观点可能会认可教条主义作为规范。库恩的立场还提出了科学机构的独裁性质的问题,这些机构捍卫范式反对非正统的、叛逆的观点,就像塞麦尔维斯的情况一样。波普尔哲学被视为对促进开放社会与开放科学之间联系的挑战,其主要目的是珍视自由的批判精神。