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Fortinash: Psychiatric Mental Health Nursing, 5th Edition
Chapter 08: Culture, Ethnicity, and Spirituality
Test Bank
MULTIPLE CHOICE
1. To include a cultural focus in patient care planning, which belief about faith will the
nurse incorporate? Faith is a:
a. Belief of body and mind
b. Manner of expressing spirituality
c. Use of spiritual resources without empiric proof
d. Search for the sacred, transcendent, or universal
ANS: C
Faith is the ability to draw on spiritual resources without having physical and empiric proof.
Body and mind refer to psychosomatic concepts. A manner of expressing spirituality refers
to religion. A search for the sacred, transcendent, or universal refers to spirituality.
ANS: C
Culture influences beliefs about health and illness, including causes of illness. What the
nurse might label as delusional might be a culturally determined belief about illness
causation. The other assessments do not relate to the situation as directly.
DIF: Cognitive Level: Application REF: Page 143
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
3. An Asian-American patient diagnosed with depression explains to the nurse that eating
two specific foods will restore the balance of hot and cold and she will be cured. The
nurse should:
a. Explain that foods cannot cure mental disorders.
b. Arrange for the patient to talk with the dietitian.
c. Change the subject to focus on medication compliance.
d. Accept that cultural beliefs about illness die slowly.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-2
ANS: B
Culturally determined beliefs about health and illness should be respected. If there are no
contraindications to the patient eating the foods mentioned, the nurse should facilitate
obtaining them. Attempt to explain the flaw in the patient’s belief is an attempt to negate
culturally determined beliefs. Changing the subject does not address patient concerns.
Assuming that the belief is inflexible suggests the patient’s beliefs have no merit.
4. When working with a patient newly emigrated from Asia who has been assessed as
having xenophobia, the nurse could anticipate making the assessment that the individual:
a. Resists sharing food with others
b. Would be reluctant to ride an elevator
c. Is unlikely to talk with nonfamily members
d. Fears the consequences of going out of doors
ANS: C
Xenophobia is defined as a morbid fear of strangers. The xenophobic individual would not
necessarily resist sharing food (fear of germs), riding in elevators (fear of closed spaces), or
going out of doors (fear of open spaces).
5. The nurse plans to use pamphlets to teach a newly immigrated Vietnamese patient about
diabetes mellitus. Before initiating this education, the priority information for the nurse
to obtain is the patient’s:
a. Ability to read and understand English
b. Readiness and ability to learn this material
c. Previous knowledge and interest in the subject
d. Willingness to participate and follow instructions
ANS: A
Pamphlets are useful only if the patient can read and understand the language in which the
material is written. The other options are secondary to this priority concern.
DIF: Cognitive Level: Analysis REF: Pages 147-148
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
6. A nurse is planning to incorporate a culturally sensitive focus in her nursing care. Which
of these underlying principles concerning cultural heritage will be included?
a. A group is formed from among individuals who share similar ancestral origins.
b. A condition of belonging to a group is that all members share a unique heritage.
c. Learned patterns of behavior and thinking are shared by members of a cultural
group.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-3
ANS: C
Cultural heritage is learned patterns of behavior and thinking shared by a particular group
that is transmitted over time to other members. Ancestral origins, a similar heritage, and
physical characteristics may be shared traits but alone do not constitute cultural heritage.
ANS: C
Occasionally, individuals with serious mental disorders experience delusions that are
spiritual or religious in nature. Certified pastoral counselors are skilled with regard to
counseling patients and consulting with staff about these problems, and they assist the health
care team in ways that address the particular concerns of individual patients. Challenging or
debating the truth of a person’s delusions is not therapeutic, and spiritual delusions are no
exception. Engaging in spiritual or religious practice with individuals on a psychiatric unit is
also inappropriate. Removing the patient from the milieu is seldom therapeutic and done only
to maximize milieu safety.
DIF: Cognitive Level: Application REF: Page 152
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
8. A patient confides to the nurse that she feels guilty about the poor relationship she had
with her mother-in-law, who is now deceased. The patient tells the nurse that she is sure
God will punish her for this and that she needs to confess her sins to someone. Which of
the following is the best response by the nurse?
a. “Would you like to speak to the chaplain when he comes later today? In the
meantime, we could talk about your relationship with your mother-in-law.”
b. “It sounds as if you need to talk about this. Let’s sit down in a private area. I’d like
to know more about your relationship with your mother-in-law.”
c. “We all have trouble with our in-laws occasionally. God doesn't punish us for
that.”
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-4
ANS: A
The patient has identified a specific spiritual problem that a chaplain would be equipped to
handle, so a referral is appropriate. The nurse, in the meantime, is equipped to discuss
relationship issues. Offering to talk about the relationship without addressing the patient’s
expressed spiritual needs is not therapeutic. Suggesting that the patient’s relationship issues
are not uncommon minimizes the patient’s feelings. Attempting to refocus the patient
dismisses the patient’s needs.
9. A patient is dealing with the loss of a spouse. Which response shows an understanding of
the role spirituality plays in the management of grief?
a. “He’s in a better place; my faith tells me that is true.”
b. “I find that my faith is stronger now that I’m alone.”
c. “I’m told that a sense of spiritual connection will help me go on with life.”
d. “My faith helps me deal and gives me renewed hope; I rely on it to help me heal.”
ANS: D
Spirituality allows one to cope with these feelings by providing a sense of hope and meaning
to experiences that would otherwise be crippling. Spirituality is often a key component in the
healing process, and it is an integral part of the patient’s treatment plan. The remaining
options do not as directly deal with the patient’s personal loss and the progression to healing.
DIF: Cognitive Level: Application REF: Page 151 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Psychosocial Integrity
10. The nurse identifies a patient as being in spiritual distress. Which patient statement
supports this nursing diagnosis?
a. “I’ve never felt so alone before in my entire life.”
b. “I don’t know if I could get through this without faith in God.”
c. “I’ve always relied on my faith in God but now I feel I’ve been abandoned.”
d. “Why do bad things happen to good people? I’ve always been a good person.”
ANS: C
Spiritual distress is a nursing diagnosis that is defined as a disruption in the value and belief
systems that pervades the person’s state of being and that transcends the physical and
psychosocial self. Feeling abandoned when one has always relied on faith is an indication of
spiritual distress. Feeling alone and questioning why something has occurred is not
necessarily spirit based, and not an indication of spiritual distress. Questioning one’s ability
to manage an emotion without one’s faith is a testimony to the faith, not an expression of
despair.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-5
ANS: D
Asian and Asian-American patients have been socialized into high-context cultures in which
there is collective identity, group decision making, emotional dependence, deference to those
of higher status and age, and use of indirect language to communicate. The remaining
options are characteristic of low-context cultures.
12. Which communication behavior would be considered uncharacteristic for a patient from
a high-context culture?
a. Little direct eye contact
b. Use of global messages
c. Use of nonverbal symbolization
d. Arguing points with the physician
ANS: D
Arguing to get a point across is more characteristic of the communication of a person from a
low-context culture. A person from a high-context culture would not be expected to dispute a
person with authority. The person from a high-context culture would be expected to use
global communication and nonverbal symbolization but to make little direct eye contact.
13. An Asian-American patient is referred to the mental health clinic. He has many somatic
complaints for which no physical basis has been found. The patient tells the nurse that he
does not believe this clinic can help him. Based on knowledge of the beliefs common to
this culture, what can the nurse hypothesize about the patient?
a. Because of the cultural stigma attached to mental illness, he may be expressing
psychological distress via somatic symptoms.
b. Acculturation has occurred because feelings of hopelessness are alien to his native
culture.
c. Suicide is not a present danger because suicidal impulses are rarely associated with
feelings of helplessness among Asian-American patients.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-6
d. The patient has rejected both family care and traditional healing methods in favor
of health care practices of the new culture.
ANS: A
The following facts are known about beliefs commonly held by members of this culture:
there is a stigma attached to mental illness; mental illness is often described in somatic terms;
members of this culture come into treatment late and often have feelings of hopelessness
upon entry into the system; families tend to care for their members with mental illness; and
traditional healing has usually been tried and failed before the patient attempts to access the
mental health system.
14. The nurse determines which patient is at the greatest risk for a spiritual crisis?
a. A patient, whose religion opposes the use of blood products, has a severely
bleeding ulcer
b. A single parent who must decide to terminate life support for a terminally ill child
c. A newlywed whose spouse has died in an automobile accident caused by a drunk
driver
d. A patient who denies the need for spiritual support when given the diagnosis of
terminal cancer
ANS: A
A spiritual crisis may occur when religious or spiritual beliefs conflict with a necessary
procedure or a treatment protocol, such as permitting a blood transfusion. Although the
remaining options all present with a serious emotional situation, there is no evidence to
support that the patient’s beliefs are being challenged.
15. The nurse believes that a patient is exhibiting internal locus of control related to spiritual
development. Which patient statement supports this conclusion?
a. “Praying gives me tremendous comfort.”
b. “I pray because my church says that prayer is the way to God”
c. “I will ask that my fellow church members pray for me to get better.”
d. “My mother prayed daily and she was such a good and kind person.”
ANS: A
During development, one’s sense of faith, meaning moral values, and judgment moves from
an external locus of control to an internal locus of control. An example of such internal
control is the expressed feeling of comfort derived from prayer. The remaining options
reflect external locus of control since each is an expression of how beliefs about prayer are
provided by others; church doctrine and the faith of others.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-7
16. A novice nurse has identified impaired verbal communication for an older Asian patient
who recently immigrated to the United States based on the patient’s reluctance to
maintain eye contact and engage in a conversation with staff. In order to assure that the
diagnosis is appropriate, the nurse manage asks:
a. “Have you asked the patient why communication is difficult for them?”
b. “Could you be misdiagnosing common shyness for a communication issue?”
c. “Have you noticed the patient communicating differently with family when they
visit?”
d. “Do you think the patient’s cultural traditions have a part to play in their
communication behaviors?”
ANS: D
Misunderstanding occurs when the nurse fails to take into account culture-specific
interaction patterns. Silence, infrequent eye contact, shame, fear, and language barriers all
affect a patient’s ability to interact. In light of the patient’s cultural diversity, the other
options are less likely to be pertinent.
17. As a nurse assesses culture factors with patients, the subculture that poses the greatest
risk to a patient’s mental health is:
a. Poverty
b. Female gender
c. Advanced age
d. Cultural ethnicity
ANS: A
Many people in poverty suffer discrimination and stigma which places them at risk for
depression and other anxiety-related illnesses. The other subcultures do not present with the
same or greater degree of risk.
MULTIPLE RESPONSE
1. The nurse is addressing the possibility that a family of newly emigrated Hispanics may
experience cultural shock. Which statements are truisms concerning this cultural
adaptation issue? Select all that apply.
a. Most primitive cultures embrace the lifestyle of the industrialized ones.
b. It may take generations for family members to become acculturated.
c. The most resistant to adaptation are children and young adults.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-8
ANS: B, E
Many immigrants experience culture shock, a sudden or violent disturbance of emotions that
involves a sense of anxiety, fear, and distrust. Children and young adults usually adapt to
their new surroundings more quickly. It takes approximately three generations or longer for
members of a minority group to integrate into the dominant cultural environment.
2. A nurse works in a mental health clinic serving many Southeast Asian individuals.
Which statements by the nurse would validate a striving toward cultural competence?
Select all that apply.
a. “It’s a challenge to plan treatment that is culturally congruent.”
b. “My dream is to be accepted by the Southeast Asian patients I care for.”
c. “There is so much to learn about the Southeast Asians and their problems.”
d. “Psychiatric care tends to be similar for those of Southeast Asian cultures.”
e. “I always try to be sensitive to the uniqueness of my culturally diverse patients.”
ANS: A, B, C, E
Culturally competent health care requires the development of interpersonal skills,
communication skills, and awareness and sensitivity to the uniqueness of individuals. It is
also an ongoing process, because each new encounter presents the opportunity to gain
additional knowledge and skills. Psychiatric care should be tailored to the individual and not
to cultural stereotypes.
DIF: Cognitive Level: Application REF: Page 147 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Psychosocial Integrity
ANS: A, B, C
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-9
4. Guidelines for communicating with a patient whose ability to speak and understand
English is questionable include (select all that apply):
a. Use interpreters whenever possible.
b. Allow sufficient time for patient to formulate response.
c. Recruit a family member as an interpreter whenever possible.
d. Use nonverbal communication whenever it is considered appropriate.
e. Maintain eye contract if such interaction is accepted by the patient’s culture.
ANS: A, B, D, E
Interpreters are preferred to translators since they are trained to decode the message behind
the patient’s verbal response. The patient needs time to formulate their responses especially
if they are attempting to speak in English. Nonverbal communication is a good source of
information when effectively interpreted. Eye contact when accepted by the patient’s culture
encourages interaction and allows for interpretation of nonverbal communication. Family
members should not be used if other options are available since they are not always objective
in their translations.
DIF: Cognitive Level: Application REF: Page 150 TOP: Nursing Process:
Planning
MSC: NCLEX: Psychosocial Integrity
5. A patient experiencing depression over the loss of a loved one shares that, “I’m not a
religious person but I need something to help me cope with this.” The nurse shows an
understanding to the need for an outlet for the expression of emotions when (select all
that apply):
a. Asking, “Does dancing make you feel good?”
b. Encouraging the patient to talk about the feelings
c. Offering to arrange for a consult with the music therapist
d. Asking, “Can you think of ways to express your emotions in a healthy way?”
e. Suggesting the patient draw a picture of what it feels like to experience such a loss
ANS: A, C, E
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 8-10
Religious practices are often beneficial for patients, but for those who do not have a formal
religion, other spiritual interventions are useful. Group therapies that encourage patients to
extend themselves and to find meaning in life are helpful. In addition, several other creative
forms of expression such as art, music, and dance therapy often address patients’ spiritual
needs. Although the other options are not inappropriate, they do not provide interventions but
rather reflect assessment questions.
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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"It belongs," he says[244], "to Chemistry, and not to Mineralogy, to
inquire how many atoms of silicium and of oxygen compose silica; to
tell us that its primitive form is a rhombohedron of certain angles,
that it is called quartz, &c.; leaving, on one hand, to Molecular
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may result from the primitive form; and on the other hand, leaving
to Mineralogy the office of describing the different varieties of
quartz, and the rocks in which they occur, according as the quartz is
crystallized, transparent, coloured, amorphous, solid, or in sand."
But we may remark, that by adopting this arrangement, we separate
from Mineralogy almost all the knowledge, and absolutely all the
general knowledge, which books professing to treat of that science
have usually contained. The consideration of Mineralogical
Classifications, which, as may be seen in the History of Science, is so
curious and instructive, is forced into the domain of Chemistry,
although many of the persons who figure in it were not at all
properly chemists. And we lose, in this way, the advantage of that
peculiar office which, in our arrangement, Mineralogy fills; of forming
a rigorous transition from the sciences of classification to those
which consider the mathematical properties of bodies; and
connecting the external characters and the internal constitution of
bodies by means of a system of important general truths. I conceive,
therefore, that our disposition of this science, and our mode of
applying the name, are far more convenient than those of M.
Ampère.
9. We have seen the reaction against the pure sensational doctrines
operating very powerfully in England and in France. But it was in
Germany that these doctrines were most decidedly rejected; and
systems in extreme opposition to these put forth with confidence,
and received with applause. Of the authors who gave this impulse to
opinions in that country, Kant was the first, and by far the most
important. I have in the History of Ideas (b. iii. c. 3), endeavoured to
explain how he was aroused, by the skepticism of Hume, to examine
wherein the fallacy lay which appeared to invalidate all reasonings
from effect to cause; and how this inquiry terminated in a conviction
that the foundations of our reasonings on this and similar points
were to be sought in the mind, and not in the phenomena;—in the
subject, and not in the object. The revolution in the customary mode
of contemplating human knowledge which Kant's opinions involved,
was most complete. He himself, with no small justice, compares[245]
it with the change produced by Copernicus's theory of the solar
system. "Hitherto," he says, "men have assumed that all our
knowledge must be regulated by the objects of it; yet all attempts to
make out anything concerning objects à priori by means of our
conceptions," (as for instance their geometrical properties) "must,
on this foundation, be unavailing. Let us then try whether we cannot
make out something more in the problems of metaphysics, by
assuming that objects must be regulated by our knowledge, since
this agrees better with that supposition, which we are prompted to
make, that we can know something of them à priori. This thought is
like that of Copernicus, who, when he found that nothing was to be
made of the phenomena of the heavens so long as everything was
supposed to turn about the spectator, tried whether the matter
might not be better explained if he made the spectator turn, and left
the stars at rest. We may make the same essay in metaphysics, as
to what concerns our intuitive knowledge respecting objects. If our
apprehension of objects must be regulated by the properties of the
objects, I cannot comprehend how we can possibly know anything
about them à priori. But if the object, as apprehended by us, be
regulated by the constitution of our faculties of apprehension, I can
readily conceive this possibility." From this he infers that our
experience must be regulated by our conceptions.
10. This view of the nature of knowledge soon superseded entirely
the doctrines of the Sensational School among the metaphysicians of
Germany. These philosophers did not gradually modify and reject the
dogmas of Locke and Condillac, as was done in England and
France[246]; nor did they endeavour to ascertain the extent of the
empire of Ideas by a careful survey of its several provinces, as we
have been doing in this series of works. The German metaphysicians
saw at once that Ideas and Things, the Subjective and the Objective
elements of our knowledge, were, by Kant's system, brought into
opposition and correlation, as equally real and equally indispensable.
Seeing this, they rushed at once to the highest and most difficult
problem of philosophy,—to determine what this correlation is;—to
discover how Ideas and Things are at the same time opposite and
identical;—how the world, while it is distinct from and independent
of us, is yet, as an object of our knowledge, governed by the
conditions of our thoughts. The attempts to solve this problem,
taken in the widest sense, including the forms which it assumes in
Morals, Politics, the Arts, and Religion, as well as in the Material
Sciences, have, since that time, occupied the most profound
speculators of Germany; and have given rise to a number of
systems, which, rapidly succeeding each other, have, each in its day,
been looked upon as a complete solution of the problem. To trace
the characters of these various systems, does not belong to the
business of the present chapter: my task is ended when I have
shown, as I have now done, how the progress of thought in the
philosophical world, followed from the earliest up to the present
time, has led to that recognition of the co-existence and joint
necessity of the two opposite elements of our knowledge; and when
I have pointed out processes adapted to the extension of our
knowledge, which a true view of its nature has suggested or may
suggest.
The latter portion of this task occupies the Third Book of the Novum
Organon Renovatum. With regard to the recent succession of
German systems of philosophy, I shall add something in a
subsequent chapter: and I shall also venture to trace further than I
have yet done, the bearing of the philosophy of science upon the
theological view of the universe and the moral and religious
condition of man.
CHAPTER XXI.
Further Advance of the Sensational School.
M. Auguste Comte.
I
shallnow take the liberty of noticing the views published by a
contemporary writer; not that it forms part of my design to offer
any criticism upon the writings of all those who have treated of
those subjects on which we are now employed; but because we can
more distinctly in this manner point out the contrasts and ultimate
tendencies of the several systems of opinion which have come under
our survey: and since from among these systems we have
endeavoured to extract and secure the portion of truth which
remains in each, and to reject the rest, we are led to point out the
errors on which our attention is thus fixed, in recent as well as older
writers.
M. Auguste Comte published in 1830 the first, and in 1835 the
second volume of his Cours de Philosophie Positive; of which the aim
is not much different from that of the present work, since as he
states (p. viii.) such a title as the Philosophy of the Sciences would
describe a part of his object, and would be inappropriate only by
excluding that portion (not yet published) which refers to
speculations concerning social relations.
1. M. Comte on Three States of Science.—By employing the term
Philosophie Positive, he wishes to distinguish the philosophy involved
in the present state of our sciences from the previous forms of
human knowledge. For according to him, each branch of knowledge
passes, in the course of man's history, through three different states;
it is first theological, then metaphysical, then positive. By the latter
term he implies a state which includes nothing but general
representations of facts;—phenomena arranged according to
relations of succession and resemblance. This "positive philosophy"
rejects all inquiry after causes, which inquiry he holds to be void of
sense[247] and inaccessible. All such conceptions belong to the
"metaphysical" state of science which deals with abstract forces, real
entities, and the like. Still more completely does he reject, as
altogether antiquated and absurd, the "theological" view of
phenomena. Indeed he conceives[248] that any one's own
consciousness of what passes within himself is sufficient to convince
him of the truth of the law of the three phases through which
knowledge must pass. "Does not each of us," he says, "in
contemplating his own history, recollect that he has been
successively a theologian in his infancy, a metaphysician in his youth,
and a physicist in his ripe age? This may easily be verified for all
men who are up to the level of their time."
It is plain from such statements, and from the whole course of his
work, that M. Comte holds, in their most rigorous form, the doctrines
to which the speculations of Locke and his successors led; and which
tended, as we have seen, to the exclusion of all ideas except those
of number and resemblance. As M. Comte refuses to admit into his
philosophy the fundamental idea of Cause, he of course excludes
most of the other ideas, which are, as we endeavoured to show, the
foundations of science; such as the ideas of Media by which
secondary qualities are made known to us; the ideas of Chemical
Attraction, of Polar Forces, and the like. He would reduce all science
to the mere expression of laws of phenomena, expressed in formulæ
of space, time, and number; and would condemn as unmeaning, and
as belonging to an obsolete state of science, all endeavours to
determine the causes of phenomena, or even to refer them to any of
the other ideas just mentioned.
T
he History of the Inductive Sciences was published in 1837, and
the Philosophy of the Inductive Sciences in 1840. In 1843 Mr. Mill
published his System of Logic, in which he states that without
the aid derived from the facts and ideas in my volumes, the
corresponding portion of his own would most probably not have
been written, and quotes parts of what I have said with
commendation. He also, however, dissents from me on several
important and fundamental points, and argues against what I have
said thereon. I conceive that it may tend to bring into a clearer light
the doctrines which I have tried to establish, and the truth of them,
if I discuss some of the differences between us, which I shall
proceed to do[265].
Mr. Mill's work has had, for a work of its abstruse character, a
circulation so extensive, and admirers so numerous and so fervent,
that it needs no commendation of mine. But if my main concern at
present had not been with the points in which Mr. Mill differs from
me, I should have had great pleasure in pointing out passages, of
which there are many, in which Mr. Mill appears to me to have been
very happy in promoting or in expressing philosophical truth.
There is one portion of his work indeed which tends to give it an
interest of a wider kind than belongs to that merely scientific truth to
which I purposely and resolutely confined my speculations in the
works to which I have referred. Mr. Mill has introduced into his work
a direct and extensive consideration of the modes of dealing with
moral and political as well as physical questions; and I have no
doubt that this part of his book has, for many of his readers, a more
lively interest than any other. Such a comprehensive scheme seems
to give to doctrines respecting science a value and a purpose which
they cannot have, so long as they are restricted to mere material
sciences. I still retain the opinion, however, upon which I formerly
acted, that the philosophy of science is to be extracted from the
portions of science which are universally allowed to be most
certainly established, and that those are the physical sciences. I am
very far from saying, or thinking, that there is no such thing as Moral
and Political Science, or that no method can be suggested for its
promotion; but I think that by attempting at present to include the
Moral Sciences in the same formulæ with the Physical, we open far
more controversies than we close; and that in the moral as in the
physical sciences, the first step towards showing how truth is to be
discovered, is to study some portion of it which is assented to so as
to be beyond controversy.
I. What is Induction?—1. Confining myself, then, to the material
sciences, I shall proceed to offer my remarks on Induction with
especial reference to Mr. Mill's work. And in order that we may, as I
have said, proceed as intelligibly as possible, let us begin by
considering what we mean by Induction, as a mode of obtaining
truth; and let us note whether there is any difference between Mr.
Mill and me on this subject.
"For the purposes of the present inquiry," Mr. Mill says (i. 347[266]),
"Induction may be defined the operation of discovering and forming
general propositions:" meaning, as appears by the context, the
discovery of them from particular facts. He elsewhere (i. 370) terms
it "generalization from experience:" and again he speaks of it with
greater precision as the inference of a more general proposition from
less general ones.
2. Now to these definitions and descriptions I assent as far as they
go; though, as I shall have to remark, they appear to me to leave
unnoticed a feature which is very important, and which occurs in all
cases of Induction, so far as we are concerned with it. Science, then,
consists of general propositions, inferred from particular facts, or
from less general propositions, by Induction; and it is our object to
discern the nature and laws of Induction in this sense. That the
propositions are general, or are more general than the facts from
which they are inferred, is an indispensable part of the notion of
Induction, and is essential to any discussion of the process, as the
mode of arriving at Science, that is, at a body of general truths.
3. I am obliged therefore to dissent from Mr. Mill when he includes,
in his notion of Induction, the process by which we arrive at
individual facts from other facts of the same order of particularity.
Such inference is, at any rate, not Induction alone; if it be Induction
at all, it is Induction applied to an example.
For instance, it is a general law, obtained by Induction from
particular facts, that a body falling vertically downwards from rest,
describes spaces proportional to the squares of the times. But that a
particular body will fall through 16 feet in one second and 64 feet in
two seconds, is not an induction simply, it is a result obtained by
applying the inductive law to a particular case.
But further, such a process is often not induction at all. That a ball
striking another ball directly will communicate to it as much
momentum as the striking ball itself loses, is a law established by
induction: but if, from habit or practical skill, I make one billiard-ball
strike another, so as to produce the velocity which I wish, without
knowing or thinking of the general law, the term Induction cannot
then be rightly applied. If I know the law and act upon it, I have in
my mind both the general induction and its particular application.
But if I act by the ordinary billiard-player's skill, without thinking of
momentum or law, there is no Induction in the case.
4. This distinction becomes of importance, in reference to Mr. Mill's
doctrine, because he has extended his use of the term Induction,
not only to the cases in which the general induction is consciously
applied to a particular instance; but to the cases in which the
particular instance is dealt with by means of experience, in that rude
sense in which experience can be asserted of brutes; and in which,
of course, we can in no way imagine that the law is possessed or
understood, as a general proposition. He has thus, as I conceive,
overlooked the broad and essential difference between speculative
knowledge and practical action; and has introduced cases which are
quite foreign to the idea of science, alongside with cases from which
we may hope to obtain some views of the nature of science and the
processes by which it must be formed.
5. Thus (ii. 232) he says, "This inference of one particular fact from
another is a case of induction. It is of this sort of induction that
brutes are capable." And to the same purpose he had previously said
(i. 251), "He [the burnt child who shuns the fire] is not generalizing:
he is inferring a particular from particulars. In the same way also,
brutes reason ... not only the burnt child, but the burnt dog, dreads
the fire."
6. This confusion, (for such it seems to me,) of knowledge with
practical tendencies, is expressed more in detail in other places.
Thus he says (i. 118), "I cannot dig the ground unless I have an idea
of the ground and of a spade, and of all the other things I am
operating upon."
7. This appears to me to be a use of words which can only tend to
confuse our idea of knowledge by obliterating all that is distinctive in
human knowledge. It seems to me quite false to say that I cannot
dig the ground, unless I have an idea of the ground and of my
spade. Are we to say that we cannot walk the ground, unless we
have an idea of the ground, and of our feet, and of our shoes, and
of the muscles of our legs? Are we to say that a mole cannot dig the
ground, unless he has an idea of the ground and of the snout and
paws with which he digs it? Are we to say that a pholas cannot
perforate a rock, unless he have an idea of the rock, and of the acid
with which he corrodes it?
8. This appears to me, as I have said, to be a line of speculation
which can lead to nothing but confusion. The knowledge concerning
which I wish to inquire is human knowledge. And in order that I may
have any chance of success in the inquiry, I find it necessary to
single out that kind of knowledge which is especially and distinctively
human. Hence, I pass by, in this part of my investigation, all the
knowledge, if it is to be so called, which man has in no other way
than brutes have it;—all that merely shows itself in action. For
though action may be modified by habit, and habit by experience, in
animals as well as in men, such experience, so long as it retains that
merely practical form, is no part of the materials of science.
Knowledge in a general form, is alone knowledge for that purpose;
and to that, therefore, I must confine my attention; at least till I
have made some progress in ascertaining its nature and laws, and
am thus prepared to compare such knowledge,—human knowledge
properly so called,—with mere animal tendencies to action; or even
with practical skill which does not include, as for the most part
practical skill does not include, speculative knowledge.
9. And thus, I accept Mr. Mill's definition of Induction only in its first
and largest form; and reject, as useless and mischievous for our
purposes, his extension of the term to the practical influence which
experience of one fact exercises upon a creature dealing with similar
facts. Such influence cannot be resolved into ideas and induction,
without, as I conceive, making all our subsequent investigation
vague and heterogeneous, indefinite and inconclusive. If we must
speak of animals as learning from experience, we may at least
abstain from applying to them terms which imply that they learn, in
the same way in which men learn astronomy from the stars, and
chemistry from the effects of mixture and heat. And the same may
be said of the language which is to be used concerning what men
learn, when their learning merely shows itself in action, and does
not exist as a general thought. Induction must not be applied to
such cases. Induction must be confined to cases where we have in
our minds general propositions, in order that the sciences, which are
our most instructive examples of the process we have to consider,
may be, in any definite and proper sense, Inductive Sciences.
10. Perhaps some persons may be inclined to say that this difference
of opinion, as to the extent of meaning which is to be given to the
term Induction, is a question merely of words; a matter of definition
only. This is a mode in which men in our time often seem inclined to
dispose of philosophical questions; thus evading the task of forming
an opinion upon such questions, while they retain the air of looking
at the subject from a more comprehensive point of view. But as I
have elsewhere said, such questions of definition are never
questions of definition merely. A proposition is always implied along
with the definition; and the truth of the proposition depends upon
the settlement of the definition. This is the case in the present
instance. We are speaking of Induction, and we mean that kind of
Induction by which the sciences now existing among men have been
constructed. On this account it is, that we cannot include, in the
meaning of the term, mere practical tendencies or practical habits;
for science is not constructed of these. No accumulation of these
would make up any of the acknowledged sciences. The elements of
such sciences are something of a kind different from practical habits.
The elements of such sciences are principles which we know; truths
which can be contemplated as being true. Practical habits, practical
skill, instincts and the like, appear in action, and in action only. Such
endowments or acquirements show themselves when the occasion
for action arrives, and then, show themselves in the act; without
being put, or being capable of being put, in the form of truths
contemplated by the intellect. But the elements and materials of
Science are necessary truths contemplated by the intellect. It is by
consisting of such elements and such materials, that Science is
Science. Hence a use of the term Induction which requires us to
obliterate this distinction, must make it impossible for us to arrive at
any consistent and intelligible view of the nature of Science, and of
the mental process by which Sciences come into being. We must, for
the purpose which Mr. Mill and I have in common, retain his larger
and more philosophical definition of Induction,—that it is the
inference of a more general proposition from less general ones.
11. Perhaps, again, some persons may say, that practical skill and
practical experience lead to science, and may therefore be included
in the term Induction, which describes the formation of science. But
to this we reply, that these things lead to science as occasions only,
and do not form part of science; and that science begins then only
when we look at the facts in a general point of view. This distinction
is essential to the philosophy of science. The rope-dancer may, by
his performances, suggest, to himself or to others, properties of the
center of gravity; but this is so, because man has a tendency to
speculate and to think of general truths, as well as a tendency to
dance on a rope on special occasions, and to acquire skill in such
dancing by practice. The rope-dancer does not dance by Induction,
any more than the dancing dog does. To apply the terms Science
and Induction to such cases, carries us into the regions of metaphor;
as when we call birds of passage "wise meteorologists," or the bee
"a natural chemist, who turns the flower-dust into honey." This is
very well in poetry: but for our purposes we must avoid recognizing
these cases as really belonging to the sciences of meteorology and
chemistry,—as really cases of Induction. Induction for us is general
propositions, contemplated as such, derived from particulars.
Science may result from experience and observation by Induction;
but Induction is not therefore the same thing as experience and
observation. Induction is experience or observation consciously
looked at in a general form. This consciousness and generality are
necessary parts of that knowledge which is science. And accordingly,
on the other hand, science cannot result from mere Instinct, as
distinguished from Reason; because Instinct by its nature is not
conscious and general, but operates blindly and unconsciously in
particular cases, the actor not seeing or thinking of the rule which he
obeys.
12. A little further on I shall endeavour to show that not only a
general thought, but a general word or phrase is a requisite element
in Induction. This doctrine, of course, still more decidedly excludes
the case of animals, and of mere practical knowledge in man. A
burnt child dreads the fire; but reason must be unfolded, before the
child learns to understand the words "fire will hurt you." The burnt
dog never thus learns to understand words. And this difference
points to an entirely different state of thought in the two cases: or
rather, to a difference between a state of rational thought on the one
hand, and of mere practical instinct on the other.
13. Besides this difference of speculative thought and practical
instinct which thus are, as appears to me, confounded in Mr. Mill's
philosophy, in such a way as tends to destroy all coherent views of
human knowledge, there is another set of cases to which Mr. Mill
applies the term Induction, and to which it appears to me to be
altogether inapplicable. He employs it to describe the mode in which
superstitious men, in ignorant ages, were led to the opinion that
striking natural events presaged or accompanied calamities. Thus he
says (i. 389), "The opinion so long prevalent that a comet or any
other unusual appearance in the heavenly regions was the precursor
of calamities to mankind, or at least to those who witnessed it; the
belief in the oracles of Delphi and Dodona; the reliance on astrology,
or on the weather-prophecies in almanacs; were doubtless
inductions supposed to be grounded on experience;" and he speaks
of these insufficient inductions being extinguished by the stronger
inductions subsequently obtained by scientific inquiry. And in like
manner, he says in another place (i. 367), "Let us now compare
different predictions: the first, that eclipses will occur whenever one
planet or satellite is so situated as to cast its shadow upon another:
the second, that they will occur whenever some great calamity is
impending over mankind."
14. Now I cannot see how anything but confusion can arise from
applying the term Induction to superstitious fancies like those here
mentioned. They are not imperfect truths, but entire falsehoods. Of
that, Mr. Mill and I are agreed: how then can they exemplify the
progress towards truth? They were not collected from the facts by
seeking a law of their occurrence; but were suggested by an
imagination of the anger of superior powers shown by such
deviations from the ordinary course of nature. If we are to speak of
inductions to any purpose, they must be such inductions as
represent the facts, in some degree at least. It is not meant, I
presume, that these opinions are in any degree true: to what
purpose then are they adduced? If I were to hold that my dreams
predict or conform to the motions of the stars or of the clouds,
would this be an induction? It would be so, as much one as those
here so denominated: yet what but confusion could arise from
classing it among scientific truths? Mr. Mill himself has explained (ii.
389) the way in which such delusions as the prophecies of almanac-
makers, and the like, obtain credence; namely, by the greater effect
which the positive instances produce on ordinary minds in
comparison with the negative, when the rule has once taken
possession of their thoughts. And this being, as he says, the
recognized explanation of such cases, why should we not leave them
to their due place, and not confound and perplex the whole of our
investigation by elevating them to the rank of "inductions"? The very
condemnation of such opinions is that they are not at all inductive.
When we have made any progress in our investigation of the nature
of science, to attempt to drive us back to the wearisome discussion
of such elementary points as these, is to make progress hopeless.
II. Induction or Description?—15. In the cases hitherto noticed, Mr.
Mill extends the term Induction, as I think, too widely, and applies it
to cases to which it is not rightly applicable. I have now to notice a
case of an opposite kind, in which he does not apply it where I do,
and condemns me for using it in such a case. I had spoken of
Kepler's discovery of the Law, that the planets move round the sun
in ellipses, as an example of Induction. The separate facts of any
planet (Mars, for instance,) being in certain places at certain times,
are all included in the general proposition which Kepler discovered,
that Mars describes an ellipse of a certain form and position. This
appears to me a very simple but a very distinct example of the
operation of discovering general propositions; general, that is, with
reference to particular facts; which operation Mr. Mill, as well as
myself, says is Induction. But Mr. Mill denies this operation in this
case to be Induction at all (i. 357). I should not have been prepared
for this denial by the previous parts of Mr. Mill's book, for he had
said just before (i. 350), "such facts as the magnitudes of the bodies
of the solar system, their distances from each other, the figure of the
earth and its rotation ... are proved indirectly, by the aid of
inductions founded on other facts which we can more easily reach."
If the figure of the earth and its rotation are proved by Induction, it
seems very strange, and is to me quite incomprehensible, how the
figure of the earth's orbit and its revolution (and of course, of the
figure of Mars's orbit and his revolution in like manner,) are not also
proved by Induction. No, says Mr. Mill, Kepler, in putting together a
number of places of the planet into one figure, only performed an
act of description. "This descriptive operation," he adds (i. 359), "Mr.
Whewell, by an aptly chosen expression, has termed Colligation of
Facts." He goes on to commend my observations concerning this
process, but says that, according to the old and received meaning of
the term, it is not Induction at all.
16. Now I have already shown that Mr. Mill himself, a few pages
earlier, had applied the term Induction to cases undistinguishable
from this in any essential circumstance. And even in this case, he
allows that Kepler did really perform an act of Induction (i. 358),
"namely, in concluding that, because the observed places of Mars
were correctly represented by points in an imaginary ellipse,
therefore Mars would continue to revolve in that same ellipse; and
even in concluding that the position of the planet during the time
which had intervened between the two observations must have
coincided with the intermediate points of the curve." Of course, in
Kepler's Induction, of which I speak, I include all this; all this is
included in speaking of the orbit of Mars: a continuous line, a
periodical motion, are implied in the term orbit. I am unable to see
what would remain of Kepler's discovery, if we take from it these
conditions. It would not only not be an induction, but it would not be
a description, for it would not recognize that Mars moved in an orbit.
Are particular positions to be conceived as points in a curve, without
thinking of the intermediate positions as belonging to the same
curve? If so, there is no law at all, and the facts are not bound
together by any intelligible tie.
In another place (ii. 209) Mr. Mill returns to his distinction of
Description and Induction; but without throwing any additional light
upon it, so far as I can see.
17. The only meaning which I can discover in this attempted
distinction of Description and Induction is, that when particular facts
are bound together by their relation in space, Mr. Mill calls the
discovery of the connexion Description, but when they are
connected by other general relations, as time, cause and the like, Mr.
Mill terms the discovery of the connexion Induction. And this way of
making a distinction, would fall in with the doctrine of other parts of
Mr. Mill's book, in which he ascribes very peculiar attributes to space
and its relations, in comparison with other Ideas, (as I should call
them). But I cannot see any ground for this distinction, of connexion
according to space and other connexions of facts.
To stand upon such a distinction, appears to me to be the way to
miss the general laws of the formation of science. For example: The
ancients discovered that the planets revolved in recurring periods,
and thus connected the observations of their motions according to
the Idea of Time. Kepler discovered that they revolved in ellipses,
and thus connected the observations according to the Idea of Space.
Newton discovered that they revolved in virtue of the Sun's
attraction, and thus connected the motions according to the Idea of
Force. The first and third of these discoveries are recognized on all
hands as processes of Induction. Why is the second to be called by a
different name? or what but confusion and perplexity can arise from
refusing to class it with the other two? It is, you say, Description. But
such Description is a kind of Induction, and must be spoken of as
Induction, if we are to speak of Induction as the process by which
Science is formed: for the three steps are all, the second in the same
sense as the first and third, in co-ordination with them, steps in the
formation of astronomical science.
18. But, says Mr. Mill (i. 363), "it is a fact surely that the planet does
describe an ellipse, and a fact which we could see if we had
adequate visual organs and a suitable position." To this I should
reply: "Let it be so; and it is a fact, surely, that the planet does move
periodically: it is a fact, surely, that the planet is attracted by the
sun. Still, therefore, the asserted distinction fails to find a ground."
Perhaps Mr. Mill would remind us that the elliptical form of the orbit
is a fact which we could see if we had adequate visual organs and a
suitable position: but that force is a thing which we cannot see. But
this distinction also will not bear handling. Can we not see a tree
blown down by a storm, or a rock blown up by gunpowder? Do we
not here see force:—see it, that is, by its effects, the only way in
which we need to see it in the case of a planet, for the purposes of
our argument? Are not such operations of force, Facts which may be
the objects of sense? and is not the operation of the sun's Force a
Fact of the same kind, just as much as the elliptical form of orbit
which results from the action? If the latter be "surely a Fact," the
former is a Fact no less surely.
19. In truth, as I have repeatedly had occasion to remark, all
attempts to frame an argument by the exclusive or emphatic
appropriation of the term Fact to particular cases, are necessarily
illusory and inconclusive. There is no definite and stable distinction
between Facts and Theories; Facts and Laws; Facts and Inductions.
Inductions, Laws, Theories, which are true, are Facts. Facts involve
Inductions. It is a fact that the moon is attracted by the earth, just
as much as it is a Fact that an apple falls from a tree. That the
former fact is collected by a more distinct and conscious Induction,
does not make it the less a Fact. That the orbit of Mars is a Fact—a
true Description of the path—does not make it the less a case of
Induction.
20. There is another argument which Mr. Mill employs in order to
show that there is a difference between mere colligation which is
description, and induction in the more proper sense of the term. He
notices with commendation a remark which I had made (i. 364), that
at different stages of the progress of science the facts had been
successfully connected by means of very different conceptions, while
yet the later conceptions have not contradicted, but included, so far
as they were true, the earlier: thus the ancient Greek representation
of the motions of the planets by means of epicycles and eccentrics,
was to a certain degree of accuracy true, and is not negatived,
though superseded, by the modern representation of the planets as
describing ellipses round the sun. And he then reasons that this,
which is thus true of Descriptions, cannot be true of Inductions. He
says (i. 367), "Different descriptions therefore may be all true: but
surely not different explanations." He then notices the various
explanations of the motions of the planets—the ancient doctrine that
they are moved by an inherent virtue; the Cartesian doctrine that
they are moved by impulse and by vortices; the Newtonian doctrine
that they are governed by a central force; and he adds, "Can it be
said of these, as was said of the different descriptions, that they are
all true as far as they go? Is it not true that one only can be true in
any degree, and that the other two must be altogether false?"
21. And to this questioning, the history of science compels me to
reply very distinctly and positively, in the way which Mr. Mill appears
to think extravagant and absurd. I am obliged to say, Undoubtedly,
all these explanations may be true and consistent with each other,
and would be so if each had been followed out so as to show in
what manner it could be made consistent with the facts. And this
was, in reality, in a great measure done[267]. The doctrine that the
heavenly bodies were moved by vortices was successively modified,
so that it came to coincide in its results with the doctrine of an
inverse-quadratic centripetal force, as I have remarked in the
History[268]. When this point was reached, the vortex was merely a
machinery, well or ill devised, for producing such a centripetal force,
and therefore did not contradict the doctrine of a centripetal force.
Newton himself does not appear to have been averse to explaining
gravity by impulse. So little is it true that if the one theory be true
the other must be false. The attempt to explain gravity by the