Eijk Willem Jacobus Cardinal
Archbishop of Utrecht, the Netherlands.
Linacre Q. 2017 Aug;84(3):208-219. doi: 10.1080/00243639.2017.1301112. Epub 2017 Aug 18.
Is medicine losing its way? This question may seem to imply a serious warning, one needing a further explanation. What I mean to say by the title of this paper is that we can detect an undeniable shift in medicine in the last forty to fifty years. Medicine used to focus on what we call "health care" in a classical sense, that is, the treatment of people suffering from diseases, injuries or handicaps, or the alleviation of pain and other symptoms. In addition to this, in the last half century, it has begun to offer more and more treatments aiming to perfect the qualities of people who are otherwise healthy.
Due to the rapid progress of research in the biomedical field, medicine is already and will ever more be able not only to cure diseases, but also to improve the characteristics of healthy human persons. This seems to be justifiable from the point of view of the contemporary view of man. This considers the mind as the actual human person and the body as an object of which he may dispose as he likes. However, serious and convincing objections exist against this view, because it does not do justice to the fact that we experience ourselves as a unity. Aristotelian-Thomist anthropology explains man as a substantial unity of a spiritual and a material dimension, of body and soul, which implies that the body is an essential dimension of man, participates in his intrinsic dignity and is never to be instrumentalized in order to improve the characteristics of healthy people. Medicine should apply all new medical techniques availed, but remain true health care.
医学正在迷失方向吗?这个问题可能似乎暗示着一个严重的警告,需要进一步解释。我在这篇论文标题中想说的是,在过去的四五十年里,我们能察觉到医学发生了不可否认的转变。医学过去通常专注于我们从经典意义上所说的“医疗保健”,也就是治疗患有疾病、受伤或残疾的人,或者缓解疼痛和其他症状。除此之外,在过去的半个世纪里,它开始提供越来越多旨在完善原本健康之人特质的治疗方法。
由于生物医学领域研究的快速进展,医学已经并且将越来越不仅能够治愈疾病,还能够改善健康人的特征。从当代对人的看法的角度来看,这似乎是合理的。这种看法将心灵视为真实的人,而身体视为他可以随意处置的对象。然而,针对这种观点存在严重且有说服力的反对意见,因为它没有公正地对待我们将自己体验为一个统一体这一事实。亚里士多德 - 托马斯主义的人类学将人解释为精神和物质维度、身体和灵魂的实质性统一体,这意味着身体是人的一个基本维度,参与到他的内在尊严之中,绝不应被工具化以改善健康人的特征。医学应该应用所有可用的新医疗技术,但仍应保持真正的医疗保健。