Schwan David
The University of Memphis, Memphis, TN, USA.
Central Washington University, Ellensburg, WA, USA.
Theor Med Bioeth. 2018 Oct;39(5):347-360. doi: 10.1007/s11017-018-9463-y.
The role and importance of empathy in clinical practice has been widely discussed. This paper focuses on the ideal of clinical empathy, as involving both cognitive understanding and affective resonance. I argue that this account is subject to a number of objections. Affective resonance may serve more as a liability than as a benefit in clinical settings, and utilizing this capacity is not clearly supported by the relevant empirical literature. Instead, I argue that the ideal account of empathy in medicine remains cognitive, though there is a central role for expressing empathic concern toward patients.
共情在临床实践中的作用和重要性已得到广泛讨论。本文关注临床共情的理想状态,即包括认知理解和情感共鸣。我认为这种观点存在一些问题。在临床环境中,情感共鸣可能更多地是一种负担而非益处,而且相关实证文献并未明确支持运用这种能力。相反,我认为医学中共情的理想状态仍然是认知性的,尽管向患者表达共情关怀具有核心作用。