Department of Science & Technology Studies, University College London, London, United Kingdom.
Department of Philosophy, University of Kent, Canterbury, Kent, UK.
BMJ Open. 2019 Aug 27;9(8):e030286. doi: 10.1136/bmjopen-2019-030286.
Health is than the absence of disease. It is also more than a biological phenomenon. It is inherently social, psychological, cultural and historical. While this has been recognised by major health actors for decades, open questions remain as to how to build systems that reflect the complexity of health, disease and sickness, and in a context that is increasingly technologised. We argue that an urgent change of approach is necessary. Methods and concepts from the humanities and social science must be embedded in the concepts and methods of the health sciences if we are to promote sustainable interventions capable of engaging with the recognised complexity of health, disease and sickness. Our vision is one of radical interdisciplinarity, integrating aspects of biological, psychological, social and humanities approaches across areas of urgent health need. Radical interdisciplinarity, we argue, entails the practical, methodological and conceptual integration of these approaches to health.
健康不仅仅是没有疾病。它也不仅仅是一种生物现象。它本质上是社会性的、心理性的、文化性的和历史性的。尽管几十年来主要的卫生行为体已经认识到这一点,但如何建立反映健康、疾病和不适的复杂性的系统,以及在日益技术化的背景下建立系统,仍然存在悬而未决的问题。我们认为,有必要采取紧急的方法转变。如果我们要促进能够应对健康、疾病和不适的公认复杂性的可持续干预措施,就必须将人文社会科学的方法和概念嵌入卫生科学的概念和方法中。我们的愿景是激进的跨学科性,将生物、心理、社会和人文方法的各个方面整合到紧急卫生需求领域中。我们认为,激进的跨学科性需要对这些健康方法进行实际、方法和概念上的整合。