Department of Medicine, Center for Bioethics, Columbia University, College of Physicians and Surgeons, New York, NY 10032, USA.
J Eval Clin Pract. 2011 Oct;17(5):847-51. doi: 10.1111/j.1365-2753.2011.01714.x. Epub 2011 Aug 11.
One's understanding of medical progress - what it is, how it is pursued and how it is assessed - may be deeply dependent on one's understanding of the metaphysics of medicine, and of diseases in particular.
In this paper I present a new account of the nature of diseases, neither realist nor constructivist, and describe what progress in medicine looks like if we understand diseases in this way.
This new account, Constructive Realism, may provide a better account of medicine than either realism or constructivism.
一个人对医学进步的理解——它是什么，如何追求以及如何评估——可能深深依赖于其对医学形而上学，尤其是对疾病的理解。
在本文中，我提出了一种新的疾病本质的解释，既不是实在论也不是建构论，并描述了如果我们以这种方式理解疾病，医学进步会是什么样子。
这种新的解释——建设性实在论，可能比实在论或建构论提供了一个更好的医学解释。
