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It is not the case that Bolton and Hill's worry about the incompatibility of the medical model with their neural encoding theory is overstated
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Reasons For
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Reason for
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1.
The medical model does not logically preclude non-reductive or cognitive-level explanations
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2.
Advocates of a strong medical model can be equally attuned to the conception of the brain as a socially situated, cognitive organ
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Reasons Against
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Reason against 1 of 2
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1.
Patricia Churchland's neurophilosophy demonstrates that neural-level and semantic/cognitive-level descriptions are mutually reinforcing, not competing.
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2.
The medical model, properly construed as in Kendell and Jablensky's disease criteria, is agnostic about explanatory level and admits functional encoding accounts.
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3.
Bolton and Hill's own information-theoretic framework maps naturally onto causal-mechanistic models standard in evidence-based medicine.
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Reason against 2 of 2
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1.
Engel's biopsychosocial model, which Bolton and Hill largely endorse, is itself an extension of the medical model rather than a repudiation of it.
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2.
Neural encoding of social and semantic content is precisely what predictive processing accounts like Clark and Friston's active inference require, vindicating medical-model neuroscience.
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