Department of Internal Medicine, Stanford University School of Medicine, Stanford, USA.
J Gen Intern Med. 2010 Jan;25(1):93-5. doi: 10.1007/s11606-009-1177-4.
For over a century, Leo Tolstoy's The Death of Ivan Ilych has been one of the most influential examinations of how we come to terms with our own mortality. Of the many who care for Ivan Ilych, only the uneducated peasant, Gerasim, is able to help him find meaning and resolution before death. An excerpt that describes Gerasim's key interaction with Ivan Ilych is provided. Analysis of the text reveals how cultural values may hinder a patient's ability to confront mortality and how unique social barriers inhibit different caretakers' ability to care for a dying patient.
一个多世纪以来,列夫·托尔斯泰的《伊凡·伊里奇之死》一直是对我们如何接受死亡的最有影响力的研究之一。在关心伊凡·伊里奇的众多人中,只有未受过教育的农民格里高利才能帮助他在死前找到意义和解决办法。提供了一段描述格里高利与伊凡·伊里奇关键互动的摘录。对文本的分析揭示了文化价值观如何可能阻碍患者面对死亡的能力,以及独特的社会障碍如何抑制不同的护理人员照顾临终患者的能力。