Harm Reduction: A Misnomer.

IF 1.8 3区哲学 Q2 ETHICS

Health Care Analysis Pub Date : 2020-12-01 Epub Date: 2020-11-05 DOI:10.1007/s10728-020-00413-x

Nicholas B King

引用次数: 1

Abstract

'Harm reduction' programs are usually justified on the utilitarian grounds that they aim to reduce the net harms of a behavior. In this paper, I contend that (1) the historical genesis of harm reduction programs, and the crucial moral imperative that distinguishes these programs from other interventions and policies, are not utilitarian; (2) the practical implementation of harm reduction programs is not, and probably cannot be, utilitarian; and (3) the continued justification of harm reduction on utilitarian grounds is untenable and may itself cause harm. Promoting harm reduction programs as utilitarian in the public arena disregards their deeper prioritarian impulses. 'Harm reduction' is a misnomer, and the name should be abandoned sooner rather than later.

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减少伤害:用词不当。

“减少伤害”项目通常在功利主义的基础上是合理的，因为它们旨在减少一种行为的净伤害。在本文中，我认为:(1)减少伤害计划的历史起源，以及将这些计划与其他干预和政策区分开来的关键道德要求，不是功利主义的;(2)实际实施的减少危害计划不是，也可能不可能是功利的;(3)继续以功利主义为理由减少伤害的理由是站不住脚的，而且本身可能造成伤害。在公共领域将减少伤害项目作为功利主义来推广，忽视了他们更深层次的优先主义冲动。“减少伤害”是一个用词不当的说法，应该尽早放弃这个名字。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Analysis Multiple-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.