{"id":40,"date":"2008-03-25T19:43:00","date_gmt":"2008-03-25T22:43:00","guid":{"rendered":"http:\/\/scienceblogs.com.br\/eccemedicus\/2008\/03\/a-complexidade-do-conceito-de-doenca\/"},"modified":"2008-03-25T19:43:00","modified_gmt":"2008-03-25T22:43:00","slug":"a-complexidade-do-conceito-de-doenca","status":"publish","type":"post","link":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/2008\/03\/25\/a-complexidade-do-conceito-de-doenca\/","title":{"rendered":"A Complexidade do Conceito de Doen\u00e7a"},"content":{"rendered":"

\"\"<\/a>
\nPor que o conceito de doen\u00e7a \u00e9 importante para um cl\u00ednico? Normalmente, os m\u00e9dicos n\u00e3o est\u00e3o preocupados se o conceito de doen\u00e7a que utilizam \u00e9 ontol\u00f3gico<\/span> ou fisiol\u00f3gico<\/span>, normativo<\/span> ou descritivo<\/span>. O que \u00e9 importante e o que tem sido amplamente discutido \u00e9 o bombardeio de quest\u00f5es provenientes de pacientes, da m\u00eddia, de setores da medicina alternativa e at\u00e9 de outros m\u00e9dicos sobre as bases do racioc\u00ednio cl\u00ednico – cujo ponto de partida \u00e9 o conceito de sa\u00fade e de doen\u00e7a. A cr\u00edtica principal normalmente gira em torno da medicaliza\u00e7\u00e3o da Medicina e a sua contrapartida te\u00f3rica: a patologiza\u00e7\u00e3o do cur\u00e1vel, nos quais o conceito contempor\u00e2neo de doen\u00e7a \u00e9 altamente implicado.
\nSobre isso, segue um excerto do trabalho de Bjorn Hofmann (para o texto completo clique aqui<\/a>):
\n“I have argued here that the debate on the concept of disease is complex, and that this complexity can be recognised in the theoretical frameworks of the debate. The profound philosophical issues underlying the debate illustrate the complexity of the concept. That is, the complexity of the concept is displayed by the complexity of the categories of the debate. There is something outstanding to the concept of disease generating logical, ontological, epistemological and normative challenges. The concept appears to be irreducible to a particular perspective or a monistic conception. Even if we could answer the question of the ontological status of instances of disease, its classificatory and normative issues would not be resolved. Correspondingly, if we cleared the evaluative status of disease, the ontological, semantical and epistemological issues would still be open. These issues seem not to be inter-reducible. However, is this only a theoretical complexity? People are actually treated in the health care system without there being any reflections of this kind. Are the challenges only of an abstract kind? The complexity in the theoretical frameworks appears to be more than a mere academic issue, and it is reflected in medical practice. Whether pregnancy, excellence, infertility, whiplash, or a general feeling of incompetence are cases of disease are practical issues, and even the status of homosexuality as a disease has been a topic in clinical practice until recently. Furthermore, the classification of disease entities is a great challenge to modern medicine. A strict and consistent concept of disease, be it theoretical or practical, should result in a strict and consistent taxonomy, which obviously is not the case. Disease entities are classified according to symptoms, syndromes, physical signs, paraclinical signs, abnormalities of morphology, physiological aberrations, genetic abnormalities, ultrastructural abnormalities, etiological agents and according to eponymal origin. Hence, the theoretical complexity discussed in this study corresponds to a practical complexity, and as far as the conceptual debate on disease is concerned, the concept should give practical guidance and pave the way to a tidier practice. In this respect it has certainly failed. The reason for this is reflected in the complexity of the theoretical frameworks. My aim has not been to argue that the profound issues revealed in this study are final and absolute for the debate on the concept of disease. A conceptual debate of human disease may follow other lines of thought. The presentation has been one attempt to structure the categories of the debate. However, I would argue that any investigation of these categories has to take into account the theoretical complexity. The profound philosophical distinctions of the debate show that the concept of disease involves fundamentally different issues. Disease is basically an issue that is so complex that it appears extremely difficult to encompass it by a single monistic theory.”<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Por que o conceito de doen\u00e7a \u00e9 importante para um cl\u00ednico? Normalmente, os m\u00e9dicos n\u00e3o est\u00e3o preocupados se o conceito de doen\u00e7a que utilizam \u00e9 ontol\u00f3gico ou fisiol\u00f3gico, normativo ou descritivo. O que \u00e9 importante e o que tem sido amplamente discutido \u00e9 o bombardeio de quest\u00f5es provenientes de pacientes, da m\u00eddia, de setores da […]<\/p>\n","protected":false},"author":466,"featured_media":41,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"pgc_sgb_lightbox_settings":"","_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":""},"categories":[13],"tags":[],"class_list":["post-40","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-filosofia"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/posts\/40","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/users\/466"}],"replies":[{"embeddable":true,"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/comments?post=40"}],"version-history":[{"count":0,"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/posts\/40\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/media?parent=40"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/categories?post=40"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.blogs.unicamp.br\/eccemedicus\/wp-json\/wp\/v2\/tags?post=40"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}