{"title":"不,怀孕不是一种疾病。","authors":"Nicholas Colgrove, Daniel Rodger","doi":"10.1136/jme-2024-109922","DOIUrl":null,"url":null,"abstract":"<p><p>Anna Smajdor and Joona Räsänen argue that we have good reason to classify pregnancy as a disease. They discuss five accounts of disease and argue that each account either implies that pregnancy is a disease or if it does not, it faces problems. This strategy allows Smajdor and Räsänen to avoid articulating their own account of disease. Consequently, they cannot establish that pregnancy <i>is</i> a disease, only that plausible accounts of disease suggest this. Some readers will dismiss Smajdor and Räsänen's claims as counterintuitive. By analogy, if a mathematical proof concludes '2+2=5', readers will know-without investigation-that an error occurred. Rather than dismiss Smajdor and Räsänen's work, however, the easiest way to undermine their argument is to describe at least one plausible account of disease that (1) excludes pregnancy and (2) avoids the problems they raise for it. This is our strategy. We focus on dysfunction accounts of disease. After outlining Smajdor and Räsänen's main arguments against dysfunction accounts, we explain why pregnancy is not a disease on these accounts. Next, we defend dysfunction accounts against the three problems that Smajdor and Räsänen raise. If successful, then contra Smajdor and Räsänen, at least one plausible account of disease does not imply that pregnancy is a disease. We suspect that defenders of other accounts can respond similarly. Yet, we note that insofar as dysfunction accounts align with the commonsense intuition that pregnancy is not a disease, this, all else being equal, seems like a point in their favour.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":"45-47"},"PeriodicalIF":3.3000,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"No, pregnancy is not a disease.\",\"authors\":\"Nicholas Colgrove, Daniel Rodger\",\"doi\":\"10.1136/jme-2024-109922\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Anna Smajdor and Joona Räsänen argue that we have good reason to classify pregnancy as a disease. They discuss five accounts of disease and argue that each account either implies that pregnancy is a disease or if it does not, it faces problems. This strategy allows Smajdor and Räsänen to avoid articulating their own account of disease. Consequently, they cannot establish that pregnancy <i>is</i> a disease, only that plausible accounts of disease suggest this. Some readers will dismiss Smajdor and Räsänen's claims as counterintuitive. By analogy, if a mathematical proof concludes '2+2=5', readers will know-without investigation-that an error occurred. Rather than dismiss Smajdor and Räsänen's work, however, the easiest way to undermine their argument is to describe at least one plausible account of disease that (1) excludes pregnancy and (2) avoids the problems they raise for it. This is our strategy. We focus on dysfunction accounts of disease. After outlining Smajdor and Räsänen's main arguments against dysfunction accounts, we explain why pregnancy is not a disease on these accounts. Next, we defend dysfunction accounts against the three problems that Smajdor and Räsänen raise. If successful, then contra Smajdor and Räsänen, at least one plausible account of disease does not imply that pregnancy is a disease. We suspect that defenders of other accounts can respond similarly. Yet, we note that insofar as dysfunction accounts align with the commonsense intuition that pregnancy is not a disease, this, all else being equal, seems like a point in their favour.</p>\",\"PeriodicalId\":16317,\"journal\":{\"name\":\"Journal of Medical Ethics\",\"volume\":\" \",\"pages\":\"45-47\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-12-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical Ethics\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1136/jme-2024-109922\",\"RegionNum\":2,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ETHICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Ethics","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1136/jme-2024-109922","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHICS","Score":null,"Total":0}
引用次数: 0
摘要
Anna Smajdor 和 Joona Räsänen 认为,我们有充分的理由将怀孕归类为一种疾病。她们讨论了关于疾病的五种说法,并认为每种说法要么暗示怀孕是一种疾病,要么暗示怀孕不是一种疾病,那么怀孕就会面临问题。这一策略使得斯马伊多尔和雷萨宁避免阐述他们自己对疾病的解释。因此,他们无法证明怀孕是一种疾病,只能证明对疾病的合理解释暗示了这一点。有些读者会认为斯马伊多尔和赖塞宁的说法有悖直觉。打个比方,如果一个数学证明的结论是 "2+2=5",读者不用调查就会知道这是个错误。然而,与其否定斯马伊多尔和拉塞宁的工作,不如至少描述一种合理的疾病解释,这种解释(1)排除了怀孕,(2)避免了他们提出的问题,这才是破坏他们论点的最简单方法。这就是我们的策略。我们将重点放在疾病的功能障碍说上。在概述了斯马伊多尔(Smajdor)和雷萨宁(Räsänen)反对功能障碍说的主要论点之后,我们解释了为什么怀孕在这些说法中不是一种疾病。接下来,我们将针对斯马伊多和赖斯宁提出的三个问题为功能障碍说辩护。如果成功的话,那么与斯马伊多尔和赖斯宁相反,至少有一种看似合理的疾病论并不意味着怀孕是一种疾病。我们认为,其他观点的辩护者也可以做出类似的回应。然而,我们注意到,只要功能障碍的说法与怀孕不是疾病的常识性直觉相一致,那么在其他条件相同的情况下,这似乎是对它们有利的一点。
Anna Smajdor and Joona Räsänen argue that we have good reason to classify pregnancy as a disease. They discuss five accounts of disease and argue that each account either implies that pregnancy is a disease or if it does not, it faces problems. This strategy allows Smajdor and Räsänen to avoid articulating their own account of disease. Consequently, they cannot establish that pregnancy is a disease, only that plausible accounts of disease suggest this. Some readers will dismiss Smajdor and Räsänen's claims as counterintuitive. By analogy, if a mathematical proof concludes '2+2=5', readers will know-without investigation-that an error occurred. Rather than dismiss Smajdor and Räsänen's work, however, the easiest way to undermine their argument is to describe at least one plausible account of disease that (1) excludes pregnancy and (2) avoids the problems they raise for it. This is our strategy. We focus on dysfunction accounts of disease. After outlining Smajdor and Räsänen's main arguments against dysfunction accounts, we explain why pregnancy is not a disease on these accounts. Next, we defend dysfunction accounts against the three problems that Smajdor and Räsänen raise. If successful, then contra Smajdor and Räsänen, at least one plausible account of disease does not imply that pregnancy is a disease. We suspect that defenders of other accounts can respond similarly. Yet, we note that insofar as dysfunction accounts align with the commonsense intuition that pregnancy is not a disease, this, all else being equal, seems like a point in their favour.
期刊介绍:
Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients.
Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost.
JME is the official journal of the Institute of Medical Ethics.