“被驯服的疾病”:成瘾的医学理性化  

"Tamed Diseases":The Medical Rationalization of Addiction

作　　者：王郑晓 WANG Zhengxiao(College of Sociology,Shenyang Normal University,Shenyang 110000,China)

机构地区：[1]沈阳师范大学社会学院,辽宁沈阳110000

出　　处：《医学与哲学》2025年第1期67-70,F0003,共5页Medicine and Philosophy

摘　　要：学界大多围绕医疗过程中医患关系、社会控制等议题,在社会建构视角下阐释医学化的发展路径,而在成瘾研究领域,医学依靠以脑成像科学为代表的实验室技术,通过排除偶然性因素的逻辑促进知识模型化,实现研究范式的建立;并通过对病人主体性的排斥,将病人构建为契合知识合法性原则的标准化病人。这两种方式相辅相成,进一步促进了医学逐渐向追求更稳定的真理性知识的方向靠拢,并最终导致了医学理性化的结果。在这一过程中,医学对技术的依赖不仅体现出社会建构视角下不平等的医患角色关系,更体现出疾病认知中理性的“铁囚笼”。Academic discussions often focus on issues such as doctor-patient relationship and social control in the medical process,interpreting the development path of medicalization from the perspective of social construction.In the field of addiction research,however,medicine relies on laboratory technology represented by brain imaging science to establish research paradigms by promoting the modeling of knowledge through the logic of excluding contingency factors.Additionally,by rejecting patient subjectivity,medicine constructs patients as standardized entities that align with the principles of knowledge legitimacy.These two ways complement each other,and further promote medicine gradually to pursue more stable and truthful knowledge,ultimately leading to the rationalization of medicine.In this process,medicine's dependence on technology not only reflects the unequal doctor-patient roles emphasized in the social constructivist perspective,but also reflects the"iron cage"of rationality in disease cognition.

关 键 词：网络成瘾 医学化 医学技术 知识合法性原则 医学社会学 

分 类 号：R-05[医药卫生]