Primeau F J
Department of Psychiatry, University of Montreal, Quebec, Canada.
J Geriatr Psychiatry Neurol. 1990 Oct-Dec;3(4):231-6. doi: 10.1177/089198879000300410.
In the broadest sense, medicine is a biologic-anthropologic model. The latest data on epidemiology and biology confirm earlier apprehensions about life expectancy, number of elderly, and the impact of mental impairment. The author wishes to reflect rather on anthropology by comparing the American and French cultures faced with the ethical dilemmas of aging and end-of-life issues. On this perilous frontier of biomedical ethics, the author suggests that the right to be treated as a person is an effective source of motivation for physicians to respect the dignity of geriatric patients in the context of high-technology medicine.
从最广泛的意义上讲，医学是一种生物 - 人类学模式。流行病学和生物学的最新数据证实了人们早期对预期寿命、老年人数量以及精神障碍影响的担忧。作者希望通过比较美国和法国文化在面对老龄化和临终问题的伦理困境时，对人类学进行反思。在生物医学伦理这一危险前沿领域，作者认为被视为人的权利是促使医生在高科技医学背景下尊重老年患者尊严的有效动力来源。
