Malterud K
Institutt for allmenn-medisin, Universitetet i Bergen.
Nord Med. 1990;105(1):27-9.
This article identifies and describes the helplessness of modern medicine. Helplessness arises when ambitions significantly embedded in identity and dignity exceeds the options of reality--whether persons or academic subjects are concerned. Medical helplessness will continue as long as the medical profession claims miraculous aims of diagnostic or therapeutic success. Another important source of medical helplessness is the obsession that subjective matters belonging to patients, are irrelevant and disturbing issues in medical science and practice. Medicine must acknowledge its own helplessness by listening to the needs of the patients. The helplessness of medicine may be treated by a medical reorientation provided by general practice, knowledge and science.
本文识别并描述了现代医学的无奈。当深深植根于身份和尊严的抱负超出了现实的选择时——无论是涉及个人还是学术主体,无奈就会产生。只要医学专业宣称诊断或治疗成功的神奇目标,医学无奈就会持续存在。医学无奈的另一个重要根源是一种执念,即属于患者的主观问题在医学科学和实践中是无关紧要且令人困扰的问题。医学必须通过倾听患者的需求来承认自身的无奈。医学的无奈可以通过全科医疗、知识和科学提供的医学重新定位来解决。