临床诊断中的诠释学因素

The Interpretational Factors in the Clinical Diagnosing Process

临床诊断是建立在完全客观的事实基础上的还是渗透着医患双方的诠释和理解?这一问题涉及到作为科学的事实是否负荷价值、负荷价值的医学事实是否仍具有客观性等重大哲学问题。通过详细分析病史搜集这一过程,试图指出诠释学因素在临床诊断中是确确实实存在的,这些客观的价值是永远无法消除的,这就是医生和患者的历史性。

Is diagnosis based on bare facts or influenced by physician＇s and patient＇s personal and subjective interpretation and understanding？. This question involves the most important philosophical questions such as whether scientific facts are value - laden, whether a value - dependent medical fact is objective. Through analyzing the information gathering process of the history of illness, the paper points out that the hermeneutical factors are actually embedded in the diagnostic process and can never be cleared up. This is due to the historical attribute of both the physicians and the patients.