Theoretical and practical approaches to health conceptions

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PhD, Associate Professor E.L. Panova
I.M. Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow

The study considers the theoretical and practical approaches to the modern health conceptions. Objective of the study was to analyse the basic interpretations of health as phenomenon in the national and foreign medicinal philosophy that are the nominalism and realism. The nominalistic approach assumes the notions of ‘health’ and ‘pathology’ being provisional enough as descriptions of some health statuses. This research interpretation has been supported by some British and American experts in medicinal philosophy and bio-ethics including S. Holm, T. Engelhardt, K. Boud, R.S. Dauny and I.V. Davydovsky, a prominent national pathologist. Proponents of this research approach argue that the modern biology forming a practical foundation for medicine tends to rate as ‘normal’ quite a wide range of provisionally healthy and pathological bodily conditions and functions. This means that the ‘healthy’ and ‘pathological’ conditions are rated rather by one or another values system than some objective biological criteria. The realistic or functionality-based approach assumes that ‘health’ and ‘disease’ mean the objective physical and/or mental conditions and refer to the qualitatively different human health statuses defined by the specific bodily or mental functionality disorders plus locations (locus morbi) of the disease as the key distinguishing criteria for the both notions. This research approach is supported by K. Burs and some Soviet researchers including D.S. Sarkisov, М.А. Paltsev, N.K. Khitrov, A.D. Ado, V.P. Petlenko et al.

Keywords: health, disease, medicinal philosophy, method, human.

References

  1. Ado A.D. Voprosy obschey nozologii. (Istoriko-metodologicheskie etyudy) [Questions of general nosology. (Historical and methodological studies)]. Moscow: Meditsina publ., 1985, 239 p.
  2. Davydovsky I.V. Obschaya patologiya cheloveka [General human pathology]. Moscow: Meditsina publ., 1969, 612 p.
  3. Davydovsky I.V. Problema prichinnosti v meditsine (etiologiya) [Problem of causality in medicine (etiology)]. Moscow: State publ. med. lit., 1962, 130 p.
  4. Zhirnov V.D. Meditsina – pervaya nauka o cheloveke: Predposylki nauchno-gumanisticheskoy revolyutsii v meditsine [Medicine - the first human science: Preconditions of scientific and humanistic revolution in medicine]. Moscow: URSS publ., 2016, 256 p.
  5. Zhirnov V.D. Problema predmeta meditsiny [Problem of subject of medicine]. Moscow: Meditsina publ., 1978, 239 p.
  6. Panova E.L. Teoretiko-poznavatelnye tendentsii evolyutsii ponyatiy zdorovya i bolezni v sisteme znaniya o cheloveke. Dis. kand. filos. nauk [Theoretical and cognitive tendencies in evolution of health and disease concepts in human knowledge system. PhD. diss. abstract]. Moscow, 2013, 128 p.
  7. Petlenko V.P., Serzhantov V.F. Problema cheloveka v teorii meditsiny [Human problem in theory of medicine]. Kiev: Zdorovie publ., 1984, 200 p.
  8. Rybin V.A. Evtanaziya. Meditsina. Kultura: Filosofskie osnovaniya sovremennogo sotsiokulturnogo krizisa v mediko-antropologicheskom aspekte [Euthanasia. Medicine. Culture: Philosophical foundations of modern socio-cultural crisis in medical-anthropological aspect]. Moscow: URSS publ., 2009, 328 p.
  9. Sarkisov D.S., Paltsev M.A., Khitrov N.K. Obschaya patologiya cheloveka [General human pathology]. Moscow: Meditsina publ., 1997, 608 p.
  10. Boorse C. On the distinction between health and illness. Philosophy and public affairs, 1975, 5, P. 411.
  11. Dawnie R.S., Fyfe C., Tannahill A. Health promotion: models and values. Journal of moral education. 2000, 20 (1), pp. 101-103.
  12. Engelhardt H.T. The foundation of bioethics [second edition]. Oxford. Oxford university press, 1996, P. 446.
  13. Holm S. Does chaos theory have major implications for philosophy of medicine? Medical ethic. Medical Humanities. 2002. 28, pp. 78-81.
  14. Kenneth M. Boyd. Disease, illness, sickness, health, healing and wholeness: exploring some elusive concepts. Medical ethic. Medical Humanities. 2000, 26, pp. 9-17.