Section for Medical Ethics, Institute of Health and Society, Faculty of Medicine, University of Oslo, PO BOX 1130, Blindern, 0318 Oslo, Norway.
Nurs Ethics. 2011 Mar;18(2):174-83. doi: 10.1177/0969733010392304.
The aim of this article is to investigate the concept of care in contemporary medical practice and medical ethics. Although care has been hailed throughout the centuries as a crucial ideal in medical practice and as an honourable virtue to be observed in codes of medical ethics, I argue that contemporary medicine and medical ethics suffer from the lack of a theoretically sustainable concept of care and then discuss possible reasons that may help to explain this absence. I draw on the empirical studies of Carol Gilligan on care and connectedness as ontologically situated realities in human life. Based on a philosophical elaboration of her findings on the ethics of care emphasizing relationality, I try to show how the notion of 'relational ontology' originating from this stream of thought may be of help in developing a medical ethics that acknowledges care as a perspective to be observed in all interactions between physicians and patients.
本文旨在探讨当代医学实践和医学伦理学中的关怀概念。尽管几个世纪以来，关怀一直被誉为医学实践中的关键理念，也是医学伦理规范中应遵循的光荣美德，但我认为，当代医学和医学伦理学缺乏一个理论上可持续的关怀概念，并进一步探讨了可能有助于解释这种缺失的原因。我借鉴了卡罗尔·吉利根（Carol Gilligan）关于关怀和关联性的实证研究，将其视为人类生活中本体论上的现实。基于对她关于关怀伦理的研究的哲学阐述，我试图展示源自这一思想流派的“关系本体论”概念如何有助于发展一种医学伦理学，将关怀视为医生和患者之间所有互动中需要关注的视角。
