How to be a Naturalist and a Social Constructivist about Diseases

This is the final version. Available on open access from University of Pittsburgh Library System via the DOI in this recordDebates about the concept of disease have traditionally been framed as a competition between two conflicting approaches: naturalism, on the one hand, and normativism or social constructivism, on the other. In this article, we lay the groundwork for a naturalistic form of social constructivism by (1) dissociating the presumed link between value-free conceptions of disease and a broadly naturalistic approach; (2) offering a naturalistic argument for a form of social constructivism; and (3) suggesting avenues that strike us as especially promising for filling in the details of an alternative approach and addressing the most obvious objections