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制造疾病:工具理性的泛滥
引用本文:朱承刚, 刘惟勤, 郭鹏燕, 全军. 制造疾病:工具理性的泛滥[J]. 医学与哲学, 2022, 43(19): 1-4, 8. doi: 10.12014/j.issn.1002-0772.2022.19.01
作者姓名:朱承刚  刘惟勤  郭鹏燕  全军
作者单位:1. 安徽中科庚玖医院/安徽医科大学庚玖临床医学院精神心理科 安徽合肥 230092; 2. 深圳市康宁医院/深圳市精神卫生中心心身医学科 广东深圳 518020; 3. 合肥市第一人民医院介入血管科 安徽合肥 230001
摘    要:

工具理性的泛滥导致医疗的商品化和技术主体化,产生“制造疾病”的现象层出不穷。究其原因概括为:其一,求“效率”过程无意中“制造疾病”;其二,为追求利益最大化有意“制造疾病”,将科学简单地等同于数据,认为科学可以解释一切疾病,无视患者自愈的能力,将“正常”的生命现象视为疾病;其三,视人为物,为社会管理“制造疾病”。医者应将自己的工具理性,约束在为患者谋利的价值理性之下,弘扬医学人文去遏制制造疾病的恶行。



关 键 词:制造疾病   工具理性   价值理性
收稿时间:2022-08-18
修稿时间:2022-09-28

Fabricated or Induced Illness: The Overflow of Instrumental Rationality
ZHU Cheng-gang, LIU Wei-qin, GUO Peng-yan, . Fabricated or Induced Illness: The Overflow of Instrumental Rationality[J]. Medicine & Philosophy, 2022, 43(19): 1-4, 8. doi: 10.12014/j.issn.1002-0772.2022.19.01
Authors:ZHU Cheng-gang  LIU Wei-qin  GUO Peng-yan
Affiliation:1. The Psychiatry Department, Zhongkegengjiu Hospital of Anhui/Gengjiu Clinical Medical College, Anhui Medical University, Hefei 230092, China
Abstract:The overflow of instrumental rationality leads to the commercialization of medical treatment and the subjectivity of technology, resulting in the phenomenon of "fabricated or induced illness". First of all, some diseases are fabricated unintentionally in the pursuit of efficiency. Second, some diseases are fabricated intentionally to pursuit maximum benefits. Science is simply equated to data, which can explain all diseases. Patients' self-healing ability is ignored, and "normal" life phenomena are regarded as diseases. Third, human beings are treated as objects, and diseases are fabricated catering to social management. Instrumental rationality should be confined to the value rationality of making profits for patients, so as to promote medical humanities and eliminate the fabrication of illness.
Keywords:fabricated or induced illness  instrumental rationality  value rationality
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