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[笛卡尔的正确之处:对科学、生物医学和公共卫生的启示]

[Where Descartes got it right: the implications for science, biomedicine, and public health].

作者信息

Mendonça André Luis de Oliveira, Camargo Kenneth Rochel de

机构信息

Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

Centro Biomédico, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Cad Saude Publica. 2016;32(5):e00158215. doi: 10.1590/0102-311X00158215. Epub 2016 May 17.

Abstract

The "received view" of Descartes has shaped the image of a dualist thinker who radically separated mind and body and thus laid the foundations for a "divided modernity". Numerous epithets have been applied to Cartesian thinking, all of which now sound depreciative: mechanicism, determinism, and reductionism, among others. This article contends that Descartes was not the type of dualist that is normally assumed. Based on a rereading of two essential works (Discourse on Method and Metaphysical Meditations) and a dialogue with the new literature on the theme, we contend that overcoming the "received view" of Descartes can shed new light on discussions in (and of) the collective health field and highlight the so-called expanded health paradigm (including aspects beyond the biological or physiological, such as the psychological, social, economic, cultural, and political).

摘要

笛卡尔的“传统观点”塑造了一位二元论思想家的形象,他将心灵与身体彻底分离,从而为“分裂的现代性”奠定了基础。众多修饰语被用于描述笛卡尔的思想,而现在所有这些听起来都带有贬低意味:机械论、决定论、还原论等等。本文认为笛卡尔并非通常所认为的那种二元论者。基于对两部重要著作(《谈谈方法》和《第一哲学沉思集》)的重新研读以及与该主题新文献的对话,我们认为克服对笛卡尔的“传统观点”能够为集体健康领域的讨论带来新的启示,并凸显所谓的扩展健康范式(包括生物或生理之外的方面,如心理、社会、经济、文化和政治方面)。

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