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[生物伦理学与希波克拉底誓言]

[Bioethics and the Hippocratic oath].

作者信息

Kapocsi Erzsébet, Jenei Ilona

机构信息

Szegedi Tudományegyetem, Szent-Györgyi Albert Orvos- és Gyógyszerészeti Centrum, Altalános Orvostudományi Kar Pszichiátriai Klinika Magatartástudományi Csoport.

出版信息

Orv Hetil. 2003 Jul 20;144(29):1447-53.

PMID:12939866
Abstract

Throughout the long centuries of medical activity, the Hippocratic Oath always had a distinguished place and role within the self definition of curative practice: it contains in a condensed form those ethical principles and moral norms that determine the doctors' behavior and their relationships with their patients and colleagues. The Hippocratic Oath is not the only oath but it is surely the best known and most famous one, that contains both timeless and age dependent norms. The ceremonial taking of the Oath is still a symbol of moral commitment for doctors. The millennia long adherence to the Oath perhaps suggests a timeless stature above all changes of society, but tracing its history, it becomes apparent that, though the text remained essentially the same, the interpretation is greatly influenced by the values and norms of the given age. Even so, the Oath's deontological, normative attribute has made it possible to fulfill its morally regulating role both of level of the profession and the individual, up to the middle of the 20. century. Today, however, classic, bipolar medicine has become complex and varied. Medicine and society have both undergone changes. Bioethics has appeared and become widely accepted. All this raises the question whether the Oath is still suitable for a modern statement of the moral identity of medical practitioners. Does it still have a compulsory force beyond keeping the tradition, and can its norms still be realized in practice? Both the study of texts used for the Oath in Hungarian universities, and the international proposal for modernization--together with the arguments that followed--indicate that if the traditional oath wishes to fulfill its function in the age of modern medicine, it has to adhere to the more up-to-date principles of bioethics, that better correlate with today's expectations.

摘要

在漫长的医学活动几个世纪中,希波克拉底誓言在治疗实践的自我定义中始终占有显著地位并发挥着重要作用:它以浓缩的形式包含了那些决定医生行为以及他们与患者和同事关系的伦理原则和道德规范。希波克拉底誓言并非唯一的誓言,但肯定是最广为人知且最著名的誓言,它既包含了永恒不变的规范,也包含了随时代变化的规范。宣誓仪式至今仍是医生道德承诺的象征。数千年来对该誓言的坚守或许表明它具有超越社会一切变革的永恒地位,但追溯其历史可以明显看出,尽管文本基本保持不变,但其解读却受到特定时代的价值观和规范的极大影响。即便如此,该誓言的道义论、规范性属性使其能够在职业层面和个人层面履行道德规范作用,直至20世纪中叶。然而如今,传统的两极化医学已变得复杂多样。医学和社会都发生了变化。生物伦理学已然出现并被广泛接受。所有这些都引发了一个问题,即该誓言是否仍然适用于现代对医学从业者道德身份的阐述。它除了维系传统之外是否仍具有强制力,其规范在实践中是否仍能得以实现?对匈牙利大学中用于宣誓的文本的研究以及国际上的现代化提议——连同后续的争论——都表明,如果传统誓言想要在现代医学时代履行其功能,就必须遵循与当今期望更相符的更新的生物伦理学原则。

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引用本文的文献

1
Hippocratic oath, 21st century.21世纪的希波克拉底誓言。
Indian J Surg. 2010 Apr;72(2):171-5. doi: 10.1007/s12262-010-0045-0. Epub 2010 Jul 1.