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韦克菲尔德对生物统计学理论的基于危害的批评
1University of Delaware, Newark, Delaware, USA.
The Journal of medicine and philosophy
|June 17, 2024
概括
这项研究驳斥了杰罗姆·韦克菲尔德对病理学的生物统计分析的批评. 它认为韦克菲尔德提出的区分是无效的,而他的反例并不能使定义医学疾病的统计方法无效.
科学领域:
- 医学哲学 医学哲学
- 生物统计学 生物统计学
- 医学伦理 医学伦理
背景情况:
- 杰罗姆·韦克菲尔德批评了对病理学的生物统计分析,在有害功能障碍分析 (HDA) 中提出了危害条款.
- 韦克菲尔德提出了生物学和医学病理学之间的区别,以及部分与整个生物体疾病之间的区别,以支持他的批评.
- 他提出了无害的功能障碍的反例,以挑战疾病的统计定义.
研究的目的:
- 为了反驳杰罗姆·韦克菲尔德对生物统计分析在定义病理学方面的批评.
- 为了证明韦克菲尔德提出的区分和反例的无效性.
- 质疑有害功能障碍分析 (HDA) 对医学和精神病学的适用性.
主要方法:
- 批评韦克菲尔德提出的区别是哲学幻想,与医疗用途不一致.
- 分析韦克菲尔德的10个反例,根据医学定义重新分类它们.
- 将生物统计方法与韦克菲尔德有害功能障碍分析 (HDA) 进行比较.
主要成果:
- 韦克菲尔德在生物/医学病理和部分/整个生物体疾病之间的区别在医学上没有得到承认.
- 韦克菲尔德的反例被重新评估:有些不是部分功能障碍,而另一些确实是医学障碍.
- 生物统计学分析对韦克菲尔德的批评仍然强大,他的例子无法与之相矛盾.
结论:
- 韦克菲尔德的有害功能障碍分析 (HDA) 不是普遍适用的,特别是在医学中.
- 该批评强调了精神病学和通用医学之间的病理学定义上的差异.
- 这项研究支持生物统计分析用于识别疾病的有效性.
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