A Pragmatic Approach to Conceptualization of Health and Disease

Schermer, Maartje, Binney, Nicholas

A Pragmatic Approach to Conceptualization of Health and Disease
  • 出版商: Springer
  • 出版日期: 2024-07-19
  • 售價: $2,570
  • 貴賓價: 9.5 折 $2,442
  • 語言: 英文
  • 頁數: 332
  • 裝訂: Hardcover - also called cloth, retail trade, or trade
  • ISBN: 3031622405
  • ISBN-13: 9783031622403

    • 海外代購書籍(需單獨結帳)

相關主題

商品描述

This open access book is an integrated historical and philosophical investigation of several problematic situations that emerge from diverse areas of medical practice. These include (but are not limited to):

  • Paying less attention to patients who are suffering with symptoms because no identifiable pathological lesion or pathophysiological process can be found.
  • Paying too much attention to patients who are not suffering with symptoms because pathological lesions or pathophysiological processes have been found.
  • The tendency to understand patients at risk of developing pathology as being diseased.
  • The tendency to disregard the importance of wider societal consequences of definitions of disease and health.

The book shows that many of these problems are related to what disease and health are considered to be and argues that these problems can be addressed by reconsidering the concepts of health and disease employed in practice. It argues for a pragmatic reconceptualization of health and disease that allows clinicians, researchers, and lay people to understand health and disease in many ways, depending on the specific context in which they find themselves and the problems they are trying to solve. In doing so, authors are careful to show how this pragmatism does not endorse "silly" forms of relativism, in which knowledge is reduced to belief or to whatever people find expedient to believe. This work is relevant for philosophers and historians a well as for doctors, health policy makers and other health professionals because it addresses problems sourced from medical practice, albeit using philosophical and historical methods.

商品描述(中文翻譯)

這本開放存取的書是一個綜合的歷史和哲學研究，探討醫學實踐中出現的幾個問題情境。這些問題包括（但不限於）：

- 對於沒有明確可識別的病理病變或病理生理過程的病人，較少關注他們的症狀。
- 對於已發現病理病變或病理生理過程的病人，過度關注他們沒有症狀的情況。
- 將有發展病理的風險的病人視為患病者的傾向。
- 忽視對於疾病和健康定義的更廣泛社會後果的重要性。

這本書顯示這些問題與對疾病和健康的理解有關，並主張通過重新考慮實踐中所使用的健康和疾病概念來解決這些問題。它主張對健康和疾病進行實用的重新概念化，使臨床醫生、研究人員和普通人能夠根據具體的情境和他們試圖解決的問題，以多種方式理解健康和疾病。在這樣做的過程中，作者們謹慎地展示了這種實用主義並不支持“愚蠢”的相對主義形式，其中知識被降低為信仰或人們認為方便相信的任何東西。這項工作對於哲學家和歷史學家以及醫生、衛生政策制定者和其他衛生專業人員都具有相關性，因為它解決了源於醫學實踐的問題，儘管使用了哲學和歷史的方法。

作者簡介

Maartje Schermer studied medicine and philosophy. She is a full professor of Philosophy of Medicine and the head of the section Medical ethics, philosophy and history of medicine at Erasmus MC University Medical Center in Rotterdam, The Netherlands. She is a honorary member of the Dutch Health Council, and former chair of the Dutch Centre for Ethics and Health. Her research has focused on, among others, patient autonomy, ethics of emerging medical technologies, screening, biomarkers and predictive medicine; and on human enhancement and neuro ethics. She has published numerous articles and several edited volumes. Maartje was the project leader of Health and disease as practical concepts, a four year project funded by the Netherlands Organization for Scientific Research (NWO).


Nicholas Binney studied philosophy at the University of Exeter, obtaining his doctoral degree in 2017 with a thesis on the historical contingency of medical knowledge. He previously qualified as a veterinary surgeon at the Royal Veterinary College London in 2006, practicing in the UK and the U.S.A.. He is currently a postdoctoral researcher at the Erasmus Medical Center, Rotterdam, working on a project exploring "Pragmatic Concepts of Health and Disease". This project seeks to understand shifting concepts of health and disease encountered in the new millennium, and to develop a pragmatic framework for selecting suitable concepts for use in different medical contexts. Nicholas published many papers in the philosophy of medicine, focusing on the contingency and objectivity of concepts of disease, and on the evaluation of diagnostic practices. He has published papers on the history of sensitivity and specificity in Annals of Internal Medicine, and on how Meno's paradox manifests in medical practice, when trying to empirically discover the diagnostic tests that are the most accurate of all, in Synthese. Nicholas has designed and taught courses on critical thinking and the philosophy of medicine at the University of Exeter Medical School, at the University of Oxford, and at the Erasmus University Rotterdam.

作者簡介(中文翻譯)

Maartje Schermer在醫學和哲學領域有所學。她是荷蘭鹿特丹Erasmus MC大學醫學中心醫學哲學和醫學倫理學部門的全職哲學教授，也是醫學倫理學、哲學和醫學史部門的負責人。她是荷蘭衛生委員會的榮譽會員，也曾擔任荷蘭倫理與健康中心的主席。她的研究主要集中在患者自主權、新興醫療技術的倫理學、篩查、生物標記和預測醫學，以及人類增強和神經倫理學等方面。她發表了許多文章和幾本編輯過的專著。Maartje是一個由荷蘭科學研究組織（NWO）資助的為期四年的項目《健康和疾病作為實踐概念》的項目負責人。

Nicholas Binney在英國埃克塞特大學學習哲學，並於2017年獲得博士學位，論文研究醫學知識的歷史偶然性。他曾於2006年在倫敦皇家獸醫學院取得獸醫學士資格，在英國和美國從事實踐。他目前是鹿特丹Erasmus醫學中心的博士後研究員，從事一個名為“健康和疾病的實用概念”的項目研究。該項目旨在理解新千年遇到的健康和疾病概念的變化，並開發一個實用框架，以選擇適合不同醫學背景使用的概念。Nicholas在醫學哲學領域發表了許多論文，重點關注疾病概念的偶然性和客觀性，以及對診斷實踐的評估。他在《內科學年鑑》上發表了有關敏感性和特異性歷史的論文，以及在《綜合》雜誌上闡述了當嘗試從實證角度發現最準確的診斷測試時，Meno的悖論如何在醫學實踐中體現。Nicholas曾在埃克塞特大學醫學院、牛津大學和鹿特丹大學設計和教授關於批判思維和醫學哲學的課程。

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