医学哲学中的健康与疾病/病症类别:生物医学模式与人文模式

O. Gilyazova
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摘要

从医学哲学的角度对健康和疾病的范畴进行了概念化。揭示了哲学上的矛盾,这些矛盾加剧了自然主义和规范主义之间的争论,使生物医学无法对这些范畴形成单一的令人满意的理解。文章分析了病理中心主义、将健康与完全福祉相提并论、在缺乏明确区分标准的情况下将健康与疾病二分法等生物医学特征的理论和实践后果。研究了人文主义方法在医学再人性化方面的作用,重点关注其对健康和疾病/病痛的平衡观点,并关注人性的根本脆弱性。
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Categories of health and disease/illness in the philosophy of medicine: biomedical and humanistic models
The categories of health and disease/illness are conceptualized from the perspective of the philosophy of medicine. Philosophical contradictions are revealed, which, fueling the debate between naturalism and normativism, prevent biomedicine from developing a single satisfactory understanding of these categories. The theoretical and practical consequences of such biomedicine features as pathocentrism, identification of health with complete well-being, dichotomy of health and disease in the absence of a clear criterion for their differentiation are analyzed. The role of humanistic approaches to the medicine rehumanization is investigated with a focus on their balanced view of health and disease/illness, attentive to the fundamental vulnerability of human nature.
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