Koch T
Hospital for Sick Children, Toronto, Canada.
J Med Ethics. 2001 Dec;27(6):370-6. doi: 10.1136/jme.27.6.370.
The world of disability theory is currently divided between those who insist it reflects a physical fact affecting life quality and those who believe disability is defined by social prejudice. Despite a dialogue spanning bioethical, medical and social scientific literatures the differences between opposing views remains persistent. The result is similar to a figure-ground paradox in which one can see only part of a picture at any moment. This paper attempts to find areas of commonality between the opposing camps, and thus to rearrange the figures of the paradox at a fundamental level. The purpose is first to identify areas in which common ground can be achieved, and secondarily, to clarify the areas in which disagreement continues. While a general and unified theory of physical difference/disability is beyond the scope of this paper the result may advance that general goal.
当前,残疾理论界存在分歧,一方坚称残疾反映了影响生活质量的身体事实,另一方则认为残疾是由社会偏见所定义。尽管生物伦理学、医学和社会科学文献之间展开了对话,但对立观点之间的差异依然存在。其结果类似于一种图形与背景的悖论,即在任何时刻人们只能看到图片的一部分。本文试图找出对立阵营之间的共同点,从而在根本层面上重新排列这一悖论中的图形。目的一是确定能够达成共识的领域,二是厘清仍存在分歧的领域。虽然构建一个关于身体差异/残疾的通用统一理论并非本文所能企及,但研究结果或许有助于推动这一总体目标的实现。