Evans M
Centre for Philosophy and Health Care, School of Health Science, University of Wales Swansea, UK.
Theor Med Bioeth. 2001;22(1):17-32. doi: 10.1023/a:1009980506786.
Medicine, as Byron Good argues, reconstitutes the human body of our daily experience as a "medical body," unfamiliar outside medicine. This reconstitution can be seen in two ways: (i) as a salutary reminder of the extent to which the reality even of the human body is constructed; and (ii) as an arena for what Stephen Toulmin distinguishes as the "intersection" of natural science and history, in which many of philosophy's traditional (and traditionally abstract) questions are given concrete and urgent form. This paper begins by examining a number of dualities between the medical body and the body familiar in daily experience. Toulmin's epistemological analysis of clinical medicine as combining both universal and existential knowledge is then considered. Their expression, in terms of attention, respectively, to natural science and to personal history, is explored through the epistemological contrasts between the medical body and the familiar body, noting the traditional philosophical questions which they in turn illustrate.
正如拜伦·古德所主张的,医学将我们日常经验中的人体重构为一个“医学身体”,这在医学之外并不为人所熟知。这种重构可以从两个方面来看:(i)作为一种有益的提醒,让我们认识到即使是人体的现实也是在一定程度上被构建出来的;(ii)作为斯蒂芬·图尔敏所区分的自然科学与历史“交叉点”的一个领域,在这个领域中,许多哲学的传统(以及传统上抽象的)问题以具体且紧迫的形式呈现出来。本文首先考察医学身体与日常经验中熟悉的身体之间的一些二元性。接着会考虑图尔敏对临床医学作为兼具普遍知识与存在知识的认识论分析。通过医学身体与熟悉身体之间的认识论对比,探究它们在分别关注自然科学和个人历史方面的表现,并指出它们依次所阐明的传统哲学问题。