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实用主义与医学社会学:三个准则。

Pragmatism and medical sociology: Three precepts.

机构信息

University of California, Berkeley, USA.

New York University, USA.

出版信息

Soc Sci Med. 2024 Mar;345:116640. doi: 10.1016/j.socscimed.2024.116640. Epub 2024 Feb 9.

Abstract

While medical sociology has long incorporated insights from pragmatist philosophy, recent contributions call for a more explicit engagement with this tradition. Complementing Greenhalgh and Engebretsen's (2022) call for a pragmatist analysis of public health policymaking and crisis, we systemize medical sociology's engagement with pragmatism. We suggest three precepts of pragmatist philosophy as they relate to medical sociology: First, a focus on consequences in action, or understanding medical phenomena through what is done rather than established definitions; Second, problem solving, or how medical actors move between habit and creativity; And third, negotiation of meaning, or analyzing patient-provider communication through ongoing action and interpretation. Such systematization, we argue, would enrich both new and existing topics in medical sociology, from medicalization to mask-wearing.

摘要

虽然医学社会学长期以来一直融合了实用主义哲学的观点,但最近的贡献呼吁更明确地参与这一传统。补充 Greenhalgh 和 Engebretsen(2022)对公共卫生政策制定和危机的实用主义分析的号召,我们使医学社会学与实用主义的参与系统化。我们提出实用主义哲学的三个戒律,因为它们与医学社会学有关:第一,关注行动中的后果,或者通过所做的事情而不是既定的定义来理解医学现象;第二,解决问题,或者医疗行为者如何在习惯和创造力之间移动;第三,意义的协商,或者通过持续的行动和解释分析医患沟通。我们认为,这种系统化将丰富医学社会学中的新的和现有的主题,从医学化到戴口罩。

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