Polytrauma Transitional Rehabilitation Program, Hunter Holmes McGuire Veterans Administration Medical Center, Richmond, Virginia, USA.
Top Stroke Rehabil. 2011 Jan-Feb;18(1):1-5. doi: 10.1310/tsr1801-1.
This issue of Topics in Stroke Rehabilitation explores the theme of medical phenomenology and stroke rehabilitation through open peer commentary format. The theme is introduced by a brief summary and overview of phenomenology as a branch of philosophy whose focus is the development of methodology for describing and ordering human experience. The application of this philosophical approach to medicine in general and stroke rehabilitation in particular is then considered. An approach to patients informed by both phenomenology and science provides a more complete, holistic, and humanistic framework than science alone. Phenomenology helps the clinician to understand the importance of narrative, the process of adaptation at the level of the integrated whole person, and the important role of context in determining how recovery unfolds. Embodiment is presented as an organizing principle that links the nature of conscious experience in the lived body and the basic transformation in experience and function associated with an acquired pathology such as stroke. Finally, the nature of open peer commentary is considered and introduced in terms of how it has been specifically implemented in this issue of Topics in Stroke Rehabilitation.
本期《中风康复专题》通过公开同行评议的形式探讨了医学现象学与中风康复的主题。该主题通过对现象学作为哲学分支的简要总结和概述来引入，其重点是开发描述和整理人类经验的方法。然后考虑将这种哲学方法应用于医学，特别是中风康复。受现象学和科学共同启发的患者方法提供了比科学更完整、更全面和更人性化的框架。现象学帮助临床医生理解叙事的重要性、整体层面的适应过程，以及背景在决定康复如何展开方面的重要作用。体现被提出作为一个组织原则，将有意识体验的本质联系起来，将体验和功能的基本转变联系起来，这些转变与中风等获得性病理学有关。最后，考虑了公开同行评议的性质，并根据其在本期《中风康复专题》中的具体实施方式进行了介绍。
