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回到未来:1961-1974 年的 AMA 和宗教。

Back to the future: The AMA and religion, 1961-1974.

机构信息

Mr. Kim is a PhD student of religious ethics and senior program manager, Program on Medicine and Religion, University of Chicago, Chicago, Illinois. Dr. Curlin is professor of medical humanities, Trent Center for Bioethics, Humanities, and History of Medicine and the Duke Divinity School, Duke University, Durham, North Carolina. Ms. Wolenberg is a medical student, Vanderbilt University School of Medicine, Nashville, Tennessee. Dr. Sulmasy is Kilbride-Clinton Professor of Medicine and Ethics, Department of Medicine and Divinity School, associate director, MacLean Center for Clinical Medical Ethics, and director, Program on Medicine and Religion, University of Chicago, Chicago, Illinois.

出版信息

Acad Med. 2014 Dec;89(12):1603-9. doi: 10.1097/ACM.0000000000000370.

Abstract

U.S. medical scholarship and education regarding religion and spirituality has been growing rapidly in recent years. This rising interest, however, is not new; it is a renewal of significant interweavings that date back to the mid-20th century. In this Perspective, the authors draw attention to the little-known history of organized medicine's engagement with religion from 1961 to 1974. Relying on primary source documents, they recount the dramatic rise and fall of the Committee on Medicine and Religion (CMR) at the American Medical Association (AMA). At its height, there were state-level committees on medicine and religion in 49 states, the District of Columbia, and Puerto Rico, and there were county-level committees in over 800 county medical societies. Thousands of physicians attended annual conferences for clinicians and clergy, and direct outreach to patients included a film viewed by millions. The CMR arose in the context of rapid medical advances, the growth of professional chaplaincy, and concern for declining "humanism" in medicine-conditions with parallels in medicine today. The CMR was brought to a puzzling end in 1972 by the AMA's Board of Trustees. The authors argue that this termination was linked to the AMA's long and contentious debate on abortion. They conclude with the story's significance for today's explorations of the intersection of spirituality, religion, and medicine, focusing on the need for mutual respect, transparency, and dialogue around the needs of patients and physicians.

摘要

近年来,美国的医学学术和教育领域对宗教和精神信仰的研究迅速发展。然而,这种日益增长的兴趣并非新鲜事物,而是自 20 世纪中期以来重新出现的、具有重要交织关系的现象。在本文中,作者提请人们注意 20 世纪 60 年代至 70 年代期间,医学界与宗教之间鲜为人知的历史。他们依靠原始资料,详细描述了美国医学协会(AMA)医学与宗教委员会(CMR)的戏剧性兴衰历程。在鼎盛时期,美国 49 个州、哥伦比亚特区和波多黎各设有州级医学与宗教委员会,800 多个县医学会设有县级委员会。数千名医生参加了针对临床医生和神职人员的年度会议,并且还直接向患者宣传,其中一部影片的观看人数达到了数百万。CMR 的出现是在医学快速进步、专业神职人员队伍壮大以及对医学中“人文主义”衰落的担忧的背景下产生的,这些情况与当今医学中的情况有相似之处。1972 年,AMA 理事会以令人费解的方式结束了 CMR。作者认为,这一终止与 AMA 就堕胎问题展开的长期而激烈的辩论有关。他们最后以该故事对当今探索精神、宗教和医学交叉领域的意义为结尾,重点强调了在满足患者和医生的需求方面,相互尊重、透明和对话的必要性。

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