Human Being in Norm and Pathology: Towards the Question of Expertise in Medicine
DOI:
https://doi.org/10.47850/RL.2021.2.3.121-132Keywords:
humanistic paradigm, a human in norm and pathology, border between norm and pathology, sociocultural approach, ethical expertiseAbstract
The article discusses a problem of a change in habitual paradigms of human being understanding in medicine within the progress of medical science and practice. The prevalence of natural scientific principles in medical expertise is becoming ineffective; medicine is losing its subject – a human being in norm and pathology. The awareness of the consequences of an object-oriented attitude contributed to the development of new notions about the subject of medicine, fixed in a socio-cultural and, later, person-oriented approaches in scientific understanding of human being in norm and pathology, as well as the development of practices aimed at protecting humans from interference. As a result, a new form of expertise is emerging in medicine – ethical expertise, aimed at protecting a human being. However, in the process of ethical expertise evolution, as the author shows, a shift has taken place towards bureaucratic management, oriented to proceduralism and efficiency. Moreover, ethical expertise continues to use socio-cultural approach as its methodological basis, which is not sufficient within the new situation of blurring boundary between norm and pathology. A human being himself as an object of expertise is disappearing.
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