Morrissey Mary Beth
Fordham Ravazzin Center on Aging, West Harrison, NY, USA.
J Soc Work End Life Palliat Care. 2011;7(1):14-38. doi: 10.1080/15524256.2011.548045.
In this article, the author examines the phenomenology of pain and suffering and the fundamentally social nature of living with serious illness for older adults at life's end. She focuses on three concerns in gerontological health and social work: developing a phenomenological account of lived experiences of pain and suffering; articulating a humanistic phenomenological perspective on the axiological and ethical dimensions of pain and suffering; and exploring a phenomenological approach to a more humanistic, person-centered social work practice with older adults in end-of-life and palliative care. The contribution that the author makes through this article is in elaborating a humanistic framework for understanding agency, obligation, and ethical choice in end-of-life decision making.
在本文中，作者探讨了疼痛与苦难的现象学，以及老年人在生命终末期身患重病时生活所具有的根本社会性。她聚焦于老年学健康与社会工作中的三个关注点：对疼痛与苦难的生活体验进行现象学描述；阐明关于疼痛与苦难的价值论和伦理学维度的人本主义现象学观点；探索一种现象学方法，以便在临终关怀和姑息治疗中与老年人开展更具人本主义、以患者为中心的社会工作实践。作者通过本文所做出的贡献在于，阐述了一个用于理解临终决策中能动性、义务和伦理选择的人本主义框架。
