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关于恢复:通过区分其含义来重新引导这一概念。

On recovery: re-directing the concept by differentiation of its meanings.

作者信息

Friedman Yael

机构信息

Centre for Philosophy and the Sciences (CPS), Department of Philosophy, Classics, History of Art and Ideas, University of Oslo, Oslo, Norway.

出版信息

Med Health Care Philos. 2021 Sep;24(3):389-399. doi: 10.1007/s11019-021-10014-7. Epub 2021 Apr 3.

DOI:10.1007/s11019-021-10014-7
PMID:33811591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8019304/
Abstract

Recovery is a commonly used concept in both professional and everyday contexts. Yet despite its extensive use, it has not drawn much philosophical attention. In this paper, I question the common understanding of recovery, show how the concept is inadequate, and introduce new and much needed terminology. I argue that recovery glosses over important distinctions and even misrepresents the process of moving away from malady as "going back" to a former state of health. It does not invite important nuances needed to distinguish between biomedical, phenomenological, and social perspectives. In addition, I claim that there are many conditions where we are making use of the concept of recovery, although the person recovered from the condition in question, has not regained the same degree of soundness. I show how the concept of recovery leads to conceptual discrepancies that can result in worsening patients' conditions. To gain a fuller understanding, I propose to rethink the direction of the process in question. I define the process of moving away from malady as a move forward towards a new state of soundness. I also suggest three terms, corresponding to different perspectives, to describe this movement forward: 'curing' (biomedical perspective), 'healing' (first-person perspective), and 'habilitating' (social perspective). This new terminology provides a more nuanced understanding of the states of both malady and soundness and an attentiveness as to how they differ and relate.

摘要

康复是一个在专业领域和日常生活中都常用的概念。然而,尽管它被广泛使用,却并未引起太多哲学关注。在本文中,我对康复的常见理解提出质疑,指出该概念的不足之处,并引入新的且急需的术语。我认为康复掩盖了重要的区别,甚至将摆脱疾病的过程错误地表述为“回归”到先前的健康状态。它没有考虑到区分生物医学、现象学和社会视角所需的重要细微差别。此外,我认为在许多情况下,我们使用康复这个概念时,尽管相关人员已从所讨论的疾病中康复,但并未恢复到相同程度的健康状态。我展示了康复概念如何导致概念上的差异,进而可能使患者的病情恶化。为了更全面地理解,我建议重新思考所讨论过程的方向。我将摆脱疾病的过程定义为朝着新的健康状态迈进。我还建议了三个对应不同视角的术语来描述这一迈进过程:“治愈”(生物医学视角)、“痊愈”(第一人称视角)和“适应”(社会视角)。这个新术语能更细致入微地理解疾病和健康状态,以及它们的差异和相互关系。

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Hormesis in Health and Chronic Diseases.健康与慢性疾病中的应激效应。
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Recovering from chronic fatigue syndrome as an intra-active process.从慢性疲劳综合征中恢复是一个内在主动的过程。
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Getting Back on Track: Meanings of Recovery After Critical Illness Caused by COVID-19.重回正轨:COVID-19 所致危重症后的康复意义
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Inequalities in recovery or methodological artefact? A comparison of models across physical and mental health functioning.康复中的不平等还是方法学假象?跨身心健康功能的模型比较。
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