Bench R J
Department of Communication Disorders, Lincoln School of Health Sciences, La Trobe University, Carlton, Victoria, Australia.
J Med Philos. 1989 Apr;14(2):147-64. doi: 10.1093/jmp/14.2.147.
The epistemological status of health science, natural science, and clinical knowledge is explored. It is shown that 'health science', a term increasingly used in association with the clinical knowledge of the therapies, nursing, and other health occupations, is not fully a science in the sense of the natural sciences. It is rather a hybrid which relates applications of natural science, behavioral science, and the humanities to problems in health. The same may be said of clinical knowledge which entails, as essentials, humanistic considerations involving the personal concerns of the patient, in addition to the more evident external aspects of diagnosis and treatment. The recent introduction of the term 'health science' reflects scientism in its approach to health issues. It also reflects confusion about the nature of clinical knowledge.
本文探讨了健康科学、自然科学和临床知识的认识论地位。研究表明,“健康科学”这一术语越来越多地与治疗、护理及其他健康职业的临床知识联系在一起,但从自然科学的意义上讲,它并不完全是一门科学。它更像是一种混合体,将自然科学、行为科学和人文学科的应用与健康问题联系起来。临床知识也是如此,除了诊断和治疗中更明显的外部方面外,其本质还涉及到涉及患者个人关切的人文考量。“健康科学”这一术语的最近引入反映了其在处理健康问题时的科学主义倾向。它还反映了对临床知识本质的困惑。