Gillett G
Department of Neurosurgery, Otago Medical School, Dunedin, New Zealand.
Soc Sci Med. 1994 Nov;39(9):1125-31. doi: 10.1016/0277-9536(94)90345-x.
Kuhn's seminal work on scientific revolutions has undermined any strong claim to the idea that there is one single true theory about the way nature is. Both social science and medicine share, in differing ways, the uncertainty produced by the complexity of the human condition. This is not well accommodated by the traditional medicine model. There are both individual diseases and individual responses to disease that require a more holistic response to the patient. The holistic responses to these problems show promise but require careful evaluation through critical reflection on our practice of medicine.
库恩关于科学革命的开创性著作削弱了任何关于存在一种关于自然本质的单一正确理论的有力主张。社会科学和医学都以不同方式面临着由人类状况的复杂性所产生的不确定性。传统医学模式并不能很好地应对这一情况。既存在个体疾病,也存在个体对疾病的反应,这就需要对患者采取更全面的应对方法。对这些问题的全面应对方法显示出了前景,但需要通过对我们的医学实践进行批判性反思来进行仔细评估。