福柯与医学:挑战规范性主张。

IF 2.3 2区 哲学 Q1 ETHICS
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-09-25 DOI:10.1007/s11019-023-10170-y
Chris A Suijker
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引用次数: 0

摘要

米歇尔·福柯的一些作品侧重于对医学认识论某些方面的考古学和系谱学分析,如《疯狂与文明》(1964/2001)、《诊所的诞生》(1973)和《性史》(1978/2020)。这些和其他傅的著作经常被用来描述,但也被用来规范地解释目前存在的医学认识论的机制。作者得出结论,患者客体化、权力化、医学化、观察和纪律化的过程在医学专业运作的各个领域都很普遍,这些方面对我们的社会如何运作或应该如何运作具有一定的规范意义。本文将批判性地分析用于描述医学认识论的傅尔概念以及围绕这些概念的规范性陈述。通过使用福柯的作品和他的几位口译员,我将通过将福柯的工作和他的口译员的工作与当前的医学学科联系起来,重点关注主体化和客体化过程之间的平衡以及这些过程的规范含义。此外,通过集中讨论死亡和生物权力,主要通过生物权力的概念来讨论医生在否定和污名化死亡中的作用。最后,在对医学学科中的全景主义进行讨论的基础上,本文论述了权力的消极形式和积极形式,并将重点放在对权力的抵抗形式上。所讨论的方面有望对福柯的工作与医学之间的关系提供不同的、批判性的见解,这最终也可以从福柯后来的工作本身中推断出来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foucault and medicine: challenging normative claims.

Some of Michel Foucault's work focusses on an archeological and genealogical analysis of certain aspects of the medical episteme, such as 'Madness and Civilization' (1964/2001), 'The Birth of the Clinic' (1973) and 'The History of Sexuality' (1978/2020a). These and other Foucauldian works have often been invoked to characterize, but also to normatively interpret mechanisms of the currently existing medical episteme. Writers conclude that processes of patient objectification, power, medicalization, observation and discipline are widespread in various areas where the medical specialty operates and that these aspects have certain normative implications for how our society operates or should operate. The Foucauldian concepts used to describe the medical episteme and the normative statements surrounding these concepts will be critically analyzed in this paper.By using Foucault's work and several of his interpreters, I will focus on the balance between processes of subjectification and objectification and the normative implications of these processes by relating Foucault's work and the work of his interpreters to the current medical discipline. Additionally, by focusing on the discussion of death and biopower, the role of physicians in the negation and stigmatization of death is being discussed, mainly through the concept of biopower. Lastly, based on the discussion of panopticism in the medical discipline, this paper treats negative and positive forms power, and a focus will be laid upon forms of resistance against power. The discussed aspects will hopefully shed a different and critical light on the relationship between Foucault's work and medicine, something that eventually can also be deduced from Foucault's later work itself.

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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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