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[医学局限性的问题]

[Problems with the limitations of medicine].

作者信息

Zikmund V

机构信息

Ustav Normálnej a patologickej fyziológie Slovenskej akadémie vied v Bratislave, Slovakia.

出版信息

Bratisl Lek Listy. 1995 Feb;96(2):63-8.

PMID:7633914
Abstract

BACKGROUND

Dissatisfaction with the exclusively biomedical approach to the etiology, manifestations, treatment and prevention of disease has manifested itself by the broadening of the limits of medicine from the inside in the form of bio-psycho-social model of diseases. From the outside, there has been an effort to enter medicine by various approaches and methods of the so-called alternative medicine.

OBJECTIVES

Critical evaluation of positives and negatives of the bio-psycho-social model diseases as well as of the approaches of alternative medicine. Particular attention is paid to the so-called psychotronics and psychotronics-based natural medicine.

METHODS

Analysis of the problem under study using world wide publications that are cited in the Current Contents in the part dealing with Life Sciences.

MAIN RESULTS

Multi-factorial bio-psycho-social model of diseases has stimulated the complex interdisciplinary and multidisciplinary research of the influence of psychological and psychosocial factors upon the human health and diseases respectively. There is, however, a lack of concrete directions for the application of the model in clinical practice. The main disadvantage of alternative medicine is that its methods have no scientifically based conceptions and their effects remain unproved. The main risk of the use of these methods are faulty diagnoses and the neglect of the most effective treatment.

CONCLUSIONS

Medicine is not merely a science, it is an art as well. The indispensable part of this are should reside in the most effective use of the non-specific positive effects of the interaction between physicians and patients.

摘要

背景

对疾病病因、表现、治疗和预防的纯生物医学方法的不满,已通过从内部以生物 - 心理 - 社会疾病模型的形式拓宽医学界限表现出来。从外部来看,人们一直在努力通过各种所谓替代医学的方法和途径进入医学领域。

目的

对生物 - 心理 - 社会疾病模型以及替代医学方法的优缺点进行批判性评估。特别关注所谓的心理电子学和基于心理电子学的自然医学。

方法

利用《现刊目次》生命科学部分引用的全球出版物对所研究问题进行分析。

主要结果

疾病的多因素生物 - 心理 - 社会模型激发了对心理和社会心理因素分别对人类健康和疾病影响的复杂跨学科和多学科研究。然而,该模型在临床实践中的应用缺乏具体方向。替代医学的主要缺点是其方法没有基于科学的概念,其效果也未经证实。使用这些方法的主要风险是错误诊断和忽视最有效的治疗方法。

结论

医学不仅是一门科学,也是一门艺术。这门艺术中不可或缺的部分应在于最有效地利用医患互动的非特异性积极效果。

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