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哲学在医学领域中处于何种地位?医学伦理学当代问题综述。

What is the place for philosophy within the field of medicine? A review of contemporary issues in medical ethics.

作者信息

Fenton Richard

机构信息

Royal Gwent Hospital, Newport, NP20 2UB, UK.

出版信息

Philos Ethics Humanit Med. 2018 Nov 9;13(1):16. doi: 10.1186/s13010-018-0070-3.

Abstract

This extended essay seeks to unpack some of the key aspects of philosophy which are applicable to medical thought and practice. It proceeds via an analytical discussion of the contemporary debate in three key areas of medical ethics: euthanasia, concepts of health & disease and psychiatry.The main claims are as follows: 1. The case for legalising euthanasia is strong on philosophical grounds but there are numerous practical obstacles. 2. Elements from the normative and naturalistic definitions of disease are necessary for a thorough definition that dodges common objections to either. 3. Mental health cannot be subsumed under a purely physicalist model of health rendering it distinctly different from other fields in Medicine. Through a detailed discussion of three salient issues in the philosophy of medicine, it is argued that the application of profound philosophical thought to medicine and its practices reveals a depth that necessitates exploration before simply following the aims of curing all. Philosophical rigour matched with modern medicine has the potential to engage patients and help them make independent, informed decisions and assist physicians to think more clearly, analytically and empathetically.

摘要

这篇拓展论文旨在剖析哲学中一些适用于医学思维与实践的关键方面。论文通过对医学伦理学三个关键领域的当代辩论进行分析探讨来展开:安乐死、健康与疾病的概念以及精神病学。主要观点如下:1. 从哲学角度看,安乐死合法化的理由很充分,但存在诸多实际障碍。2. 疾病的规范性定义和自然主义定义中的要素对于一个能避开对二者常见反对意见的全面定义来说是必要的。3. 心理健康不能被归入纯粹的物理主义健康模式,这使其与医学中的其他领域明显不同。通过对医学哲学中三个突出问题的详细讨论,本文认为,将深刻的哲学思想应用于医学及其实践会揭示出一种深度,在仅仅追求治愈一切目标之前有必要进行探索。严谨的哲学与现代医学相结合有潜力让患者参与进来,帮助他们做出独立、明智的决定,并协助医生更清晰、更具分析性和同理心的思考。

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