Vanbelle Guido
Verbond Der Vlaamse Tandartsen, Weerstandsplein 7 1600 Sint-Pieters-Leeuw.
Rev Belge Med Dent (1984). 2008;63(2):77-80.
Judgment and actions based on scientific evidence are modified by the unique caregiver-patient relationship. Caregivers relying exclusively upon "rational" decisions in line with evidence-based clinical recommendations avoid their relational responsibility. The "noble" purpose illustrates that decisions to treat can be at the same time pointless and valuable. Dia (through) - logue (knowledge) makes it possible to go beyond informed consent, which holds caregivers responsible for providing information and patients for the decision to treat. Finally, where healing is no longer achievable and autonomy dies away, compassion rather than therapeutic tenacity might be the answer. These examples are explained corresponding to the philosophical ideas of respectively Emmanuel Levinas en Roger Burgraeve (noble purpose), Martin Buber (dialogical thinking) and Daniel C. Dennett (autonomy loss).
基于科学证据的判断和行动会因独特的医患关系而有所改变。仅仅依据符合循证临床建议的“理性”决策的护理人员逃避了他们的关系责任。“高尚”目的表明治疗决策可能同时毫无意义却又有价值。对话（dia，通过——logue，知识）使超越知情同意成为可能，知情同意认为护理人员有责任提供信息，而患者有责任做出治疗决定。最后，当治愈不再可行且自主性消失时，答案可能是同情而非治疗上的固执。这些例子分别对应埃马纽埃尔·列维纳斯和罗杰·布尔格拉埃夫（高尚目的）、马丁·布伯（对话思维）以及丹尼尔·C·丹尼特（自主性丧失）的哲学思想进行了解释。
