Hunt G
Centre for the Study of Philosophy and Health Care, University College of Swansea, Wales, Great Britain.
Theor Med. 1990 Mar;11(1):61-78. doi: 10.1007/BF00489239.
The paper attempts to account for the confusion over the validity of the concept of 'schizophrenia' in terms of two closely related aspects of conceptual indeterminacy. Firstly, it is identified on the basis of a breakdown in intelligibility, but what constitutes such a breakdown is indeterminate. Secondly, the concept sits between the categories of natural disease or illness on the one hand, and character trait or moral failing or gift on the other. This entails an indeterminacy in attempting to define the role that physiological explanation could have. Light may be thrown on the concept by exploring a distinction between a life story in which the schizophrenic condition emerges as the conclusion of the story and a causal process in which the condition is the end result or final consequence.
本文试图从概念不确定性的两个密切相关方面来解释对“精神分裂症”概念有效性的困惑。首先，它是基于可理解性的崩溃而确定的，但构成这种崩溃的因素是不确定的。其次，这个概念一方面介于自然疾病或病症的类别之间，另一方面介于性格特征、道德缺陷或天赋的类别之间。这就导致在试图界定生理学解释可能发挥的作用时存在不确定性。通过探究精神分裂症状况作为故事结论出现的人生故事与该状况作为最终结果或最终后果的因果过程之间的区别，可能会对这个概念有所启发。
