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治愈的持续魅力:对亚历克斯·布罗德本特《预测、理解与医学》的回应

The Continuing Allure of Cure: A Response to Alex Broadbent's "Prediction, Understanding, and Medicine".

作者信息

Harris Chadwin

机构信息

University of Johannesburg, Auckland Park, South Africa.

出版信息

J Med Philos. 2018 May 9;43(3):313-324. doi: 10.1093/jmp/jhy005.

Abstract

In "Prediction, Understanding, and Medicine," Alex Broadbent rejects the curative thesis, the view that the core medical competence is to cure, in favor of his predictive thesis that the main intellectual medical competence is to explain and the main practical medical competence is to predict. Broadbent thinks his account explains the phenomenon of multiple consultation, which is the fact that people persist in consulting alternative medical traditions despite having access to mainstream medicine. I argue that Broadbent's explanation of multiple consultation makes sense only from the perspective of patients who migrate from mainstream to alternative consultation. His explanation is not as convincing when we consider alternative-to-mainstream migration. I also provide an argument against Broadbent's view that prediction is medicine's main practical competence and argue that, when it comes to explaining most cases of multiple consultation, the curative thesis provides a more convincing explanation than the predictive thesis.

摘要

在《预测、理解与医学》一书中,亚历克斯·布罗德本特驳斥了治疗论,即认为核心医学能力在于治愈的观点,转而支持他的预测论,该理论认为医学的主要智力能力在于解释,主要实践能力在于预测。布罗德本特认为他的观点解释了多次问诊现象,即尽管人们能够接触到主流医学,但仍坚持咨询其他医学传统。我认为,布罗德本特对多次问诊的解释仅从从主流转向替代问诊的患者角度才有意义。当我们考虑从替代医学转向主流医学的情况时,他的解释就不那么令人信服了。我还对布罗德本特认为预测是医学主要实践能力的观点提出了反驳,并指出,在解释大多数多次问诊的案例时,治疗论比预测论提供了更有说服力的解释。

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