Sulmasy Daniel P
Perspect Biol Med. 2016;59(4):562-566. doi: 10.1353/pbm.2016.0048.
Reading the following brief piece depends on having some knowledge of the famous essay to which it refers, Francis W. Peabody's "The Care of the Patient," published 90 years ago in the Journal of the American Medical Association (JAMA 88: 877-82). Peabody's essay was based on a talk he gave to Harvard medical students in 1925, and it was published shortly before his premature death in 1927. At the time, he was highly regarded as a consummate clinician and teacher, and in his essay, he laments problems he already saw affecting medical practice, such as the overvaluation of science relative to clinical medicine and a diminishing spirit of attentiveness to the most deeply human needs of patients. He deals in an especially astute and compassionate way with the care of patients suffering from what is now known as somatization disorder. Peabody's essay has been widely anthologized, is often an assigned reading for medical students, and has been revered by practitioners and students for almost 100 years. But times are changing . . .
要读懂以下这篇短文,需要对其所提及的那篇著名论文有所了解,即弗朗西斯·W·皮博迪于90年前发表在《美国医学会杂志》(《美国医学会杂志》88: 877 - 82)上的《患者的护理》。皮博迪的这篇论文基于他1925年给哈佛医学院学生所做的一次演讲,在他1927年英年早逝前不久发表。当时,他作为一名技艺精湛的临床医生和教师备受尊崇,在论文中,他哀叹自己已然察觉到的影响医疗实践的问题,比如科学相对于临床医学的过度重视,以及对患者最深层次人性需求的关注精神日益淡薄。他以一种尤为敏锐且富有同情心的方式论述了对如今被称为躯体化障碍患者的护理。皮博迪的论文被广泛选入文集,常被指定为医学生的阅读材料,近100年来一直受到从业者和学生的敬重。但时代在变……