Fuller Jonathan
Department of History and Philosophy of Science, University of Pittsburgh, Pittsburgh, PA, USA.
Synthese. 2022 Apr;200(2). doi: 10.1007/s11229-022-03579-0. Epub 2022 Mar 1.
Medical interventions that cure or prevent medical conditions are central to medicine; and thus, understanding them is central to our understanding of medicine. My purpose in this paper is to explore the conceptual foundations of medicine by providing a singular analysis of the concept of a 'preventive or curative medical intervention'. Borrowing a general account of prevention from Phil Dowe (2000, 2001), I provide an analysis of prevention, cure, risk reduction, and a preventive or curative intervention, before turning to preventive and curative medical interventions. The resulting counterfactual-mechanistic account holds that preventive and curative medical interventions reduce the probability of a medical condition in an actual population compared to their counterfactual omission, commonly by disrupting an etiological or constitutive mechanism for the condition.
治愈或预防疾病的医学干预措施是医学的核心;因此,理解这些干预措施是我们理解医学的核心。本文的目的是通过对“预防性或治疗性医学干预”这一概念进行独特分析,来探索医学的概念基础。借鉴菲尔·多伊(2000年、2001年)对预防的一般性描述,在转向预防性和治疗性医学干预之前,我先对预防、治愈、风险降低以及预防性或治疗性干预进行分析。由此得出的反事实-机制性描述认为,与反事实的不采取干预相比,预防性和治疗性医学干预通常通过破坏疾病的病因或构成机制,降低了实际人群中患病的概率。