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[实践智慧:医学不可或缺的美德]

[Phronesis: Medicine's indispensable virtue].

作者信息

Moreno Villares José Manuel

机构信息

Comité de Ética para la Asistencia Sanitaria del Hospital 12 de Octubre, Madrid. C/ Cordillera, 30. 28008 Madrid.

出版信息

Cuad Bioet. 2014 Jan-Apr;25(83):105-10.

Abstract

Facing those who defend that Medicine is not but an applied science, Pellegrino argues that the ultimate goal of Medicine is facing to a human being in his illness condition. Thus, it is not sufficient to have scientific knowledge but proximity to man kindness. Cure is not the only goal -achievable in only a few cases- but healing, caring with a person as an ill person and as a person. For this reason, professional competence is not enough; the physician needs to have the necessary dispositions to be a good person, a good professional. To get the goals of Medicine, the physician has to achieve those qualities who allow him to do the good he is intended to, that is, he needs to be virtuous. Prudence -phronesis- is the virtue that allows him to apply a general rule to a particular case and, furthermore, addresses his actions to be not only technically correct, but excellent. Prudence is, then, the link between intellectual virtues and moral virtues. Pellegrino's main objective has been to elaborate a Philosophy of Medicine, different from the Philosophy of Science, useful for clinical practice and used by clinical practitioners. By nurturing prudence, a small bit of the final goal is reached: the healing, the goodness for the sick. This should be possible if we are embedded in a moral community, and for Pellegrino, sharing knowledge and ethical values is the way of being part of a moral community.

摘要

面对那些坚称医学不过是一门应用科学的人,佩莱格里诺认为医学的最终目标是面对患病状态下的人。因此,仅有科学知识是不够的,还需要亲近人类的善意。治愈并非唯一目标——只有少数情况下能够实现——而是康复,将患者作为病人以及作为一个人来关怀。出于这个原因,专业能力是不够的;医生需要具备成为一个好人、一名优秀专业人员的必要品质。为了实现医学的目标,医生必须具备那些能让他做好他想做的善事的品质,也就是说,他需要具备美德。审慎——实践智慧——是一种美德,它使医生能够将一般规则应用于特定案例,而且能使他的行为不仅在技术上正确,而且卓越。因此,审慎是智性美德和道德美德之间的纽带。佩莱格里诺的主要目标是精心构建一种医学哲学,它不同于科学哲学,对临床实践有用且被临床从业者所运用。通过培养审慎,可以实现一小部分最终目标:康复,对病人的善意。如果我们融入一个道德共同体,这应该是可行的,对佩莱格里诺来说,分享知识和道德价值观是成为道德共同体一员的方式。

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