Joubert Callie
Independent Researcher and Bioethicist in Private Practice.
Mens Sana Monogr. 2014 Jan;12(1):104-26. doi: 10.4103/0973-1229.130318.
Neeta Mehta recently advanced the thesis that medical practice is facing a crisis today. In her paper "Mind-body dualism: a critique from a health perspective" she attributes the crisis to the philosophy of Descartes and set out to understand why this dualism is still alive despite its disavowal from philosophers, health practitioners and lay people. The aim of my reply to her critique is three-fold. First, I draw attention to a more fundamental problem and show that dualism is inescapable-scientifically and commonsensically. I then focus on the self-conscious emotions of shame, guilt and remorse, and argue that the self is not identical with a brain. The third section draws attention to the crisis in psychiatry and stipulates some of the main reasons why this is so. Contrary to Mehta's thesis, the health profession faces a crisis because of physicalism and biological reductionism.
妮塔·梅塔最近提出了一个论点，即当今医学实践正面临一场危机。在她的论文《身心二元论：从健康角度的批判》中，她将这场危机归因于笛卡尔的哲学，并着手探究为何这种二元论尽管遭到哲学家、健康从业者和普通大众的摒弃却依然存在。我回复她的批判有三个目的。首先，我提请注意一个更根本的问题，并表明二元论在科学和常识层面都是不可避免的。然后我聚焦于羞耻、内疚和悔恨这些自我意识情感，并论证自我并不等同于大脑。第三部分提请注意精神病学中的危机，并阐述造成这种情况的一些主要原因。与梅塔的论点相反，健康专业面临危机是由于物理主义和生物还原论。
