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2019, Number 2

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Cir Gen 2019; 41 (2)

The end of medicine. The problems of social construction

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Full text How to cite this article

Language: Spanish
References: 11
Page: 127-131
PDF size: 161.04 Kb.


Key words:

Social construction, social context, social medicine, medical knowledge, physician-patient relations, epistemic contaminants.

ABSTRACT

This article addresses the differences between social context and social construction, and the influence of each on what we consider knowledge, the purposes, and the practice of medicine. It describes the validation processes by which we consider accepted medical knowledge, how anomalous combinations between context and social construction produce justifications that influence what doctors and patients expect, and how, by changing the foundations, ends and practices also change. Finally, the consequences of a lax moral pluralism are discussed, in which physicians relegate their functions to patients, then left unattended and at the mercy of their beliefs.


REFERENCES

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  2. Boghossian PA. What is social construction? The Times Literary Supplement. 2001, febrero 23, s. pp.

  3. Boghossian PA. The social construction of knowledge. En: Fear of knowledge. Against relativism and constructivism. Oxford: Clarendon Press; 2006, pp. 11-24.

  4. Berkeley G. A treatise concerning the principles of human knowledge. Dublín: Impr. Aaron Rhames, 1710, §§ 22-23. (V.e.: Tratado sobre los principios del conocimiento humano, varias ediciones y fechas.)

  5. Cranefield PF. Journal of the history of medicine. On the origin of the phrase “Nihil est in intellectu quod non prius fuerit in sensu”. J Hist Med Allied Sci. 1970; 25 (1): 77-80. https://doi.org/10.1093/jhmas/XXV.1.77

  6. Hacking I. Representing and intervening. Cambridge, Reino Unido: Cambridge University Press; 1983.

  7. Villoro L. Creer, saber, conocer. Ciudad de México: Siglo XXI; 1989. pp. 62-63.

  8. Hacking I. The social construction of what? Cambridge (MA): Harvard University Press; 1999.

  9. Carnap R. Uberwindung der Metaphysik durch Logische Analyse der Sprache. Erkenntnis II, 1932. Ve.: La superación de la metafísica mediante el análisis lógico del lenguaje. En: Ayer AJ, ed. El positivismo lógico. México: FCE; 1965 reimpresión 1993. pp. 66-87.

  10. Fleck L. Entstehung und Entwicklung einer wissenschaftlichen Tatsache. Einführung in die Lehre vom Denkstil un Denkkollektiv. Basilea, Benno Schwabe, 1935. V.e. La génesis y el desarrollo de un hecho científico. Introducción a la teoría del estilo de pensamiento y del colectivo de pensamiento. Madrid: Alianza; 1986.

  11. Sand R. Vers la Médecine Sociale. París: Librairie J. - B. Baillière et Fils, Lieja: Éditions Desoer. 1948; 576. Citado por Fajardo-Ortiz G. La expresión medicina social surgió en 1848, reemergió en la tercera década del siglo XX. ¿Qué es la medicina social en el siglo XXI? Rev Fac Med UNAM. 2004; 47 (6): 256-257.




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C?MO CITAR (Vancouver)

Cir Gen. 2019;41