Ten Have H
Department of Ethics, Philosophy and History of Medicine, Faculty of Medical Sciences, Catholic University of Nijmegen, The Netherlands.
Theor Med. 1995 Mar;16(1):3-14. doi: 10.1007/BF00993785.
The tradition of anthropological medicine in philosophy of medicine is analyzed in relation to the earlier interest in epistemological issues in medicine around the turn of the century as well as to the current interest in medical ethics. It is argued that there is a continuity between epistemological, anthropological and ethical approaches in philosophy of medicine. Three basic ideas of anthropologically-oriented medicine are discussed: the rejection of Cartesian dualism, the notion of medicine as science of the human person, and the necessity of a comprehensive understanding of disease. Next, it is discussed why the anthropological movement has been superseded by the increasing interest in medical ethics. It is concluded that the present-day moral issues cannot be interpreted and resolved without clarification of the underlying anthropological images.
医学哲学中人类学医学的传统,是结合世纪之交前后对医学认识论问题的早期关注以及当前对医学伦理学的关注来进行分析的。有人认为,医学哲学中的认识论、人类学和伦理学方法之间存在连续性。本文讨论了以人类学为导向的医学的三个基本观点:对笛卡尔二元论的摒弃、医学作为关于人的科学的概念,以及对疾病进行全面理解的必要性。接下来,探讨了为何人类学运动已被对医学伦理学日益增长的兴趣所取代。得出的结论是,如果不澄清潜在的人类学形象,当今的道德问题就无法得到解释和解决。