Centre for Medical Humanities, School of Medicine and Health, Durham University, Durham, UK.
Theor Med Bioeth. 2012 Apr;33(2):123-36. doi: 10.1007/s11017-012-9214-4.
In terms of intervening in embodied experience, medical treatment is wonder-full in its ambition and its metaphysical presumption; yet, wonder's role in clinical medicine has received little philosophical attention. In this paper, I propose, to doctors and others in routine clinical life, the value of an openness to wonder and to the sense of wonder. Key to this is the identity of the central ethical challenges facing most clinicians, which is not the high-tech drama of the popular conceptions of medical ethics but, rather, the routine of patients' undramatic but unremitting demands for the clinician's time and respectful attention. Wonder (conceived as an intense and transfiguring attentiveness) is a ubiquitous ethical source, an alternative to the more familiar respect for rational autonomy, a source of renewal galvanizing diagnostic imagination, and a timely recalling of the embodied agency of both patient and clinician.
在干预具体经验方面，医学治疗在其雄心壮志和形而上学假设方面令人惊叹；然而，在临床医学中，惊奇的作用几乎没有受到哲学关注。在本文中，我向医生和其他在常规临床生活中的人提出，对惊奇和惊奇感持开放态度的价值。关键是大多数临床医生面临的核心伦理挑战的同一性，这不是流行的医学伦理观念所认为的高科技戏剧，而是患者对临床医生时间和尊重关注的非戏剧性但不懈的需求的常规。惊奇（被视为一种强烈而改变的注意力）是一种无处不在的伦理来源，是对更熟悉的对理性自主的尊重的替代，是激发诊断想象力的更新源泉，也是对患者和临床医生的身体代理机构的及时提醒。
