Nortvedt Per
Institute of Nursing Science, The Medical Faculty, University of Oslo, Norway.
Nurs Philos. 2003 Oct;4(3):222-30. doi: 10.1046/j.1466-769x.2003.00120.x.
This paper investigates the possibility of understanding the rudimentary elements of clinical sensitivity by investigating the works of Edmund Husserl and Emmanuel Levinas on sensibility. Husserl's theory of intentionality offers significant reflections on the role of pre-reflective and affective intuition as a condition for intentionality and reflective consciousness. These early works of Husserl, in particular his works on the constitution of phenomenological time and subjective time-consciousness, prove to be an important basis for Levinas' works on an ethics of alterity and infinite responsibility for the other person. In fact, it is difficult to understand the core of Levinasian ethics, of vulnerability as proximity, of ethical sensitivity as passivity and a suffering for the suffering of another, without understanding the influence from Husserl's work. Crucially, the paper will, on the basis of Levinasian ethics, establish an understanding of sensibility as vulnerability and receptivity that is fundamental also for understanding significant intuitions in clinical nursing. Clinical sensitivity and carefulness in nursing are shaped by the concrete and also bodily expressions of vulnerabilities in a receptivity that is pre-reflective and pre-ontological.
本文通过研究埃德蒙德·胡塞尔和埃马纽埃尔·列维纳斯关于感性的著作，探讨理解临床敏感性基本要素的可能性。胡塞尔的意向性理论对前反思性和情感直觉作为意向性和反思性意识条件的作用进行了重要反思。胡塞尔的这些早期著作，尤其是他关于现象学时间构成和主观时间意识的著作，被证明是列维纳斯关于他者伦理学和对他人无限责任著作的重要基础。事实上，如果不理解胡塞尔著作的影响，就很难理解列维纳斯伦理学的核心，即作为亲近的脆弱性、作为被动性的伦理敏感性以及为他人的痛苦而受苦。至关重要的是，本文将基于列维纳斯伦理学，确立一种将感性理解为脆弱性和接受性的观点，这对于理解临床护理中的重要直觉也至关重要。临床护理中的敏感性和细心是由一种前反思性和前本体论的接受性中脆弱性的具体且具身体性的表达所塑造的。
