Almeida Filho Naomar de
Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2010 Dec;26(12):2234-49. doi: 10.1590/s0102-311x2010001200003.
In Brazil, there appears to be no doubt concerning the evils caused by Abraham Flexner, his Report, and the Flexnerian Biomedical Model (FBM), conceived and promoted by private foundations and linked to the U.S. health-industrial complex. In this article, I submit the above proposition to a rigorous critical inquiry. I begin with an overview of Flexner's life and work. I then review various representations of the Flexnerian model in the Brazilian literature on health education, after which I identify inconsistencies, contradictions, and omissions by comparing the original Report to elements referring to the FBM. Finally, contrasting historical sources and imaginary representations, I analyze possibilities for interpreting the FBM as an intriguing and peculiar political mythology.
在巴西，亚伯拉罕·弗莱克斯纳、他的《报告》以及由私人基金会构想并推广且与美国健康产业联合体相关联的弗莱克斯纳生物医学模式（FBM）所造成的危害似乎毋庸置疑。在本文中，我将上述观点置于严格的批判性审视之下。我首先概述弗莱克斯纳的生平与著作。接着，我回顾巴西健康教育文献中对弗莱克斯纳模式的各种表述，之后通过将原始《报告》与提及FBM的内容进行比较，找出其中的不一致、矛盾及疏漏之处。最后，对比历史资料与虚构表述，我分析将FBM解读为一种引人入胜且奇特的政治神话的可能性。
