<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1885-5210</journal-id>
<journal-title><![CDATA[Revista de Medicina y Cine]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Med Cine]]></abbrev-journal-title>
<issn>1885-5210</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Salamanca]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1885-52102022000400009</article-id>
<article-id pub-id-type="doi">10.14201/rmc.30624</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[En torno al concepto de salud y enfermedad. Un dialogo entre la medicina, la literatura y la filosofía]]></article-title>
<article-title xml:lang="en"><![CDATA[Around the concept of health and disease. A dialogue between Medicine, Literature and Philosophy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hidalgo-Balsera]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-García]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Rodríguez]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bordallo-Landa]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Oviedo Departamento de Medicina Área de Farmacología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Universitario de Oncología del Principado de Asturias  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Cajastur  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Investigación Sanitaria de Asturias  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>18</volume>
<numero>4</numero>
<fpage>377</fpage>
<lpage>390</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1885-52102022000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1885-52102022000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1885-52102022000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Un problema de la medicina son las incertidumbres epistémicas que le son propias, tanto por sus métodos de elaboración conceptual como por las que toma de las ciencias naturales y sociales en las que se apoya. En consecuencia, la medicina no es una ciencia, aunque sus bases son cada vez más científicas. Dado que en la medicina en general, y en los conceptos de salud y enfermedad, y en la realidad de los enfermos hay componentes biológicos, psicológicos y sociológicos, no tiene nada de particular invocar a la filosofía y a la literatura para la elaboración de las teorías de la medicina. En este artículo planteamos algunos de estos enfoques, se resaltan las limitaciones de la concepción biologicista y reduccionista de la medicina y se estima que adquiere mayor potencia explicativa de los conceptos de salud y enfermedad cuando se consideran los aspectos humanos y sociales de la teoría y la práctica de la medicina. Además, la literatura aporta una imagen social de la medicina y de los enfermos que deberíamos integrar en los conceptos de salud, enfermedad y enfermo. Llamamos, por último, la atención sobre un proceso que parece haber desaparecido de la práctica médica como es la convalecencia y la necesidad de una completa restauración de la salud por el riesgo, como advierte el aforismo hipocrático, de que de los residuos que quedan de las enfermedades, suelen surgir las recidivas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A problem of medicine is the epistemic uncertainties that are inherent to it, due to its both conceptual elaboration methods and those it takes from the natural and social sciences on which they are based on. Consequently, medicine is not a science, although its basis are scientifically increasing. Given that there are biological, psychological and sociological aspects in medicine in general, and in the concepts of health and disease, and in the reality of patients, there is nothing special about invoking philosophy and literature for the elaboration of theories of medicine. In the present article we consider some of these approaches, the limitations of the biological and reductionist conception of medicine are highlighted and it is estimated that it acquires greater explanatory power of the concepts of health and disease when the human and social aspects of theory and medicine are considered. In addition, literature provides a social image of medicine and of patients that we should integrate into the concepts of health, disease and patient. Finally, we draw attention to a process that seems to have disappeared from medical practice, such as convalescence and the need for a total restoration of health due to the risk, as the Hippocratic aphorism warns, that the residues that remain from disease, relapse often occurs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[literatura]]></kwd>
<kwd lng="es"><![CDATA[filosofía]]></kwd>
<kwd lng="es"><![CDATA[formación médica]]></kwd>
<kwd lng="es"><![CDATA[salud]]></kwd>
<kwd lng="es"><![CDATA[enfermedad]]></kwd>
<kwd lng="es"><![CDATA[enfermos]]></kwd>
<kwd lng="es"><![CDATA[sistemas de salud]]></kwd>
<kwd lng="en"><![CDATA[literature]]></kwd>
<kwd lng="en"><![CDATA[philosophy]]></kwd>
<kwd lng="en"><![CDATA[medical training]]></kwd>
<kwd lng="en"><![CDATA[health]]></kwd>
<kwd lng="en"><![CDATA[disease]]></kwd>
<kwd lng="en"><![CDATA[patients]]></kwd>
<kwd lng="en"><![CDATA[health systems]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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