Mary Seacole Research Centre, De Montfort University - City Campus, Leicester, Leicestershire, UK
Med Humanit. 2021 Mar;47(1):123-127. doi: 10.1136/medhum-2019-011720. Epub 2020 Dec 4.
Increasing calls from medical professionals and scholars suggest an urgent need for better and more widespread understandings of the ecological dimensions of health. Such calls have included: two recent special commissions on impacts of climate change on health; and recognition by senior figures from the WHO and United Nations of relationships between human impacts on the natural world and disease pandemics, with some suggesting prevention of future pandemics may require a radical reassessment of modernity's relationship with the natural world.Among the medical humanities as a whole, however, calls for better and more widespread understandings of the ecological dimensions of health have not always been as prominent, or urgently expressed, as they might be.This paper, which presumes there is an urgent need for better and more widespread understandings of the ecological dimensions of human health, draws on ecological public health and other models to propose an ecological re-visioning of our conceptions of health and medical humanities; and in ways that challenge some contemporary assumptions about health, well-being and the 'good society'. Indeed, once we begin to heed what ecocritic Tim Morton terms 'the ecological thought', we may discover few areas of healthcare and the humanities remain untouched by its implications.With growing recognition that the fate of global human health and the fate of the biosphere are inextricably entwined, the project of a more ecologically dimensioned medical humanities appears both timely and urgent. Such a project may represent a significant opportunity for the medical humanities, and a significant responsibility.
越来越多的医学专业人士和学者呼吁,人们迫切需要更好、更广泛地了解健康的生态维度。这些呼吁包括:最近有两个关于气候变化对健康影响的特别委员会;世界卫生组织和联合国的高级官员认识到人类对自然世界的影响与疾病大流行之间的关系,一些人认为预防未来的大流行可能需要对现代社会与自然世界的关系进行彻底重新评估。然而,在整个医学人文学科中,呼吁更好、更广泛地了解健康的生态维度的声音并不总是那么突出,也不总是那么紧迫。本文假定人们迫切需要更好、更广泛地了解人类健康的生态维度,它借鉴了生态公共卫生和其他模式,提出了对健康和医学人文学科概念的生态重新构想;并以挑战一些关于健康、幸福和“美好社会”的当代假设的方式。事实上,一旦我们开始关注生态批评家提姆·莫顿所说的“生态思想”,我们可能会发现医疗保健和人文学科的几乎没有哪个领域不受其影响。随着人们越来越认识到全球人类健康的命运与生物圈的命运不可分割地交织在一起,更具生态维度的医学人文学科的项目显得既及时又紧迫。这个项目可能代表了医学人文学科的一个重要机会,也是一个重大责任。