PDF(Pubmed)
Abstract：
Medicine is faced with a number of intractable modern challenges that can be understood in terms of hyper-intellectualization; a compassion crisis, burnout, dehumanization, and lost meaning. These challenges have roots in medical philosophy and indeed general Western philosophy by way of the historic exclusion of human emotion from human reason. The resolution of these medical challenges first requires a novel philosophic schema of human knowledge and reason that incorporates the balanced interaction of human intellect and human emotion. This schema of necessity requires a novel extension of dual-process theory into epistemology in terms of both intellect and emotion each generating a distinct natural kind of knowledge independent of the other as well as how these two forms of mental process together construct human reason. Such a novel philosophic schema is here proposed. This scheme is then applied to the practice of medicine with examples of practical applications with the goal of reformulating medical practice in a more knowledgable, balanced, and healthy way. This schema\'s expanded epistemology becomes the philosophic foundation for more fully incorporating the humanities in medicine.
摘要：
医学面临着许多棘手的现代挑战，这些挑战可以通过超智能化来理解；同情危机，倦怠,非人化,失去了意义。这些挑战源于医学哲学，甚至是通过历史上将人类情感从人类理性中排除出来的一般西方哲学。解决这些医学挑战首先需要一种新颖的人类知识和理性哲学模式，其中包含人类智力和人类情感的平衡互动。这种必然性模式要求将双重过程理论新颖地扩展到认识论中，无论是智力还是情感，都会产生一种独立于其他知识的独特自然知识，以及这两种形式的心理过程如何共同构建人类理性。这里提出了这样一种新颖的哲学图式。然后将该方案应用于医学实践，并提供实际应用的示例，目的是以更知识的方式重新制定医学实践，平衡,健康的方式。这种模式的扩展认识论成为更充分地将人文科学纳入医学的哲学基础。
