Abstract
Health social science is an area of study wherein the methodological techniques used within the social sciences are applied to the investigation of human health. Methodological techniques, however, are not philosophically agnostic. Philosophical positions indeed matter in that they result in a range of individual and societal consequences. Consequently, it is important for students and researchers interested in studying the social aspects of health to understand the role of philosophical positions within research. Philosophical positions partly consist of ontological and epistemological assumptions. Ontological issues pertain to what exists, whereas epistemology focuses on the nature, limitations, and justification of human knowledge. This chapter introduces the reader to how ontological and epistemological positions are embedded within the biomedical, biopsychosocial, and critical alternative models of human functioning. Situating each of these models in relevant vignettes, we suggest that philosophical positions serve a dual role within inquiry in that they inform, and are in some circumstances informed by, the methodological and interpretative decisions enacted by researchers.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Armstrong T. ADD/ADHD alternatives in the classroom. Alexandria: Association for Supervision and Curriculum Development; 1999.
Berkman LF, Kawachi I. A historical framework for social epidemiology. In: Berkman LF, Kawachi I, editors. Social epidemiology. New York: Oxford University Press; 2000. p. 3–12.
Biesta G. Pragmatism and the philosophical foundations of mixed methods research. In: Taskakkori A, Teddlie C, editors. Handbook of mixed methods in social and behavioral research. 2nd ed. Thousand Oaks: Sage; 2010. p. 95–118.
Bothwell LE, Podolsky SH. The emergence of the randomized, controlled trial. N Engl J Med. 2016;375(6):501–4.
Creswell JW. Mapping the field of mixed methods research. J Mixed Methods Res. 2009;3(2):95–108.
Creswell JW, PlanoClark VL. Designing and conducting mixed methods approaches. Thousand Oaks: Sage; 2011.
Crotty M. The foundations of social research: meaning and perspective in the research process. Thousand Oaks: Sage; 1998.
Denzin NK, Lincoln YS, editors. The Sage handbook of qualitative research. Thousand Oaks: Sage; 2011.
Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.
Englehardt TH Jr. The disease of masturbation: values and the concept of disease. Bull Hist Med. 1974;48(2):234–48.
Fleck L. Genesis and development of a scientific fact. In: Trenn T, Merton RK, editors (F. Bradley & T. Trenn, Trans.). Chicago: The University of Chicago Press; 1935/1979.
Foucault M. Madness and civilization: a history of insanity in the age of reason (R. Howard, Trans.). New York: Routledge; 1961/1989.
Freire P. Pedagogy of the oppressed (M.B. Ramos, Trans.). New York: Bloomsbury Academic; 1970/2014.
Gale JE, Dolbin-MacNab ML. Qualitative research for family therapy. In: Mille RB, Johnson LN, editors. Advanced methods in family therapy research: a focus on validity and change. New York: Routledge; 2014. p. 247–65.
Greene JC. Mixed methods in social inquiry. San Francisco: Wiley; 2007.
Guba E, Lincoln Y. Competing paradigms in qualitative research. In: Denzin N, Lincoln Y, editors. Handbook of qualitative research. Thousand Oaks: Sage; 1994. p. 105–17.
Guba EG, Lincoln YS Paradigmatic Controversies, Contradictions, and Emerging Confluences. In: Denzin NK, Lincoln YS, editors. The Sage handbook of qualitative research. Thousand Oaks, CA: Sage Publications; 2005. pp. 191–215.
Hathcoat JD, Meixner C. Pragmatism, factor analysis, and the conditional incompatibility thesis in mixed methods research. J Mixed Methods Res. 2017;11(4):433–49.
Hathcoat JD, Nicholas M. Epistemology. In: Coghlan D, Brydon-Miller M, editors. The SAGE encyclopedia of action research (“E” entries, pp. 285–332). Washington, DC: Sage; 2014.
Hausman DM. Health and well-being. In: Solomon M, Simon JR, Kincaid H, editors. The Routledge companion to philosophy of medicine. New York: Routledge; 2017. p. 27–35.
Heidegger M. Being and time (J. Stambaugh, Trans.). New York: State University of New York Press; 1953/1996.
Hoffman B. Disease, illness, and sickness. In: Solomon M, Simon JR, Kincaid H, editors. The Routledge companion to philosophy of medicine. New York: Routledge; 2017. p. 16–26.
Hood SB. Psychological measurement and methodological realism. Erkenntnis. 2013;78:739–61.
Houghton C, Hunter A, Meskell P. Linking aims, paradigm and method in nursing research. Nurs Res. 2012;20(2):34–9.
Howe KR. Against the quantitative-qualitative incompatibility thesis or dogmas die hard. Educational researcher. 1988;17(8):10–16.
Hsu JL. A brief history of vaccines: smallpox to the present. S D Med. 2013;33(7):3–37.
Lovett BJ, Hood, SB. Comorbidity in child psychiatric diagnosis: Conceptual complications. In Perring C, Wells LA, editors. Diagnostic dilemmas in child and adolescent psychiatry: Philosophical perspectives. Oxford, UK: Oxford University Press; 2014. p. 80–97.
Illich I. Medicine is a major threat to health. An interview by Sam Keen. Psychol Today. 1976;9(12):66–67.
Koenig HG. Religion and medicine: historical background and reasons for separation. Int J Psychiatry Med. 2000;30(4):385–98.
Kuhn T. The structure of scientific revolutions. 4th ed. Chicago: The University of Chicago Press; 1962/2012.
Ladyman J. Understanding philosophy of science. New York: Routledge; 2002.
Lincoln Y, Guba E. Naturalistic inquiry. Newbury Park: Sage; 1985.
Longino CF. The limits of scientific medicine. J Health Soc Policy. 1998;9(4):101–16.
Lovett BJ, Hood SB. Realism and operationism in psychiatric diagnosis. Philos Psychol. 2011;24(2):207–22.
Low G. Thomas Sydenham: the English Hippocrates. Aust N Z J Surg. 1999;69:258–62.
Maxwell JA. Causal explanation, qualitative research, and scientific inquiry in education. Educ Res. 2004;33(2):3–11.
Moon K, Blackman D. A guide to understanding social science research for natural scientists. Conserv Biol. 2014;28(5):1167–77.
Morgan DL. Paradigms lost and pragmatism regained: methodological implications of combining quantitative and qualitative methods. J Mixed Methods Res. 2007;1(1):48–76.
Murray M. Social history of health psychology: context and textbooks. Health Psychol Rev. 2014;8(2):215–37.
Nicholas M, Hathcoat JD. Ontology. In: Coghlan D, Brydon-Miller M, editors. The SAGE encyclopedia of action research (“O” entries, pp. 285–332). Washington, DC: Sage; 2014.
Onwuegbuzie AJ, Johnson RB, Collins KMT. Call for mixed methods analysis: a philosophical framework for combining qualitative and quantitative approaches. Int J Mult Res Approaches. 2009;3:114–39.
Phillips DC. Philosophy, science, and social inquiry: contemporary methodological controversies in social science and related applied fields of research. Oxford: Pergamon; 1987.
Poli R. Ontology: the categorical stance. In: Poli R, Seibt J, editors. Theory and application of ontology: philosophical perspectives. New York: Springer; 2010. p. 1–22.
Quine WVO. Two dogmas of empiricism. In: Quine WVO, editor. From a logical point of view. Cambridge, MA: Harvard University Press; 1953. p. 20–46.
Robinson OC. The idiographic/nomothetic dichotomy: tracing historical origins of contemporary confusions. Hist Philos Psychol. 2011;13(2):32–9.
Sandelowski M. Unmixed mixed-methods research. Res Nurs Health. 2014;37:3–8.
Sisti D, Caplan AL. The concept of disease. In: Solomon M, Simon JR, Kincaid H, editors. The Routledge companion to philosophy of medicine. New York: Routledge; 2017. p. 5–15.
Smith R. In search of “non-disease”. Br Med J. 2002;324:883–5.
Smith KA. Louis Pasteur, the father of immunology? Front Immunol. 2012;3:1–10.
Suhrs J, Hammers D, Dobbins-Buckland K, Zimak E, Hughes CH. The relationship of malingering test failure to self-reported symptoms and neuropsychological findings in adults referred for ADHD evaluation. Arch Clin Neuropsychol. 2008;23:521–30.
Suls J, Rothman A. Evolution of the biopsychosocial model: prospects and challenges for health psychology. Health Psychol. 2004;23:119–25.
Sydeman T. Observationes Medicae circa Morgorum Acutorum Historiam et Curationem. London: Kettilby; 1676. As cited in Low G. Thomas Sydenham: the English Hippocrates. Aust N Z J Surg. 1999;69:258–62.
Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart. 2016;102(13):1009–16.
Veatch RM. How philosophy of medicine has changed medical ethics. J Med Philos. 2006;31(6):585–600.
Wade DT, Halligan PW. The biopsychosocial model of illness: a model whose time has come. Clin Rehabil. 2017;31(8):995–1004.
Weaver K, Olson JK. Understanding paradigms used for nursing research. J Adv Nurs. 2006;53(4):459–69.
White K, Willis E. Positivism resurgent: the epistemological foundations of evidence-based medicine. Health Sociol Rev. 2002;11:5–15.
Whitley R. Global mental health: concepts, conflicts, and controversies. Epidemiol Psychiatr Sci. 2015;24(4):285–91.
Williams MJ. Problems of knowledge: a critical introduction to epistemology. New York: Oxford University Press; 2001.
World Health Organization. Basic documents (48th ed.). Italy: World Health Organization; 1948/2014.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this entry
Cite this entry
Hathcoat, J.D., Meixner, C., Nicholas, M.C. (2019). Ontology and Epistemology. In: Liamputtong, P. (eds) Handbook of Research Methods in Health Social Sciences. Springer, Singapore. https://doi.org/10.1007/978-981-10-5251-4_56
Download citation
DOI: https://doi.org/10.1007/978-981-10-5251-4_56
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-5250-7
Online ISBN: 978-981-10-5251-4
eBook Packages: Social SciencesReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences