Schrecker T, Acosta L, Somerville M A, Bursztajn H J
McGill Centre for Medicine, Ethics and Law, Montréal, Québec, Canada.
Soc Sci Med. 2001 Jun;52(11):1677-87. doi: 10.1016/s0277-9536(00)00281-1.
In keeping with our transdisciplinary orientation, in this article we try to do several things at once. We address research on preventing mental illness and its relation to existing conceptions of public health, a topic to which insufficient attention has been paid in the era of the biological brain, while using this case study to illustrate the limits of conventional approaches in bioethics. After identifying the crucial need for methodological self-consciousness in prevention research and policy, we explore the implications as they relate to (i) the values embedded in the choice of research designs and strategies, and (ii) contrasting intellectual starting points regarding the biological plausibility of preventing mental illness. We then draw attention to the need for more thoughtful analysis of the appropriate role and limits of economics in making choices about prevention of mental illness.
秉承我们的跨学科导向,在本文中我们试图同时开展多项工作。我们探讨预防精神疾病的研究及其与公共卫生现有概念的关系,在生物大脑时代,这个话题一直未得到足够的关注,同时我们用这个案例研究来说明生物伦理学中传统方法的局限性。在确定预防研究和政策中对方法自觉的迫切需求之后,我们探讨了其与以下方面相关的影响:(i)研究设计和策略选择中所蕴含的价值观,以及(ii)关于预防精神疾病生物学合理性的不同学术出发点。然后我们提请注意,在做出预防精神疾病的选择时,需要对经济学的适当作用和局限性进行更深入的分析。