Coeliac Disease and Non-coeliac Gluten Sensitivity: A Clinical and Philosophical Discussion

被引：0

作者：

Borrell-Carrio, F. ^{[1
,2
]}

Peguero-Rodriguez, E. ^{[1
,3
]}

Morales-Hidalgo, V. ^{[4
]}

Castellote-Alonso, J. ^{[5
]}

Estany, A. ^{[6
]}

机构：

[1] Univ Barcelona, Dept Clin Sci, Barcelona, Spain

[2] ICS Catalan Reg Hlth Serv, Gavarra EAP Primary Healthcare Team, Barcelona, Spain

[3] ICS Catalan Reg Hlth Serv, Castelldefels EAP Primary Healthcare Team, Barcelona, Spain

[4] ICS Catalan Reg Hlth Serv, Garraf Penedes Paediat Unit, Barcelona, Spain

[5] Bellvitge Teaching Hosp, Barcelona, Spain

[6] Autonomous Univ Barcelona, Dept Philosophy, Fac Arts & Humanities, Barcelona, Spain

来源：

PHILOSOPHICAL AND METHODOLOGICAL DEBATES IN PUBLIC HEALTH | 2019年

关键词：

Coeliac disease; Non-coeliac gluten sensitivity; Disease script; Pragmatism; Essentialism; Invariantism; Contextualism; DIAGNOSIS;

D O I：

10.1007/978-3-030-28626-2_5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The questioning of the introduction of new diseases is a typical feature of psychiatry: Does ADHD (attention deficit/hyperactivity disorder) exist? Why "hysteria" has not disappeared from diagnosis taxonomies? Here, we show that this characteristic is not exclusive to psychiatry. In the case of coeliac disease and non-coeliac gluten sensitivity (NCGS), an important tension arises between a pragmatist position, in favour of diagnosing NCGS, and an opposing essentialist conception, since no "biological core" specific to NCGS can be identified. When proposals for new diseases appear, practitioners adopt positions in favour or against their acceptance, supported by different epistemological approaches. In this work, we analyse these approaches, which lie behind many nosological and taxonomic discussions in medicine.

引用

页码：59 / 72

页数：14

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