Inbadas Hamilton
School of Interdisciplinary Studies, University of Glasgow, Dumfries, UK.
Mortality (Abingdon). 2017 Jul 19;23(4):320-333. doi: 10.1080/13576275.2017.1351936. eCollection 2018.
Growing understanding of spirituality at the end of life demands more theoretical research on the subject. Empirical studies have highlighted the need for exploring philosophical and cultural concepts to facilitate a fuller understanding of spirituality at the end of life. This paper explores Indian philosophy to inform the conceptualisation of spirituality at the end of life in the Indian context. Three key themes from discourses on spirituality at the end of life have been analysed: the concept of the human person, the purpose of life and the meaning of death. The human person is from and of the Divine, eternal and is capable of cognition and experience. The purpose of human life is to unite with the ultimate Reality, the Divine, by living life righteously according to prescribed ways and by achieving detachment from the illusion of the world. Death is part of life and not that which ends it. The moment of death is an opportunity for the ultimate transformation, Moksha. Analysing these philosophical foundations can provide the contextual frame for understanding the spiritual needs of palliative care patients and their families and the possibility of developing culturally relevant approaches to providing spiritual care at the end of life.
对临终时灵性的理解不断加深,这就需要对该主题进行更多的理论研究。实证研究强调了探索哲学和文化概念的必要性,以便更全面地理解临终时的灵性。本文探讨印度哲学,以在印度语境中为临终时灵性的概念化提供信息。对临终时灵性论述中的三个关键主题进行了分析:人的概念、生命的目的和死亡的意义。人源于神圣且属于神圣,是永恒的,具备认知和体验的能力。人类生命的目的是通过按照规定的方式正直地生活,并从世界的幻象中解脱出来,从而与终极实在——神圣——合一。死亡是生命的一部分,而非生命的终结。死亡时刻是实现终极转变——解脱——的契机。分析这些哲学基础可为理解姑息治疗患者及其家人的精神需求,以及开发与文化相关的临终灵性关怀方法提供背景框架。