Vonarx Nicolas, Desgroseilliers Valérie
Faculté des sciences infirmières, Université Laval.
Rech Soins Infirm. 2013 Sep(114):21-30.
Dominated by a bio-mechanistic paradigm, Western health systems are suffering from numerous problems. One such problem is the lack of consideration for lived experiences and the complexity and depth of meaning that characterize them. We accordingly emphasize in this text the importance of talking a deep look at the experiences of the cared-for Subject and changing the viewpoint on his or her problems. We defend this viewpoint with the help of a few ideas borrowed from Georges Canguilhem. We then refer to a socio-phenomenological approach inspired by the work of Alfred Schütz which allows us to better grasp people's lived experiences. We thus rehabilitate the Subject by proposing a human care theory that focuses on its' relationship(s) with the body, others, time and space, as well as on self-referent identity labels that give meaning to one's existence. This study is a theoretical reflection on human care that considers professional collaboration and interdisciplinarity, and that does not ignore the concrete practices of stakeholders and professionals.
受生物机械范式主导,西方医疗体系正面临诸多问题。其中一个问题是缺乏对生活经历以及构成这些经历的复杂性和深层意义的考量。因此,在本文中我们强调深入审视被照料对象的经历并改变对其问题的看法的重要性。我们借助从乔治·康吉莱姆那里借鉴的一些观点来捍卫这一观点。然后我们提及一种受阿尔弗雷德·舒茨作品启发的社会现象学方法,它能让我们更好地理解人们的生活经历。通过提出一种关注主体与身体、他人、时间和空间的关系以及赋予个体存在意义的自我指涉身份标签的人文关怀理论,我们从而恢复了主体的地位。本研究是对人文关怀的理论反思,它考虑了专业协作和跨学科性,并且不忽视利益相关者和专业人员的具体实践。