Polymorphic Medical Ontologies: Fashioning Concepts of Disease  

Oleh:

Cherry, Mark J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 25 no. 5 (Oct. 2000), page 519-538.
Topik: Concepts of Disease
Fulltext: MM80V25N5P519.pdf (87.01KB)

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.10 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

The everyday practice of medicine thrives within a nexus of knowledge claims and social values, as well as economic and political pressures. Moral understandings, particular views of the good life and accepted social roles, expressed in often taken-for-granted norms of human form, behavior and grace, play important roles in the psychology of discovery and theory construction. Such considerations mark as well the presupposed conceptual frameworks which underlie concepts of health, illness, and disease. One’s understanding of health and disease shapes what counts as acceptable preventive medical procedures and permissible public health care measures. Since medicine exists to promote health and to prevent, cure, or ameliorate the effects of disease, the focus of this social enterprise depends on the ways in which health and disease are construed. Insofar as a condition or circumstance is appreciated as diseased, dysfunctional, or pathological, rather than as a healthy functional state, a lifestyle choice, or a moral failing, one expands or contracts the scope of medical authority. To describe a patient as “having a disease” is to advance not merely a claim about factual data, or even simply a value judgment, but to fashion social expectations. To characterize an individual as ill represents a claim that he has a difficulty or dysfunction that ought to be solved and that this problem can be explained in medical terms. Medicine is not neutral. The social ontology of health and disease frame medicine’s reason d’être (Engelhardt and Erde, 1980, p. 372).

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali