Plutynski Anya
University of Utah, Department of Philosophy, 215 S. Central Campus Dr., 402 CTIHB, Salt Lake City, UT 84112, United States.
Stud Hist Philos Biol Biomed Sci. 2013 Dec;44(4 Pt A):466-76. doi: 10.1016/j.shpsc.2013.03.019. Epub 2013 Apr 10.
Cancer is not one, but many diseases, and each is a product of a variety of causes acting (and interacting) at distinct temporal and spatial scales, or "levels" in the biological hierarchy. In part because of this diversity of cancer types and causes, there has been a diversity of models, hypotheses, and explanations of carcinogenesis. However, there is one model of carcinogenesis that seems to have survived the diversification of cancer types: the multi-stage model of carcinogenesis. This paper examines the history of the multistage theory, and uses the theory as a case study in the limits and goals of unification as a theoretical virtue, comparing and contrasting it with "integrative" research.
癌症并非单一的一种疾病,而是多种疾病,每种癌症都是在生物层级中不同的时间和空间尺度(即“层次”)上起作用(并相互作用)的多种病因的产物。部分由于癌症类型和病因的这种多样性,致癌作用的模型、假说和解释也呈现出多样性。然而,有一种致癌作用模型似乎在癌症类型的多样化过程中留存了下来:致癌作用的多阶段模型。本文考察了多阶段理论的历史,并将该理论作为一个案例研究,探讨统一作为一种理论优点的局限性和目标,将其与“整合性”研究进行比较和对照。