Mathers N, Rowland S
Institute of General Practice, University of Sheffield.
Br J Gen Pract. 1997 Mar;47(416):177-9.
The 'modern' view of the world is based on the premise that we can discover the essential truth of the world using scientific method. The assumption is made that knowledge so acquired has been 'uncontaminated' by the mind of the investigator. Post-modern theory, however, is concerned with the process of knowing and how our minds are part of the process, i.e. our perceptions of reality and the relationships between different concepts are important influences on our ways of knowing. The values of post-modern theory are those of uncertainty, many different voices and experiences of reality and multifaceted descriptions of truth. These values are closer to our experience of general practice than the 'modern' values of scientific rationalism and should be reflected in a new curriculum for general practice.
现代世界观基于这样一个前提，即我们可以用科学方法发现世界的本质真相。人们假定，如此获得的知识未被研究者的思维“污染”。然而，后现代理论关注的是认知过程以及我们的思维如何成为这一过程的一部分，也就是说，我们对现实的认知以及不同概念之间的关系对我们的认知方式有重要影响。后现代理论的价值观包括不确定性、对现实的多种不同声音和体验以及对真理的多面描述。这些价值观比科学理性主义的“现代”价值观更贴近我们的全科医疗实践经验，应该反映在全科医疗的新课程中。
