David Chanan
Med Law. 2014 Oct;33(3):13-20.
This article is based on the idea that, in the dialogue between physician and patient, aside from determining "what kind of illness a person has", it is equally important to acknowledge "what kind of person stands behind the illness". This means that the psychological meaning denoted by the patient to the physician's explanations referring to his/her impaired medical condition, and nature of the disability, is most important in determining whether the patient will--in the psychological sense--perceive him/herself as handicapped. Basic concepts in the patient's coping process with the medical condition, and the proper adjustment to a possible disability are: adaptation to an adequate, new body image; awareness--as a cognitive procedure; acceptance--as an emotional entity.
本文基于这样一种观点,即在医患对话中,除了确定“一个人患了何种疾病”之外,认识到“疾病背后是怎样一个人”同样重要。这意味着,患者赋予医生对其受损病情及残疾性质解释的心理意义,在决定患者是否会在心理层面将自己视为残疾人方面最为重要。患者应对病情及妥善适应可能出现的残疾的基本概念包括:适应适当的新身体形象;作为一种认知过程的意识;作为一种情感实体的接受。