Epistemologia contemporanea e saude : a luta pela verdade e as praticas terapeuticas

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

Several relational, both ethical and therapeutical dilemmas of the attention to biomedical health are related to certain aspects of the hegemonic epistemology in healthcare, which is based on a positivist, Cartesian, representational and mechanical ideal, deriving from classical Physics. This ideal also renders difficult the relationship between biomedicine and the non-scientific healers. Nonetheless, contemporary authors have introduces some changes in the natural sciences epistemology, that, hypothetically, may contribute to soften or solve some of these dilemmas. This work consists in the study, discussion and presentation of seven authors who are representative of these changes, i.e, Popper, Lakatos, Kuhn, Fleck, Feyerabend, Maturana and Latour (chapter 1); a reflection on the possible developments of these new epistemological ideas in the health field (teaching and research, clinic and collective health) (chapter 2); the outline of the tendencies extracted from these authors and a sketch of a epistemological focus based on them (chapter 3). As a result, three epistemological tendencies emerged: the overcome of mechanical positivism in healthcare, the construction of a new epistemological view called "co-constructivist" and the replacement of the man, his collectives and his life in the centre of the epistemological scene. That, applied to healthcare, facilitates improvement in the relationship with patients and with the non-scientific healers, as wells as in the relationship between the therapists and the biomedical knowledge and its limits. Finally, a combination of Feyerabend s notion of tradition with Fleck s ideas of style and collective of thought and the non-modern view of Bruno Latour is proposed, for the acknowledgement, study and application of different medicines or medical rationalities in a symmetrical way, without a prior involvement with one of them. This combination permits to study and to offer for the pacients terapheutics derivated from different cure traditions , hypothetically, with eficacy. On this proposal, biomedicine is one of that cure traditions

ASSUNTO(S)

saude publica medicina alternativa medicina - pratica

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