Roelcke Volker
Institut für Geschichte der Medizin, Justus-Liebig-Universität Gießen, Gießen, Deutschland.
NTM. 2021 Dec;29(4):475-506. doi: 10.1007/s00048-021-00315-6. Epub 2021 Nov 4.
The Wiesbaden congress of internal medicine in 1949 played host to a heated debate on issues of method, epistemology, and evidence in psychosomatic medicine. Paul Martini, specialist in internal medicine and protagonist of methodically conducted clinical trials, criticized the methodology of knowledge production in psychosomatic medicine and disputed the validity of its claims. Starting from this controversy, the contribution reconstructs the formation and implementation of an experimental system on the origins of hypertension in which Thure von Uexküll, specialist in internal medicine as well as in psychosomatics, aimed to integrate somatic variables as well as the subjectivity, the biography, and the social relations of the patient. In this experimental system, the interpretations of patients had a privileged status. For Uexküll, empirical evidence, traceability, and reproducibility were seen as basic criteria for relevant and valid knowledge-requirements formulated by Martini in 1949.
1949年在威斯巴登召开的内科医学大会上,围绕心身医学中的方法、认识论和证据问题展开了一场激烈辩论。内科专家、系统开展临床试验的倡导者保罗·马丁尼批评了心身医学中知识产生的方法,并对其主张的有效性提出质疑。基于这场争论,本文重构了一个关于高血压病因的实验系统的形成与实施过程,在内科及心身医学领域均有专长的图雷·冯·于克斯屈尔旨在将躯体变量以及患者的主观性、个人经历和社会关系整合起来。在这个实验系统中,患者的解读具有特殊地位。对于于克斯屈尔来说,经验证据、可追溯性和可重复性被视为1949年马丁尼提出的相关且有效知识要求的基本标准。