Solomon Miriam
Department of Philosophy, Temple University, Philadelphia, PA 19122, USA.
Perspect Biol Med. 2008 Summer;51(3):406-17. doi: 10.1353/pbm.0.0038.
This article challenges the widespread view that there is both a science and an art of medicine. Through examination of recent work in medical humanities --Jodi Halpern's From Detached Concern to Empathy (2001), Kathryn Montgomery's How Doctors Think (2006), and Rita Charon's Narrative Medicine (2006)--I argue that while a variety of epistemic techniques are important in medicine, it is not helpful to dichotomize them as "science" versus "art." I assess the epistemic strengths and weaknesses of narrative medicine, a recent exemplar of humanistic medicine.
本文对医学存在科学与艺术这一广泛观点提出了质疑。通过审视医学人文学科的近期著作——乔迪·哈尔彭的《从冷漠关注到同理心》(2001年)、凯瑟琳·蒙哥马利的《医生如何思考》(2006年)以及丽塔·查伦的《叙事医学》(2006年)——我认为,虽然多种认知技术在医学中很重要,但将它们区分为“科学”与“艺术”并无助益。我评估了叙事医学这一人文医学近期典范的认知优势与劣势。