@memester,
memester;110235 wrote:now you're talking. and you say that whatever you put forward is the right one - no matter if you are confined to the ward and tied to the wall. Your stated purpose for whatever you do, is it ?
All tied to context, my friend. For the sake of argument, I'll implore you to accept that my PURPOSES for an individual patient have to do with my good faith interpretation of what's making them ill and what will make them better, whether that's giving more fluids, giving less fluids, or not being prescriptive and letting them do what they want.
memester;110235 wrote:If I say it's only a sensation-quenching drink everytime, then I do not have to admit that it's ever for survival.
Don't confuse your conscious intention (or purpose) with other ramifications. Your purpose is what you consciously realize it to be -- whether it's healthy or self-destructive.
memester;110235 wrote:I can say that I can logically prescribe a diuretic, then that means something about the purpose of "drinking water".
I'm sorry, I cannot follow that logic.
Because diuretics are an antidote for excess volume. People with excess volume due to heart failure, kidney failure, liver failure, and a few other conditions need to be treated with a combination of fluid restriction and diuretics. They're two ends of the same intermediate, which is total body water (and sodium... see next paragraph).
(I'm oversimplifying a lot here, because I'm leaving out the role that particularly sodium, but also renin, angiotensin, aldosterone, and ADH play in this, but we're not really talking about physiology anyway. I have a patient that I saw literally 10 minutes ago who is a new dialysis patient -- we were using a lot of diuretics to get her leg swelling and lung edema to improve, and then we discovered that she'd been covertly pounding down glasses of water, as in liters more than she should have been; so her behavior was actually deleterious to health and survival)
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memester;110235 wrote:Might a strictly intended slap on your own thigh not be a subconscious threat gesture to others at the table ? or even a means of channeling aggression or frustration more safely than to do so overtly?
Freud might argue that we are not always conscious of our purposes. But I'd submit that they cannot be said to be our purposes until we become aware of them.
memester;110235 wrote:IOW, I disagree that; all other purposes possible, are to be negated by the one supposed purpose, which a person articulates (as the truth as he sees it).
Fair enough. I may be overstating my cases a little, but I stand by my contention that physiologic and subconscious behaviors cannot be described as fulfilling purposes. Purpose is absolutely tied to
intentionality.