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命运与临床:对健康行为中宿命论的多学科思考

Fate and the clinic: a multidisciplinary consideration of fatalism in health behaviour.

作者信息

Perfetti Angela Ross

出版信息

Med Humanit. 2018 Mar;44(1):59-62. doi: 10.1136/medhum-2017-011319. Epub 2017 Oct 9.

Abstract

The role of fatalism in health behaviour has stirred significant controversy in literature across several disciplines. Some researchers have demonstrated a negative correlation between fatalistic beliefs and healthy behaviours such as cancer screening, arguing that fatalism is a barrier to health-seeking behaviours. Other studies have painted a more complicated picture of fatalistic beliefs and health behaviours that ultimately questions fatalism's causality as a distinct factor. Unpacking this debate raises thought-provoking questions about how epistemological and methodological frameworks present particular pictures about the connections between belief, race, class and behaviour. The discussion surrounding fatalism illuminates larger tensions between structural and cultural determinants of health behaviour. This article argues for a more rigorous delineation of culture and structure and suggests that future theory-informed and ethnographic research may more precisely parse the role of fatalism in health attitudes, beliefs and behaviours.

摘要

宿命论在健康行为中的作用在多个学科的文献中引发了重大争议。一些研究人员已经证明宿命论信念与癌症筛查等健康行为之间存在负相关,认为宿命论是寻求健康行为的障碍。其他研究则描绘了一幅关于宿命论信念与健康行为的更为复杂的图景,最终对宿命论作为一个独特因素的因果关系提出了质疑。剖析这场辩论引发了一些发人深省的问题,即认识论和方法论框架如何呈现关于信念、种族、阶级和行为之间联系的特定图景。围绕宿命论的讨论揭示了健康行为的结构和文化决定因素之间更大的紧张关系。本文主张对文化和结构进行更严格的界定,并建议未来基于理论的人种志研究可能会更精确地剖析宿命论在健康态度、信念和行为中的作用。

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