Weber Jean-Christophe
Institut de Recherches Interdisciplinaires sur les Sciences et la Technologie, Strasbourg University, Strasbourg, France.
Med Health Care Philos. 2012 May;15(2):153-64. doi: 10.1007/s11019-011-9338-8.
It is time to challenge the issue of pleasure associated with the core of medical practice. Its importance is made clear through its opposite: unhappiness--something which affects doctors in a rather worrying way. The paper aims to provide a discussion on pleasure on reliable grounds. Plato's conception of techne is a convenient model that offers insights into the unique practice of medicine, which embraces in a single purposive action several heterogeneous dimensions. In Aristotle's Ethics, pleasure appears to play a central role for action's assessment and intensification. Pleasure is also tightly associated with the Kantian faculty of reflective judgment, which operates at the heart of clinical reasoning. Indeed, practicing medicine means to deal with the particular and the manifold, requiring clinical judgment, but also relying on embodied habitus. With Bourdieu's notion of habitus, pleasure is the mark of a happy practice, which presupposes a deep involvement in one's field. Throughout our inquiry, the question of pleasure comes to offer a critical reappraisal of real medical practice and leads to consider ethics more as a component of techne than as a separate realm of concern.
是时候挑战与医学实践核心相关的愉悦问题了。通过其对立面——不快乐（一种以相当令人担忧的方式影响医生的状态），其重要性得以彰显。本文旨在在可靠的基础上对愉悦展开讨论。柏拉图的技艺概念是一个便利的模型，能为独特的医学实践提供洞见，这种实践在一个有目的的行动中涵盖了几个不同的维度。在亚里士多德的《伦理学》中，愉悦似乎在行动的评估和强化中扮演着核心角色。愉悦还与康德的反思判断力紧密相关，而反思判断力在临床推理的核心发挥作用。的确，行医意味着应对具体和多样的情况，既需要临床判断力，也依赖于具身化的习性。根据布迪厄的习性概念，愉悦是一种愉快实践的标志，这预设了对自身领域的深度投入。在我们的整个探究过程中，愉悦问题促使我们对实际的医学实践进行批判性的重新审视，并使我们更多地将伦理学视为技艺的一个组成部分，而非一个单独的关注领域。
