Department of Occupational and Environmental Medicine, University Hospital of North Norway, Tromsø, Norway.
Department of Community Medicine, Faculty of Health Sciences, UiT - The Arctic University of Norway, Tromsø, Norway.
Med Health Care Philos. 2022 Sep;25(3):465-482. doi: 10.1007/s11019-022-10093-0. Epub 2022 Jun 9.
We have a desire to discover and create order, and our constitution, including our rational faculties, indicates that we are predisposed for such productivity. This affinity for order and the establishment of order is fundamental to humans and naturally also leaves its mark on the medical discipline. When this profession is made subject to criticism, frequently in terms of well-used reproofs such as reductionism, reification and de-humanisation, this systematising productivity is invariably involved in some way or other. It is, however, problematic that we rarely delve deeper and ask what order means, or reflect on its underlying, omnipresent and self-evident role. In order to approach this challenge, we initially and briefly place order in a conceptual and historical context. In what follows, we examine order explicitly, i.e. made an object of study, by taking a closer look at extensive multidisciplinary efforts to uncover the secrets of all its facets. Here we also try to identify some systems of order in medical science, including methodological and procedural order, which are indispensable as well as a source of problems. In the sections that follow, order is not defined as an explicit object of study, but comes to light in some exploratory and philosophising projects based on physics, mathematics and phenomenology . Each of these lets order and that which is ordered emerge in ways that may also shed light on opportunities and paradoxes in the medical domain. Key themes here include the Gordian knot of psyche - soma, the order of disorder and the patient as Other.
我们渴望发现和创造秩序，而我们的本性，包括我们的理性能力，表明我们天生就具有这种生产力。这种对秩序的亲和性和秩序的建立是人类的基础，自然也在医学学科中留下了印记。当这个职业受到批评时，通常是用一些惯用的指责，如还原论、物化和去人性化，这种系统化的生产力总是以某种方式涉及其中。然而，问题是我们很少深入探讨秩序意味着什么，或者反思其潜在的、无处不在的、不言而喻的作用。为了应对这一挑战，我们首先简要地将秩序置于概念和历史背景中。在接下来的内容中，我们通过更仔细地研究广泛的多学科努力来揭示其所有方面的秘密，明确地研究秩序，即把秩序作为研究对象。在这里，我们还试图确定医学科学中的一些秩序系统，包括方法学和程序秩序，这些秩序系统是不可或缺的，也是问题的根源。在接下来的章节中，秩序不是作为一个明确的研究对象来定义的，而是在一些基于物理学、数学和现象学的探索性和哲学性项目中显现出来的。这些项目中的每一个都以可能揭示医学领域的机遇和悖论的方式让秩序和被有序化的事物显现出来。这里的关键主题包括精神-肉体的戈尔迪乌姆之结、无序的秩序和作为他者的患者。
