On Grounds, Anchors, and Diseases: A Reply to Glackin.

Shane Glackin's 2019 Philosophical Quarterly article aims to (a) offer a framework for understanding the philosophical debate about the nature of disease and (b) utilise this framework to reply to several standard objections to normativist (particularly social constructivist) theories of disease. Specifically, Glackin claims his model avoids three central challenges to normativism, which we term the 'Flippancy Problem' (which charges that normativism implies diseases can be cured by adjusting our attitudes towards them), 'Repugnancy Problem' (which charges that normativism implies we must endorse repugnant historical views regarding 'conditions' like Drapetomania as 'genuine diseases in their day'), and the 'Explanatory Problem' (which charges that normativism cannot explain why diseases warrant certain kinds of medical intervention without lapsing into vicious circularity). Although we find Glackin's framework helpful in clarifying the terrain of the debate, we argue these three challenges continue to afflict his preferred construal of the normativist/social constructivist position. [ABSTRACT FROM AUTHOR]