Between hype and hope: What is really at stake with personalized medicine?

被引:18
|
作者
Abettan, Camille [1 ,2 ]
机构
[1] Paul Valery Univ, Ctr Interdisciplinary Res Human & Social Sci CRIS, EA 4424, Rue Prof Henri Serre, F-34090 Montpellier, France
[2] Hop La Colombiere, Espace Reg Reflex Eth Languedoc Roussillon, 39 Ave Charles Flahault, F-34295 Montpellier 5, France
关键词
Personalized medicine; Individualized medicine; Medical hermeneutics; Medical ethics; Epistemology; DRUG RESPONSE; ETHICS; HERMENEUTICS; OLD;
D O I
10.1007/s11019-016-9697-2
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Over the last decade, personalized medicine has become a buzz word, which covers a broad spectrum of meanings and generates many different opinions. The purpose of this article is to achieve a better understanding of the reasons why personalized medicine gives rise to such conflicting opinions. We show that a major issue of personalized medicine is the gap existing between its claims and its reality. We then present and analyze different possible reasons for this gap. We propose an hypothesis inspired by the Windelband's distinction between nomothetic and idiographic methodology. We argue that the fuzzy situation of personalized medicine results from a mix between idiographic claims and nomothetic methodological procedures. Hence we suggest that the current quandary about personalized medicine cannot be solved without getting involved in a discussion about the complex epistemological and methodological status of medicine. To conclude, we show that the Gadamer's view of medicine as a dialogical process can be fruitfully used and reveals that personalization is not a theoretical task, but a practical one, which takes place within the clinical encounter.
引用
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页码:423 / 430
页数:8
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