Trnka Peter
Department of Philosophy, Memorial University of Newfoundland, St. John's, Canada.
J Med Philos. 2003 Aug;28(4):427-46. doi: 10.1076/jmep.28.4.427.15966.
Theories of health and disease which oppose evaluative and descriptive claims or opt for one or the other in defining fundamental concepts err, it is argued, due to an oversimplified conception of both the science of medicine and the art of clinical judgment. The work of Georges Canguilhem on the biological dimensions of value and subjectivity is explored. I conclude that he avoids the falsehoods of (a) neutral, pure fact-based medical science, and (b) cultural, arbitrary notions of value.
有人认为，那些反对评价性和描述性主张，或者在定义基本概念时选择其中之一的健康与疾病理论是错误的，原因在于对医学科学和临床判断艺术的概念都过于简化。本文探讨了乔治·康吉莱姆关于价值和主观性的生物学维度的著作。我的结论是，他避免了（a）中立的、基于纯粹事实的医学科学以及（b）文化的、任意的价值观念的错误。
