Branch W T
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Acad Med. 2000 Feb;75(2):127-32. doi: 10.1097/00001888-200002000-00006.
The ethics of caring, though the subject of much recent discussion by philosophers, has hardly been applied to medical ethics and medical education. Based on receptivity (that is, empathy and compassion) toward and taking responsibility for other persons, the ethics of caring has particular relevance to medicine. Caring guides the physician always to remain the patient's advocate and to maintain the therapeutic relationship when dealing with and resolving ethical dilemmas. This article discusses the philosophy behind the ethics of caring and then explores three issues that arise within its context: receptivity, taking responsibility, and creating an educational environment that fosters caring.
尽管关怀伦理最近成为哲学家们大量讨论的主题,但它几乎尚未应用于医学伦理和医学教育。基于对他人的接纳(即同理心和同情心)并为他人负责,关怀伦理与医学有着特殊的相关性。关怀引导医生始终成为患者的支持者,并在处理和解决伦理困境时维持治疗关系。本文讨论了关怀伦理背后的哲学,然后探讨了在其背景下出现的三个问题:接纳、负责以及营造一个促进关怀的教育环境。