Messinger Atara, Chin-Yee Benjamin
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Med Humanit. 2016 Sep;42(3):184-5. doi: 10.1136/medhum-2015-010731. Epub 2016 Feb 12.
This essay is a reflection on the doctor-patient relationship from the perspective of two medical students, which draws on the ideas of 20th-century philosopher Martin Buber. Although Buber never wrote about medicine directly, his 'philosophy of dialogue' raises fundamental questions about how human beings relate to one another, and can thus offer valuable insights into the nature of the clinical encounter. We argue that Buber's basic word pairs, 'I-You' and 'I-It', provide a useful heuristic for understanding different modes of caring for patients, which we illustrate using examples of illness narratives from two literary works: Tolstoy's Ivan Ilych and Margaret Edson's Wit Our essay demonstrates how the humanities in general and philosophy in particular can inform a more humanistic practice for healthcare trainees and practicing clinicians alike.
本文是两名医学生从自身角度对医患关系的反思,借鉴了20世纪哲学家马丁·布伯的思想。尽管布伯从未直接论述过医学,但他的“对话哲学”提出了关于人类如何相互关联的根本性问题,因此能为临床诊疗的本质提供有价值的见解。我们认为,布伯的基本词对“我—你”和“我—它”,为理解照顾患者的不同模式提供了有益的启发,我们通过两部文学作品中的疾病叙事例子进行说明:托尔斯泰的《伊凡·伊里奇之死》和玛格丽特·埃德森的《智者》。我们的文章展示了人文科学,尤其是哲学,如何能为医疗培训生和执业临床医生提供更具人文关怀的实践指导。