6533b858fe1ef96bd12b5b39

RESEARCH PRODUCT

A realist account of the ontology of impairment

Simo VehmasPekka Mäkelä

subject

PsycholinguisticsHealth (social science)Statement (logic)CommunicationHealth Policymedia_common.quotation_subjectSocial realityBrute factPsycholinguisticsEpistemologyDisability EvaluationIssues ethics and legal aspectsSocioeconomic FactorsArts and Humanities (miscellaneous)State (polity)Philosophical analysisLawInstitutionOntologyHumansDisabled PersonsSociologyQuality of Health Caremedia_common

description

This paper provides a philosophical analysis of the ontology of impairment, in part social and in part not. The analysis is based on the division between two categories of facts concerning the world we live in: "brute" and institutional facts. Brute facts are those that require no human institution for their existence. To state a brute fact requires naturally the institution of language, but the fact stated is not the same as the statement of it. For example, regardless of any human institution or opinion, the presence of an extra chromosome 21 is a brute fact, and despite of people's constructions or deconstructions, this fact remains. As for the lives of people with extra chromosome 21, the social reality and human institutions enter the picture. The social and moral status of these people is never a matter of brute fact.

https://doi.org/10.1136/jme.2006.019042