Feudtner Chris
Pediatric Advanced Care Team, Integrated Care Service, and Pediatric Generalist Research Group, The Children's Hospital of Philadelphia, PA 19104, USA.
J Altern Complement Med. 2005;11 Suppl 1:S23-30. doi: 10.1089/acm.2005.11.s-23.
Is healing possible at the end of life? Answering "yes," this paper argues that the achievement of holistically conceived health-related goals that patients value is an important dimension of the phenomena of healing and that such achievements are possible at the end of life, especially if hope is adroitly managed. Conceiving of hope: (1) as a set of goal-directed cognitive processes that influence and are influenced by emotion, (2) as a potent cognitive/affective heuristic that influences how individuals consider and select goals, and (3) as an individual experience that occurs in a hierarchical social and cultural ecology of hope, this paper considers possible interventions and how they might be evaluated, seeking to improve the prospects of healing at the end of life.
在生命末期有可能实现治愈吗？本文给出肯定回答，认为实现患者所重视的、从整体角度构想的健康相关目标是治愈现象的一个重要维度，而且这种成就在生命末期是有可能的，尤其是在希望得到巧妙管理的情况下。对希望的构想：（1）作为一组受情感影响并影响情感的目标导向认知过程，（2）作为一种强大的认知/情感启发式方法，影响个体如何考虑和选择目标，以及（3）作为一种在希望的分层社会和文化生态中发生的个体体验，本文考虑了可能的干预措施以及如何对其进行评估，力求改善生命末期治愈的前景。
