Abstract
All the powerful influences exertedby the subjective-interpersonal dimension onthe organic or technical-functional dimensionof sickness and health do not make anintersubjective test concerning medicaltherapeutic results impossible. Theseinfluences are not arbitrary; on the contrary,they obey “laws” that are de facto sufficientlystable to allow predictions and explanationssimilar to those of experimental sciences.While, in this respect, the rules concerninghuman action are analogous to the scientificlaws of nature, they can at any time be revokedby becoming aware of them. Law-like andreproducible regularities in the sciences ofman are by no means separated from a patient'spersonal-hermeneutic mediation. This makes itpossible for human beings to modify, improve orsometimes even entirely (or better almostentirely) suspend these psychological,sociological, ethnological, medical,regularities. For this reason the sciences ofman including medicine are under the obligationof constantly inspecting the continuingvalidity of the rules on which theirpredictions and explanations are based, namelyby indirect, statistical methods. Thisrequires a synergistic collaboration ofextra-clinical and clinical tests through whichmedicine can obtain a good level ofintersubjective testability.
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References
Engelhardt Jr HT. Clinical problems and the concept of a disease. In Nordenfelt L, Lindahl B, Ingemar B, eds. Health, Disease, and Causal Explanation in Medicine. Dordrecht: Reidel, 1984, pp. 27–41.
Fulford KWM. Praxis makes perfect. Illness as a bridge between biological concepts of disease and social conceptions of health. Theoretical Medicine 1993; 14: 305–320.
Anschütz F. Geisteswissenschaftliche Grundlagen der modernen Medizin. In Beckmann JP, ed. Fragen und Probleme einer medizinischen Ethik. Berlin: de Gruyter, 1996, pp. 45–67.
Fedoryka K. Health as a normative concept: Towards a new conceptual framework. The Journal of Medicine and Philosophy 1997; 22: 143–160.
Lanzerath D. Krankheit und ärztliches Handeln. Zur Funktion des Krankheitsbegriffs in der medizinischen Ethik. München: Alber, 2000.
Wyss D. Erkranktes Leben - Kranker Leib. Göttingen: Vandenhoeck Ruprecht, 1986.
Doerr W, Schipperges H, eds. Was ist theoretische Pathologie? Berlin/Heidelberg/New York: Springer, 1979.
Christian P. Anthropologische Medizin. Berlin/Heidelberg/New York: Springer, 1989.
Bauer AW. Axiome des systematischen Erkenntnisgewinns in der Medizin. Internist 1997; 38: 299–306.
Bauer AW. Axiome der Medizin. In Pieringer W, Ebner F, eds. Zur Philosophie der Medizin. Wien/New York: Springer, 2000, pp. 15–34.
Uexküll T, Wesiak W. Theorie der Humanmedizin, 3. Aufl. München/Wien: Urban & Schwarzenberg, 1998.
Hahn P. Wissenschaft und Wissenschaftlichkeit in der Medizin. In Pieringer W, Ebner F, eds. Zur Philosophie der Medizin. Wien/New York: Springer, 2000, pp. 35–53.
Pieringer W. Theorien und Methoden der Humanmedizin. In Pieringer W, Ebner F, eds. Zur Philosophie der Medizin. Wien/New York: Springer, 2000, pp. 55–88.
Pieringer W, Fazekas Ch. Grundzüge einer theoretischen Pathologie. In Pieringer W, Ebner F, eds. Zur Philosophie der Medizin. Wien/New York: Springer, 2000, pp. 89–111.
Gethmann CF, Heilen Können, Wissen. Zu den philosophischen Grundlagen der wissenschaftlichen Medizin. In Beckmann JP, ed. Fragen und Probleme einer medizinischen Ethik. Berlin: de Gruyter, 1996, pp. 68–93.
Wesiak W. Die Medizin im Spannungsfeld von Pragmatismus Ideologie und Wissenschaft. In Pieringer W, Ebner F, eds. Zur Philosophie der Medizin. Wien/New York: Springer, 2000, pp. 205–215.
Engelhardt Jr HT. Typologies of disease: Nosologies revisited. In Schaffner KF, ed. Logic of Discovery and Diagnosis in Medicine. Berkeley/Los Angeles/London: Univ. of California Press, 1985, pp. 56–71.
Nordenfelt L. On the Nature of Health. An Action-theoretic Approach. Dordrecht: Reidel, 1987.
Feyerabend PK. Ñber die Methode. In Radnitzky G, Andersson G, eds. Voraussetzungen und Grenzen der Wissenschaft. Tübingen: Mohr, 1981, pp. 175–253.
Bateson G. Style, grace and information in primitive art. In Forge A, ed. The Study of Primitive Art. London: Oxford Univ. Press, 1971.
Buzzoni M. Scienza e tecnica. teoria ed esperienza nelle scienze della natura. Studium: Roma, 1995.
Buzzoni, M. Erkenntnistheoretische und ontologische Probleme der theoretischen Begriffe. Journal for General Philosophy of Science 1997; 28: 19–53.
Bunge M. Treatise on Basic Philosophy,Vol. 7Epistemology and Methodology III Philosophy of Science and Technology. Part II: Life Science, Social Science and Technology. Dordrecht: Reidel, 1985.
Radnitzky G. Psychoanalysis as research therapy and theory. Annals of Theoretical Psychology 1985; 3: 201–211.
Rothschuh KE. Prinzipien der Medizin. Ein Wegweiser durch die Medizin. München: Urban & Schwarzenberg, 1965.
Toulmin S. On the nature of physician's understanding. The Journal of Medicine and Philosophy 1976; 1: 32–50.
Feinstein A. Clinical Judgment. Baltimore: Williams & Wilkins, 1967.
McWhinney R. Medical knowledge and the rise of technology. Journal of Medicine and Philosophy 1978; 3: 293–304.
Leder D. Clinical interpretation: The hermeneutics of medicine. Theoretical Medicine 1990; 11: 9–24.
Polanyi M. Personal Knowledge. Towards a Post-Critical Philosophy. London: Routledge & Kegan Paul, 1958.
Gooding D. 'In Nature's School' Faraday as an experimentalist. In Gooding D, Frank AJL, eds. Faraday Rediscovered. Essays on the Life and Work of Michael Faraday 1791-1867. London: Macmillan, 1985, pp. 105–135.
Thomä H, Kächele H, Kübler JC. Zum Verhältnis von Theorie und Praxis der Psychoanalyse. Analyse und Kritik 1985; 7: 3–25.
Bunge M. Scientific Research. II: The Search for Truth. New York: Springer, 1967.
Wiesing U. Kunst oder Wissenschaft? Konzeptionen der Medizin in der deutschen Romantik. Stuttgart-Bad Cannstatt: Frommann-Holzboog, 1995.
Kant I. Kritik der reinen Vernunft, inKant's Werke, Bd 3. Berlin: Rainer, 1911.
Boorse C. Health as a theoretical concept. Philosophy of Science 1977; 44: 542–573.
Boorse C. A rebuttal on health. In Humber JM, Almeder RF, eds. What Is Disease? Totowa (NJ): Humana Press, 1997, pp. 1–134.
Wright GH von. The Varieties of Goodness. New York: Humanities Press, 1963.
Kass L. Regarding the end of medicine and the pursuit of health. The Public Interest 1975; 40: 11–24.
Canguilhem G. Le Normale et le pathologique. Paris: PUF, 1972 (Engl. transl. On the Normal and the Pathological. Reidel: Dordrecht, 1978).
Searle JR. The Construction of Social Reality. London: Penguin, 1995.
Veatch RM. The medical model: Its nature and problems. In Caplan AL, Engelhardt Jr HT, McCartney JJ, eds. Concepts of Health and Disease. Massachusetts: Addison-Wesley, 1973, pp. 523–544.
Schaefer H. Der Krankheitsbegriff. In Blohmke M, Ferber C von, Kisker KP, Schaefer H, eds. Sozialmedizin in der Praxis. Stuttgart: Enke, 1976, pp. 15–31.
Nordenfelt L. Comments on Pörn's 'An Equilibrium Model of Health'. In Nordenfelt L et al., eds. Disease and Causal Explanation in Medicine. Dordrecht: Reidel, 1984, pp. 11–13.
Wieland W. Philosophische aspekte des krankheitsbegriffs. In Becker V, Schipperges H, eds. Krankheitsbegriff, Krankheitsforschung, Krankheitswesen. Berlin: Springer, 1995, pp. 59–76.
Legrand M. Hypothèses pour une histoire de la psychanalyse. Dialectica 1975; 29: 189–207.
Merton RK. Social Theory and Social Structure. New York: Free Press, 1957.
Buzzoni M. Operazionismo ed ermeneutica. Saggio sullo statuto epistemologico della psicoanalisi. Milano: Angeli, 1989.
Buzzoni M. The operationalistic and hermeneutic status of psychoanalysis. The Journal for General Philosophy of Science 2001; 32: 131–165.
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Buzzoni, M. On Medicine as a Human Science. Theor Med Bioeth 24, 79–94 (2003). https://doi.org/10.1023/A:1022942002711
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DOI: https://doi.org/10.1023/A:1022942002711