Walters Geoffrey
Pilgrims Hospices of East Kent, Ashford, Kent.
Palliat Med. 2004 Jul;18(5):404-8. doi: 10.1191/0269216304pm908oa.
The idea of a 'good death' is one which has been central to the palliative care movement but which in fact predates it. A number of recent articles have grappled with the concept. It is a subject which is difficult to quantify scientifically and this article explores the territory using a number of philosophical, theological, historical and literary sources. The changing meaning of the concept is traced through the premodern, modern and postmodern periods. In particular the influence on Western ideals about death of the two paradigmatic stories of the deaths of Socrates and Jesus are examined. It is argued that the dualistic thinking of Plato, which often underlies our thinking about death, is no longer adequate and the author offers the thinking of the Spanish philosopher Miguel de Unamuno as an alternative way of approaching our attitudes to death. Although the article does not seek to give a definitive answer to the question it raises, it suggests that thinking about good death should be broadened to accept the struggle with which many people face their death.
“善终”的理念一直是姑息治疗运动的核心,但实际上其历史更为久远。近期有不少文章探讨了这一概念。这是一个难以进行科学量化的主题,本文借助一些哲学、神学、历史和文学资料对该领域进行了探索。通过前现代、现代和后现代时期追溯这一概念不断变化的含义。尤其考察了苏格拉底和耶稣之死这两个典型故事对西方死亡观念的影响。有人认为,常作为我们思考死亡基础的柏拉图二元论思维已不再适用,作者提出西班牙哲学家米格尔·德·乌纳穆诺的思想,作为看待我们对死亡态度的另一种方式。尽管本文并非试图对其所提出的问题给出最终答案,但它表明,对善终的思考应加以拓展,以接纳许多人面对死亡时所经历的挣扎。