Nordenfelt L
Department of Health and Society, Linköping University, Linköping, Sweden.
J Med Philos. 2000 Oct;25(5):639-49. doi: 10.1076/0360-5310(200010)25:5;1-W;FT639.
This commentary on Sadegh-Zadeh's article 'Fuzzy health, illness and disease,' has its focus on the philosophical background for applying fuzzy logic to medical theory. I concentrate on four issues. First, I contest some of Sadegh-Zadeh's statements on the present state of the theory of medicine, in particular with regard to assumptions ascribed to contemporary theorists. Second, I consider Sadegh-Zadeh's interesting idea that a person can have a disease to varying degrees, from not having it at all to having it completely. I argue that there are difficulties pertaining to the definition of particular diseases, which obstruct the application of this idea. The following two points concern medical semantics and principles for definition in general. I take issue with Sadegh-Zadeh's description of the correct procedure for definition. I also contest his unconditional proposal for a social definition of health, illness and disease.
这篇对萨德戈 - 扎德赫《模糊健康、疾病与病患》一文的评论聚焦于将模糊逻辑应用于医学理论的哲学背景。我关注四个问题。首先，我对萨德戈 - 扎德赫关于医学理论现状的一些表述提出质疑，尤其是关于归属于当代理论家的假设方面。其次，我思考萨德戈 - 扎德赫那个有趣的观点，即一个人可以在不同程度上患有某种疾病，从完全没有患病到完全患病。我认为在特定疾病的定义方面存在困难，这阻碍了这一观点的应用。接下来的两点涉及医学语义学和一般的定义原则。我对萨德戈 - 扎德赫对正确定义程序的描述提出异议。我也对他无条件提出的关于健康、疾病与病患的社会定义提议表示反对。
