期刊
JOURNAL OF MEDICINE AND PHILOSOPHY
卷 39, 期 6, 页码 683-724出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/jmp/jhu035
关键词
biostatistical theory; disease; disorder; dysfunction; health; pathology; philosophy of medicine
This essay replies to critics since 1995 of my biostatistical theory (BST) of health. According to the BST, a pathological condition is a state of statistically species-subnormal biological part-functional ability, relative to sex and age. Theoretical health, the total absence of pathological conditions, is then a value-free scientific notion. Recent critics offer a mixture of old and new objections to this analysis. Some new ones relate to choice of reference class, situation-specificity of function, common diseases and healthy populations, improvements in population health, the practice of pathologists, Cambridge changes in health status, and comparative vs. absolute health concepts. I make no changes in doctrine, except to consider treating normal aging as pathological by taking young adults as the standard for all adults.
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