School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK.
J Med Ethics. 2011 Jun;37(6):380-3. doi: 10.1136/jme.2010.039628. Epub 2011 Feb 2.
Empathy is commonly regarded as an essential attribute for doctors and there is a conviction that empathy must be taught to medical students. Yet it is not clear exactly what empathy is, from a philosophical or sociological point of view, or whether it can be taught. The meaning, role and relevance of empathy in medical education have tended to be unquestioningly assumed; there is a need to examine and contextualise these assumptions. This paper opens up that debate, arguing that 'empathy', as it is commonly understood, is neither necessary nor sufficient to guarantee good medical or ethical practice.
同理心通常被认为是医生的一项基本素质,人们坚信同理心必须教授给医学生。然而,从哲学或社会学的角度来看,同理心究竟是什么,或者它是否可以被教授,目前还不清楚。同理心在医学教育中的意义、作用和相关性往往被不假思索地假定;有必要对这些假设进行检验和背景化。本文开启了这一辩论,认为通常意义上的“同理心”既不是保证良好的医疗或道德实践的必要条件,也不是充分条件。