医学としての健康科学とは何か―主体性の医学の誕生―
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出版社版Recently we sometimes hear the word Health Science', but for many peopIe it is not so clearwhat health science means. The purpose of this Paper is to clarify the meaning and importanceof this science in medicine. The definition of health is not so clear and we don't know the definite method to explore“health", which may be the reasons why it is difficult to discusshealth science. As for the definition of health, some new concepts are developed:“subjective feeling of health' and “salutogenesis". According to Dr.Sukekata Kashiwa, health science belongs to the thirdsciences that set up the goal to realize and search the way to reach it rationalIy,Health is alsoan important goal for clinical medicine,but in this field health man mean setting the sickconditions back to the former states. Health science, however, intends to promote the individualand public health, therefore the health-scienctific approaches must be more pluralistic and comprehensive. In psychosomatic medicine,which is now regarded as the fundamental in clinicalmedicine,the biopsychosocioexistential medical model has been proposed. This model enablescomprehensive medical practices but it does not mention the humanactivities. Dr.Kashiwa has proposed that the initiative and creative activities are principal in human beings.I believe that view of human being as biopsychosocioexistential medical model is indispensable for health science because peopleare not objects to be cured but main charactersto pursue health by themselves through the consciousness of their death. Health science,therefore,means the birth of initiative medicine.
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