Chambers T
Medical Ethics and Humanities Program, Northwestern University, Chicago, IL 60611, USA.
Theor Med Bioeth. 2001;22(2):123-34. doi: 10.1023/a:1011430008966.
This article argues for the importance of theoretical reflections that originate from patients' experiences. Traditionally academic philosophers have linked their ability to theorize about the moral basis of medical practice to their role as outside observer. The author contends that recently a new type of reflection has come from within particular patient populations. Drawing upon a distinction created by Antonio Gramsci, it is argued that one can distinguish the theory generated by traditional bioethicists, who are academically trained, from that of "organic" bioethicists, who identify themselves with a particular patient community. The characteristics of this new type of bioethicist that are explored in this article include a close association of memoir and philosophy, an interrelationship of theory and praxis, and an intimate connection between the individual and a particular patient community.
本文论证了源于患者经历的理论思考的重要性。传统上，学术哲学家将他们对医疗实践道德基础进行理论化的能力与他们作为外部观察者的角色联系起来。作者认为，最近一种新型的思考来自特定的患者群体内部。借鉴安东尼奥·葛兰西所做的区分，有人认为，可以将受过学术训练的传统生物伦理学家所产生的理论与认同特定患者群体的“有机”生物伦理学家的理论区分开来。本文探讨的这种新型生物伦理学家的特点包括回忆录与哲学的紧密结合、理论与实践的相互关系，以及个人与特定患者群体之间的密切联系。
