重新思考医学的本质:通过非洲传统医学案例探究论文的局限性。

Likhwa Ncube
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引用次数: 0

摘要

本文批判性地评价了亚历克斯·布罗德本特的探究论文,该论文通过预测和理解的核心能力来定义医学。虽然这篇论文试图通过确定可以适用于各种传统的特征来避免狭隘,但是当与非洲传统医学(ATM)进行对比时,它的适用性就会动摇。本文以ATM作为测试案例,证明合法的医疗系统可以连贯地运行并享有广泛的社会合法性,而无需始终行使Broadbent意义上的预测或理解。这挑战探究论文既作为医学的一般帐户,也作为一个包容性的框架。因此,本文初步提出了一种精炼治疗理论(RCT),它将统一标准从能力转移到目标:医学被定义为通过针对有益改变的干预措施来恢复或维持健康的有组织的、社会认可的努力。随机对照试验适应认知多样性,保留概念纪律,避免崩溃为无结构的多元主义。通过以治疗目标为中心,这一修订后的描述提供了一个更包容、哲学上更健全、文化上更敏感的医学定义。这一分析加深了对医学的哲学理解,同时也对全球卫生政策、跨文化对话和对不同医疗系统的认可具有现实意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rethinking the nature of medicine: limits of the inquiry thesis through the case of African traditional medicine.

This paper critically evaluates Alex Broadbent's Inquiry Thesis, which defines medicine by the core competencies of prediction and understanding. While the thesis seeks to avoid parochialism by identifying features that could apply across traditions, its applicability falters when examined against African traditional medicine (ATM). Using ATM as a test case, this paper demonstrates that legitimate medical systems can operate coherently and enjoy broad social legitimacy without consistently exercising prediction or understanding in Broadbent's sense. This challenges the Inquiry Thesis both as a general account of medicine and as an inclusive framework. Accordingly, this paper tentatively advances a Refined Curative Thesis (RCT), which shifts the unifying criterion from competencies to aims: medicine is defined as the organized, socially recognized effort to restore or maintain health through interventions directed at beneficial change. RCT accommodates epistemic diversity, preserves conceptual discipline, and avoids collapsing into unstructured pluralism. By centring the curative aim, this revised account offers a more inclusive, philosophically robust, and culturally sensitive definition of medicine. The analysis deepens philosophical understanding of medicine while also bearing practical significance for global health policy, intercultural dialogue, and the recognition of diverse medical systems.

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