{"title":"逻各斯的jibarization:医学还原论是如何杀人的","authors":"Juan Emilio Sala","doi":"10.1016/j.bmhime.2017.11.021","DOIUrl":null,"url":null,"abstract":"<div><p>In recent decades, a disciplinary and sub disciplinary proliferation has been triggered both in the medical fields and science in general. This trend may be partially explained by two diachronic, dialectically interconnected facts: the deepening of the technical, social and international division of labor in the globalized capitalist world, and the triumph of the reductionist program, mainly developed by the logical empiricism of the Vienna Circle. This paper aims to deepen the debate on the intricate links between medicine, biology, philosophy, reductionism, and complex thought, by using two examples: a current clinical case report and the situation experienced by a famous American scientist, Stephen Jay Gould, about his first cancer, an abdominal mesothelioma. We have witnessed how the two above-mentioned historical facts have been operating as a super-structure like a pair of “tweezers”, dismembering and compressing at the same moment the object of knowledge, the theories that allow their study, and the subject that receives the knowledge. This <em>jibarization of knowledge</em> is a real problem for public health, from the moment that it impacts, omnipresent, in the actual hegemonic medical model, leading to potentially dangerous attitudes in the various components of health systems.</p></div>","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"74 2","pages":"Pages 154-163"},"PeriodicalIF":0.0000,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bmhime.2017.11.021","citationCount":"0","resultStr":"{\"title\":\"The jibarization of logos: how medical reductionism can kill\",\"authors\":\"Juan Emilio Sala\",\"doi\":\"10.1016/j.bmhime.2017.11.021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>In recent decades, a disciplinary and sub disciplinary proliferation has been triggered both in the medical fields and science in general. This trend may be partially explained by two diachronic, dialectically interconnected facts: the deepening of the technical, social and international division of labor in the globalized capitalist world, and the triumph of the reductionist program, mainly developed by the logical empiricism of the Vienna Circle. This paper aims to deepen the debate on the intricate links between medicine, biology, philosophy, reductionism, and complex thought, by using two examples: a current clinical case report and the situation experienced by a famous American scientist, Stephen Jay Gould, about his first cancer, an abdominal mesothelioma. We have witnessed how the two above-mentioned historical facts have been operating as a super-structure like a pair of “tweezers”, dismembering and compressing at the same moment the object of knowledge, the theories that allow their study, and the subject that receives the knowledge. This <em>jibarization of knowledge</em> is a real problem for public health, from the moment that it impacts, omnipresent, in the actual hegemonic medical model, leading to potentially dangerous attitudes in the various components of health systems.</p></div>\",\"PeriodicalId\":100195,\"journal\":{\"name\":\"Boletín Médico Del Hospital Infantil de México (English Edition)\",\"volume\":\"74 2\",\"pages\":\"Pages 154-163\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.bmhime.2017.11.021\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Boletín Médico Del Hospital Infantil de México (English Edition)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2444340917000565\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Boletín Médico Del Hospital Infantil de México (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2444340917000565","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
近几十年来,在医学领域和一般科学领域都引发了学科和亚学科的扩散。这一趋势可以部分地由两个历时性的、辩证地相互关联的事实来解释:全球化资本主义世界中技术、社会和国际分工的深化,以及主要由维也纳学派的逻辑经验主义发展起来的还原论纲领的胜利。本文旨在通过两个例子来加深关于医学、生物学、哲学、还原论和复杂思想之间错综复杂联系的辩论:一个当前的临床病例报告和美国著名科学家斯蒂芬·杰伊·古尔德(Stephen Jay Gould)第一次患腹部间皮瘤的情况。我们已经看到,上述两种历史事实是如何像一把“镊子”一样,作为一种上层建筑而起作用的,它同时把知识的客体、允许它们研究的理论和接受知识的主体肢解和压缩。这种知识的jibarization对公共卫生来说是一个真正的问题,从它影响的那一刻起,无处不在,在实际的霸权医学模式中,导致卫生系统各个组成部分的潜在危险态度。
The jibarization of logos: how medical reductionism can kill
In recent decades, a disciplinary and sub disciplinary proliferation has been triggered both in the medical fields and science in general. This trend may be partially explained by two diachronic, dialectically interconnected facts: the deepening of the technical, social and international division of labor in the globalized capitalist world, and the triumph of the reductionist program, mainly developed by the logical empiricism of the Vienna Circle. This paper aims to deepen the debate on the intricate links between medicine, biology, philosophy, reductionism, and complex thought, by using two examples: a current clinical case report and the situation experienced by a famous American scientist, Stephen Jay Gould, about his first cancer, an abdominal mesothelioma. We have witnessed how the two above-mentioned historical facts have been operating as a super-structure like a pair of “tweezers”, dismembering and compressing at the same moment the object of knowledge, the theories that allow their study, and the subject that receives the knowledge. This jibarization of knowledge is a real problem for public health, from the moment that it impacts, omnipresent, in the actual hegemonic medical model, leading to potentially dangerous attitudes in the various components of health systems.