Lingiardi V, Grieco A
Dipartimento di Psicologia, Facoltà di Psicologia, Università La Sapienza, Roma, Italy.
Theor Med Bioeth. 1999 Sep;20(5):413-22. doi: 10.1023/a:1009929001467.
Taking as our starting point Plato's metaphor of the doctor as philosopher we reflect on some aspects of the epistemological status of medicine. The framework to this paper is the hermeneutics of Hans-Georg Gadamer which shows the paradoxical nature of Western medicine in choosing the body-object as its investigative starting point, while in actual fact dealing with subjects. Gadamer proposes a model of medicine as the art of understanding and dialogue, which is capable of bringing together its various constituent parts, i.e. knowledge, knowing how to do and knowing how to be, in medical practice and in the physician's training. The paper concludes with a brief discussion of the dyadic figure of the physician as Platonic "master of the living totality" and wounded healer, capable of activating the patient's self-healing capacity.
以柏拉图将医生比作哲学家的隐喻为出发点,我们思考了医学认识论地位的一些方面。本文的框架是汉斯 - 格奥尔格·伽达默尔的诠释学,它揭示了西医在选择身体客体作为其研究起点时的矛盾本质,而实际上西医是在与主体打交道。伽达默尔提出了一种医学模式,即理解与对话的艺术,这种艺术能够在医疗实践和医生培训中将医学的各个组成部分,即知识、知道如何去做和知道如何成为,汇聚在一起。本文最后简要讨论了医生作为柏拉图式的“生命整体的主人”和受伤治愈者的二元形象,这种形象能够激活患者的自我治愈能力。