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我们需要重新审视医学研究。

We need to take a fresh look at medical research.

作者信息

Simnett J D

出版信息

J Med Ethics. 1982 Jun;8(2):73-7. doi: 10.1136/jme.8.2.73.

DOI:10.1136/jme.8.2.73
PMID:7108911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1059374/
Abstract

Every human being has a vast store of knowledge about health and sickness and the ability to draw conclusions on the basis of this knowledge. Yet science research continues to be based largely on objective studies' conducted by academics and to look down on subjective' studies. The belief that pure' objective science is highest and subjective information is lowest, inculcated by the way science is taught in schools, deters doctors from communicating information based on personal experience lest it be decried - as it certainly will be - as scientifically worthless. Alternative medicine with its open, flexible approach to the whole person, has something to teach conventional medicine. And doctors must pay more attention to what their patients can tell them. There is no rational justification for accepting the factual information that people give (in a case history) while disregarding what they have to say about their condition. Old-style science is particularly inept in helping doctors deal with psychosomatic problems. What is needed is a new science of the subjective' which would be truly appropriate to the subject of study, the whole human being. There is a commentary on this paper by Sir Douglas Black, President of the Royal College of Physicians.

摘要

每个人都拥有大量关于健康与疾病的知识储备,并有能力基于这些知识得出结论。然而,科学研究在很大程度上仍然基于学者们进行的“客观研究”,并轻视“主观”研究。学校教授科学的方式灌输了这样一种观念,即“纯粹”的客观科学至高无上,而主观信息则一文不值,这使得医生不敢传达基于个人经验的信息,以免其被贬低——肯定会被贬低——为毫无科学价值。替代医学以其对人的全面、灵活的方法,有一些东西可以传授给传统医学。而且医生必须更加关注患者能够告诉他们的事情。在接受人们(在病历中)提供的事实信息的同时却忽视他们对自身病情的描述,这是没有合理依据的。传统科学在帮助医生处理身心问题方面尤其无能。需要的是一种新的“主观科学”,它将真正适用于研究对象——完整的人。皇家内科医学院院长道格拉斯·布莱克爵士对这篇论文有一篇评论。

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本文引用的文献

1
Life change and gastric cancer.生活变化与胃癌
Psychosom Med. 1980 Sep;42(5):499-502. doi: 10.1097/00006842-198009000-00004.
2
Costs of unnecessary tests.不必要检查的费用。
Br Med J. 1979 Jul 7;2(6181):21-4. doi: 10.1136/bmj.2.6181.21.