Räsänen Joona, Smajdor Anna
Department of Philosophy, Contemporary History and Political Science & Turku Institute for Advanced Studies, University of Turku, Turku, Finland
IFIKK, University of Oslo, Oslo, Norway.
J Med Ethics. 2024 Dec 23;51(1):54-56. doi: 10.1136/jme-2024-110459.
We recently suggested that there are both pragmatic and normative reasons to classify pregnancy as a disease. Several scholars argued against our claims. In this response, we defend the disease view of pregnancy against their criticism. We claim that the dysfunctional account of disease that some of our critics rely on has some counterintuitive results. Furthermore, we claim that our critics assume what needs to be argued that the primary function of our sexual organs is to reproduce. Since only a small percentage of sexual intercourse leads to pregnancy, it is far from obvious that reproduction is the primary biological function of our sexual organs. We also claim that while taking pregnancy itself as a reference class could avoid the conclusion that pregnancy is a disease, the strategy is problematic since it renders the Boorsean approach to disease and health circular and effectively deprives it of any utility in determining whether a particular phenomenon is a disease or not.
我们最近提出,将怀孕归类为一种疾病既有实用主义的理由,也有规范方面的理由。几位学者反对我们的观点。在本回应中,我们针对他们的批评为怀孕的疾病观点进行辩护。我们认为,我们的一些批评者所依赖的疾病功能失调解释有一些违反直觉的结果。此外,我们认为我们的批评者假定了需要论证的内容,即我们性器官的主要功能是繁殖。由于只有一小部分性交会导致怀孕,因此远非显而易见的是,繁殖是我们性器官的主要生物学功能。我们还认为,虽然将怀孕本身作为一个参照类别可以避免得出怀孕是一种疾病的结论,但该策略存在问题,因为它使博尔泽安的疾病与健康方法陷入循环,并实际上剥夺了它在确定某一特定现象是否为疾病方面的任何效用。