Methodological controversies between social and medical sciences

Abstract

If doctors find sociological methods unreliable, the results unsound, and the approach irrelevant, this is due to the essential differences between the procedures and interests of the exact and the social sciences. When sociologists raise doubts concerning the one-sidedness of the medical approach, its exaggerated professionalism, lack of concern for the social context of cure, those are latent requirements which do not match the current paradigm of medical knowledge. It is assumed here that the difference between experimental method and the interpretive procedures of sociology has a basic character and cannot be overcome by the methodological refinement of the latter. Understanding sociological knowledge must be based only against a background of a special interest in practical social affairs. Doubst are raised whether such an interest can develop within the prevailing paradigm of medical practice. Nevertheless, some improvements in the presentation of sociological research and in its method, especially as related to conclusiveness and applicability, can enhance the chances of its effective use in medical practice. Possible postulates addressed to medical research do not have methodological consequences requiring a change in the organization of medical services or in the relations with associated industry for the needs of the health care system.