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When I say … essentially contested concept

Bowker, Matthew and Atkinson, Michael (2026) When I say … essentially contested concept. Medical education. pp. 1-3. ISSN 1365-2923

Item Type: Article

Abstract

1 INTRODUCTION
Imagine a championship with no scoreboard. Teams compete, but victory is not decided by points. It's judged by “playing the game best.” Each team has developed its own distinctive style, and each faction of supporters insists that their team embodies what the game truly is.

They argue with evidence and passion. They rarely converge.

The philosopher W.B. Gallie invented this strange thought experiment in 1956 to illustrate the “essentially contested concept”.1 Now consider a curriculum committee debating “integration,” an accreditation body defining “competence,” or a faculty meeting on “professionalism.”

We argue with evidence and passion. We rarely converge.

2 WHAT MAKES A CONCEPT ESSENTIALLY CONTESTED?

Gallie challenged a common assumption. We tend to treat conceptual disagreement as a problem to be solved with sharper definitions or better data. He argued that for certain concepts, disagreement is a defining feature, not a defect. The endless dispute over proper use is what the concept is.

Not every contested concept qualifies. Gallie specified criteria. The concept must carry value; it has to matter, to have stakes. It must be complex enough that reasonable people can weight its components differently. It must stay open to revision. And disputants must share an original exemplar (a common ancestor each claims to represent truly) while knowing they disagree.

This is why an essentially contested concept differs from a vague or confused one. Precision cures vagueness; analysis resolves confusion. But essential contestation is structural: to legislate a single correct definition does not clarify the concept; it impoverishes it, stripping away the normative richness that made it matter.

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More Information

Uncontrolled Keywords: essentially contested concept
Depositing User: Michael Atkinson

Identifiers

Item ID: 20629
Identification Number: 10.1111/medu.70291
ISSN: 1365-2923
URI: https://sure.sunderland.ac.uk/id/eprint/20629
Official URL: https://asmepublications.onlinelibrary.wiley.com/d...

Users with ORCIDS

ORCID for Matthew Bowker: ORCID iD orcid.org/0000-0003-4277-0700
ORCID for Michael Atkinson: ORCID iD orcid.org/0000-0003-0009-9234

Catalogue record

Date Deposited: 17 Aug 2026 08:29
Last Modified: 17 Aug 2026 08:29

Contributors

Author: Matthew Bowker ORCID iD
Author: Michael Atkinson ORCID iD
Author: Matthew Bowker
Author: Michael Atkinson

University Divisions

Faculty of Health Sciences and Wellbeing > School of Medicine

Subjects

Sciences > Health Sciences
Education > Higher Education

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