an ontological analysis of the notion of treatment
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An Ontological Analysis of the Notion of Treatment Paul Johannesson and Erik Perjons, Stockholm University The Purposes of Treatments Treatments are used to improve, maintain, Medical treatments are often divided into restore or cure some


  1. An Ontological Analysis of the Notion of Treatment Paul Johannesson and Erik Perjons, Stockholm University

  2. The Purposes of Treatments Treatments are used to improve, maintain, Medical treatments are often divided into restore or cure some object that is, or can Curative treatments — aim to cure an ➢ become, malfunctioning illness Palliative treatments — aim to relieve ➢ symptoms from an illness Preventive treatments — aim to prevent ➢ the onset of an illness

  3. Challenges in Modelling Treatments Treatments evolve over time ➢ ○ A past life history, a present, and a future life to be unfolded Treatments have a normative aspect ➢ A treatment can be viewed as an agreement, and such an ○ agreement can have been, more or less, fulfilled by the life history of the treatment

  4. Challenges in Modelling Treatments Treatments evolve over time ➢ ○ A past life history, a present, and a future life to be unfolded Treatments have a normative aspect ➢ A treatment can be viewed as an agreement, and such an ○ agreement can have been, more or less, fulfilled by the life history of the treatment Treatments can be expressed with varying specificity ➢ The level of specificity influences how to determine ○ whether a treatment agreement has been fulfilled Treatments can be divided into subtreatments ➢

  5. Challenges in Modelling Treatments Treatments evolve over time ➢ ○ A past life history, a present, and a future life to be unfolded Treatments have a normative aspect ➢ A treatment can be viewed as an agreement, and such an ○ agreement can have been, more or less, fulfilled by the life history of the treatment Is a treatment an entity, a Treatments can be expressed with varying specificity ➢ relationship or The level of specificity influences how to determine ○ an event, or all whether a treatment agreement has been fulfilled of these? Treatments can be divided into subtreatments ➢

  6. A Fragment of UFO

  7. A Fragment of UFO An endurant is an individual that is wholly present whenever it is present, e.g. a mountain or a car

  8. A Fragment of UFO An endurant is an individual that is wholly present An event is made up of whenever it is temporal parts, which present, e.g. a are not all present mountain or a car whenever the event is present, e.g. a business process or an election campaign

  9. A Fragment of UFO A moment is an endurant that inheres in other individuals, meaning that it is existentially- dependent on its bearers, e.g., the smile of a person or the marriage between two spouses A substantial is an existentially- independent endurant, e.g. a tree or a person

  10. A Fragment of UFO A moment is an endurant that inheres in other individuals, meaning that it is existentially- dependent on its bearers, e.g., the smile of a person or the marriage between two spouses A substantial is an existentially- independent endurant, e.g. a tree or a person An relator is An intrinsic dependent on moment is several dependent on a endurants, e.g. single endurant, an employment e.g. the colour of a car

  11. Endurants vs Events Characteristics of endurants They can have both essential and accidental properties ➢ They can change while keeping their identity ➢ They can be the subject of counterfactual reasoning ➢

  12. Endurants vs Events Characteristics of endurants They can have both essential and accidental properties ➢ They can change while keeping their identity ➢ They can be the subject of counterfactual reasoning ➢ But could not this be true also of events?

  13. Endurants vs Events “Can events genuinely change their properties while remaining the same? Can an event be the bearer of modal properties? In particular, can an event exhibit properties contingently? Can an event be different from what it is?” Guarino, N. and Guizzardi, G., 2016, November. Relationships and events: towards a general theory of reification and truthmaking. In Conference of the Italian Association for Artificial Intelligence (pp. 237-249). Springer, Cham.

  14. Endurants vs Events “Can events genuinely change their properties Could we say that: while remaining the same? Can an event be This marriage is happy ➢ the bearer of modal properties? In particular, This marriage was unhappy but is happy ➢ now can an event exhibit properties contingently? This marriage is happy but it could have ➢ Can an event be different from what it is?” been unhappy Guarino, N. and Guizzardi, G., 2016, November. Relationships and events: towards a general theory of reification and truthmaking. In Conference of the Italian Association for Artificial Intelligence (pp. 237-249). Springer, Cham.

  15. Events Depend on Endurants

  16. Events Depend on Endurants Events occur in the life of the Endurant An Endurant is created by a Creation Event

  17. Events Depend on Endurants All these events Events occur in the are aggregated life of the Endurant into the Current Life of the Endurant An Endurant is created by a Creation Event The Endurant has a Final Life where no more events occur, e.g. a deceased person or a cured disease

  18. Endurants vs Events “Can events genuinely change their properties Could we say that: while remaining the same? Can an event be This marriage is happy ➢ the bearer of modal properties? In particular, This marriage was unhappy but is happy ➢ now can an event exhibit properties contingently? This marriage is happy but it could have ➢ Can an event be different from what it is?” been unhappy Guarino, N. and Guizzardi, G., 2016, November. Relationships and events: towards a general theory of reification and truthmaking. In Conference of the Italian Association for Artificial Intelligence (pp. 237-249). Springer, Cham. A Modelling Pattern for Treatments

  19. Endurants vs Events “Can events genuinely change their properties Could we say that: while remaining the same? Can an event be This marriage is happy ➢ the bearer of modal properties? In particular, This marriage was unhappy but is happy ➢ now can an event exhibit properties contingently? This marriage is happy but it could have ➢ Can an event be different from what it is?” been unhappy Guarino, N. and Guizzardi, G., 2016, November. Relationships and events: towards a general theory of reification and truthmaking. In Conference of the Italian Association for Artificial Intelligence (pp. 237-249). Springer, Cham. A Modelling Pattern for Treatments

  20. Endurants vs Events “Can events genuinely change their properties Could we say that: while remaining the same? Can an event be This marriage is happy ➢ the bearer of modal properties? In particular, This marriage was unhappy but is happy ➢ now can an event exhibit properties contingently? This marriage is happy but it could have ➢ Can an event be different from what it is?” been unhappy A Treatment Regimen is an agreement for a treatment, Guarino, N. and Guizzardi, G., 2016, November. Relationships including commitments for performing specific actions as and events: towards a general theory of reification and well as effects that these truthmaking. In Conference of the Italian Association for Artificial actions are expected to produce. Intelligence (pp. 237-249). Springer, Cham. Take medication twice a day --> infection cured A Modelling Pattern for Treatments

  21. Endurants vs Events Creation “Can events genuinely change their properties Could we say that: Event while remaining the same? Can an event be Event in the This marriage is happy ➢ life of the the bearer of modal properties? In particular, This marriage was unhappy but is happy ➢ treatment now can an event exhibit properties contingently? This marriage is happy but it could have ➢ Can an event be different from what it is?” been unhappy A Treatment Regimen is an agreement for a treatment, Guarino, N. and Guizzardi, G., 2016, November. Relationships including commitments for performing specific actions as and events: towards a general theory of reification and well as effects that these truthmaking. In Conference of the Italian Association for Artificial actions are expected to produce. Intelligence (pp. 237-249). Springer, Cham. Take medication twice a day Current Life --> infection cured of the treatment A Modelling Pattern for Treatments

  22. Endurants vs Events Creation “Can events genuinely change their properties Could we say that: Event while remaining the same? Can an event be Event in the This marriage is happy ➢ life of the Future Event the bearer of modal properties? In particular, This marriage was unhappy but is happy ➢ treatment in the life of the treatment now can an event exhibit properties contingently? This marriage is happy but it could have ➢ Can an event be different from what it is?” been unhappy A Treatment Regimen is an agreement for a treatment, Guarino, N. and Guizzardi, G., 2016, November. Relationships including commitments for performing specific actions as and events: towards a general theory of reification and well as effects that these truthmaking. In Conference of the Italian Association for Artificial actions are expected to produce. Intelligence (pp. 237-249). Springer, Cham. Take medication twice a day Future Life of Current Life --> infection cured the treatment of the treatment A Modelling Pattern for Treatments

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