Prainsack Barbara
Per Med. 2014 Sep;11(7):651-657. doi: 10.2217/pme.14.49.
The concept of personalized medicine has attracted considerable criticism over recent years. Only a few studies, however, have questioned the meaning of the notion of the 'person' in this context. By leaving the meaning of this word unexplored, we risk taking on board two assumptions that are inherent in contemporary western thinking: first, that social practice can be reduced to decisions of individuals; and second, that people's actions are normally motivated by self-interest. Both assumptions are problematic in the context of medicine. One of the keys to realizing a form of personalization in medicine that fosters solidarity and is sensitive to people's needs lies in being cautious about what idea of personhood we use and promote.
近年来,个性化医疗的概念受到了相当多的批评。然而,只有少数研究质疑了“人”这一概念在这种背景下的含义。由于未对这个词的含义进行探讨,我们有可能接受当代西方思维中固有的两个假设:第一,社会实践可以简化为个人的决策;第二,人们的行为通常出于自身利益。这两个假设在医学背景下都是有问题的。实现一种促进团结且对人们需求敏感的医学个性化形式的关键之一,在于谨慎对待我们所使用和倡导的人格观念。