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与严重和终末期疾病相关的隔离和苦难:阿尔贝·加缪小说《鼠疫》中的隐喻和教训。

Isolation and Suffering Related to Serious and Terminal Illness: Metaphors and Lessons From Albert Camus' Novel, The Plague.

机构信息

The Divinity School, Duke University, Durham, North Carolina, USA.

The Divinity School, Duke University, Durham, North Carolina, USA.

出版信息

J Pain Symptom Manage. 2017 Sep;54(3):400-403. doi: 10.1016/j.jpainsymman.2017.07.046. Epub 2017 Aug 1.

Abstract

Health care providers have much to learn from Albert Camus' great novel, The Plague. The Plague tells the story of a bubonic plague epidemic through the lens of doctor-narrator Rieux. In addition to Rieux, this essay also focuses on the perspective of Father Paneloux, a Jesuit priest, who provides important religious commentary on the epidemic, before falling victim to it and dying. Camus' masterful engagement of the metaphor of isolation and its profound impact on suffering emphasizes the important role of community and spiritual perspectives of patients and providers in coping with serious illness, death, and dying. The Plague is relevant today, particularly given the challenges of distancing, alienation, and isolation imposed by not only disease but also by technology and clinical and administrative practices that have unintended consequences of incentivizing separation between patient and healer, thus engendering greater stress and suffering in both.

摘要

医疗服务提供者可以从阿尔贝·加缪的伟大小说《鼠疫》中学到很多东西。《鼠疫》通过医生叙述者里厄的视角讲述了一场淋巴腺鼠疫的流行。除了里厄,本文还关注了耶稣会神父帕纳鲁神父的观点,他在感染鼠疫并死亡之前,对这场疫情提供了重要的宗教评论。加缪巧妙地运用了隔离的比喻,以及它对苦难的深远影响,强调了社区和患者及提供者的精神观点在应对严重疾病、死亡和临终时的重要作用。《鼠疫》在今天仍然具有现实意义,特别是考虑到不仅是疾病,还有技术以及临床和行政实践带来的隔离、疏远和孤立的挑战,这些实践带来了医患分离的意外后果,从而给双方带来了更大的压力和痛苦。

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