Jecker N S, Self D J
Department of Medical History and Ethics, School of Medicine, University of Washington, Seattle 98195.
J Med Philos. 1991 Jun;16(3):285-306. doi: 10.1093/jmp/16.3.285.
This paper provides a philosophical critique of professional stereotypes in medicine. In the course of this critique, we also offer a detailed analysis of the concept of care in health care. The paper first considers possible explanations for the traditional stereotype that caring is a province of nurses and women, while curing is an arena suited for physicians and men. It then dispels this stereotype and fine tunes the concept of care. A distinction between 'caring for' and 'caring about' is made, and concomitant notions of parentalism are elaborated. Finally, the paper illustrates, through the use of cases, diverse models of caring. Our discussion reveals the complexity of care and the alternative modes of caring in health care.
本文对医学中的职业刻板印象进行了哲学批判。在这一批判过程中,我们还对医疗保健中的护理概念进行了详细分析。本文首先探讨了传统刻板印象的可能成因,即护理是护士和女性的领域,而治疗则是医生和男性的舞台。然后消除了这种刻板印象,并对护理概念进行了微调。区分了“照顾”和“关心”,并阐述了家长主义的相关概念。最后,本文通过案例说明了不同的护理模式。我们的讨论揭示了护理的复杂性以及医疗保健中护理的替代模式。