Hucklenbroich Peter
University of Münster, Münster, Germany
J Med Philos. 2014 Dec;39(6):609-33. doi: 10.1093/jmp/jhu040. Epub 2014 Oct 24.
Philosophical debates about the concept of disease, particularly of mental disease, might benefit from reconsideration and a closer look at the established terminology and conceptual structure of contemporary medical pathology and clinical nosology. The concepts and principles of medicine differ, to a considerable extent, from the ideas and notions of philosophical theories of disease. In medical theory, the concepts of disease entity and pathologicity are, besides the concept of disease itself, of fundamental importance, and they are essentially connected to the concepts cause of disease or etiological factor, natural course or natural history of disease, and pathological disposition. It is the concept of disease entity that is of key importance for understanding medical pathology and theory of disease. Its central role is shown by a short reconstruction of its main features and its intrinsic connection to the concept of pathologicity. The meaning of pathologicity is elucidated by explicating the underlying criteria.
关于疾病概念，尤其是精神疾病概念的哲学辩论，可能会受益于重新审视并更仔细地研究当代医学病理学和临床疾病分类学中既定的术语和概念结构。医学的概念和原则在很大程度上不同于疾病的哲学理论的观念和概念。在医学理论中，除了疾病本身的概念外，疾病实体和致病性的概念至关重要，并且它们本质上与疾病原因或病因、疾病的自然进程或自然史以及病理倾向的概念相关联。疾病实体的概念对于理解医学病理学和疾病理论至关重要。通过简要重构其主要特征及其与致病性概念的内在联系，可以看出其核心作用。通过阐明潜在标准来阐释致病性的含义。
