Abstract：
Health controversies involve complex exchanges of disagreements over health and medicine. They unfold differently in different parts of the world, and they often extend over long periods of time. In contemporary argumentation theory, proposals have recently been emerging for \"disagreement management at large scale\" and for an explicit focus on design of disagreement management methods. Lewiński and Aakhus characterize large-scale disagreement as polylogic: formed of complex networks of players holding contrasting positions that are attacked and defended in multiple places. Large-scale disagreements such as health controversies are important sites for emergence of new disagreement management methods, including new ways of arriving at conclusions about questions of fact (affecting positions) and new formats for coming to decisions about questions of policy (affecting places). The controversy over myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), spanning a period of very rapid change in reasoning about health, has been deeply entangled with the design of new institutional places for managing disagreements about health. It serves well to illustrate both the large, multi-scale structure of health controversies and the importance of long-term disagreement management strategies.
摘要：
健康争议涉及对健康和医学的复杂分歧交流。他们在世界不同地区的表现不同，它们通常会持续很长时间。在当代论证理论中，最近出现了“大规模分歧管理”的建议，并明确关注分歧管理方法的设计。Lewiñski和Aakhus将大规模分歧描述为多逻辑：由复杂的玩家网络组成，这些玩家持有不同的位置，在多个地方受到攻击和防御。诸如健康争议之类的大规模分歧是出现新的分歧管理方法的重要场所，包括就事实问题（影响立场）得出结论的新方法和就政策问题（影响地方）做出决定的新形式。关于肌痛性脑脊髓炎/慢性疲劳综合征（ME/CFS）的争议，跨越了一个关于健康的推理非常快速变化的时期，与管理卫生分歧的新机构场所的设计密切相关。它很好地说明了两个大的，健康争议的多尺度结构和长期分歧管理策略的重要性。
