Cadge Wendy, Hammonds Clare
Department of Sociology, Brandeis University, 415 South Street,Waltham, MA 02454, USA.
Perspect Biol Med. 2012;55(2):266-82. doi: 10.1353/pbm.2012.0021.
The concept of detached concern, as proposed by Renée Fox in Experiment Perilous (1959), is often used in the literature today in a way she did not intend. Rather than viewing detachment and concern as dualities, scholars frequently conceive of them as dichotomous, emphasizing detachment over concern. We reconsider detached concern here through the stories 37 intensive-care nurses told about their most memorable patients. While many described efforts to keep emotionally distant from patients, they also expressed concern for patients they felt connected to, especially those who were a first for them, who were long-term primary patients, who surprised them, or who died. The care nurses provide for these patients is shaped sociologically by their training and institutional contexts and is not an aberration or indicative of their losing control of their feelings. Instead, it is evidence of the dual nature of detached concern and of the importance of viewing the concept as describing more than emotional detachment.
蕾妮·福克斯在《危险实验》（1959年）中提出的超脱关怀概念，如今在文献中的使用方式常常并非她的本意。学者们常常不是将超脱与关怀视为二元性，而是将它们看作二分法，强调超脱多于关怀。我们通过37名重症监护护士讲述的关于他们最难忘患者的故事，在此重新审视超脱关怀。虽然许多人描述了努力与患者保持情感距离，但他们也表达了对那些他们感觉有联系的患者的关怀，尤其是那些对他们来说是首例的患者、长期的主要患者、让他们感到惊讶的患者或去世的患者。护士为这些患者提供的护理在社会学上受到他们的培训和机构环境的塑造，并非异常情况，也不表明他们对自己的情感失去了控制。相反，这是超脱关怀双重性质的证据，以及将这一概念视为不仅仅描述情感超脱的重要性的证据。
