Risjord M
Department of Philosophy, Michigan State University, East Lansing 48824.
J Med Philos. 1993 Apr;18(2):195-212. doi: 10.1093/jmp/18.2.195.
Does the social scientific study of medicine require a commitment to relativism? Relativism claims that some subject (e.g., knowledge claims or moral judgments) is relative to a background (e.g., a culture or conceptual scheme) and that judgments about the subject are incommensurable. Examining the concept of success as it appears in orthodox and nonorthodox medical systems, we see that judgments of success are relative to a background medical system. Relativism requires the social scientific study of medicine to be value free in the sense that a medical system must be described without evaluating its elements. When social scientists do evaluate the successfulness of a nonorthodox medical system, they give a crucial role to the nonorthodox conception of success. This strategy does not vitiate value-freedom and it entails a relativism about success. The social scientific study of medicine, therefore, does require relativism in the form of a relativism about success.
医学的社会科学研究是否需要信奉相对主义?相对主义认为,某些主题(如知识主张或道德判断)相对于某个背景(如一种文化或概念体系)而言是相对的,并且关于该主题的判断是不可通约的。考察正统医学体系和非正统医学体系中出现的成功概念,我们会发现,成功的判断相对于背景医学体系而言是相对的。相对主义要求医学的社会科学研究在价值无涉的意义上进行,即必须在不评价其要素的情况下描述一个医学体系。当社会科学家确实评价一个非正统医学体系的成功程度时,他们赋予非正统的成功概念以关键作用。这种策略并没有损害价值无涉性,并且它蕴含着一种关于成功的相对主义。因此,医学的社会科学研究确实需要以关于成功的相对主义这种形式的相对主义。