精神疾病诊断:科学的判断?伦理的判断?  

Mental Disease Diagnosis:scientific judgment?ethical judgment?

作　　者：戴庆康[1] 

机构地区：[1]东南大学法律系,江苏南京210096

出　　处：《医学与哲学》2005年第7期22-24,共3页Medicine and Philosophy

基　　金：东南大学2003年度文科基金资助

摘　　要：自精神病学纳入医学的范畴之后,精神疾病的诊断因为其所声称的科学手段而被认为是科学的判断。20世纪中叶开始的反精神病学运动全面否定其科学性,认为精神疾病的诊断是单纯的伦理价值判断。两种观点都显得过于极端。精神疾病的特殊性决定了精神疾病的诊断是科学判断基础上的伦理判断。其中科学的判断不是决定性的,而是基础性的。决定性的是伦理的判断,只是这种伦理判断必须建立在科学判断的基础之上而已。Since mental health being classified into medicine, mental disease diagnosis, claiming its scientific method, has been taken as a scientific judgment. In the anti-psychiatric campaign starting from the middle 20th century, its scientific feature is completely denied, and mental disease diagnosis has been regarded as an ethical judgment. Both the two radical views are improper. The unique features of mental disease determine that its diagnosis is an ethical judgment based on scientific judgment. Scientific judgment plays a basic but not decisive role. Ethical judgment is decisive while such decisive ethical judgment must be based on scientific judgment.

关 键 词：精神疾病 诊断 伦理 科学 

分 类 号：R-02[医药卫生] R749