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疾病体验的奇异之处:现象学能提供帮助吗?

The Uncanny of the Illness Experience: Can Phenomenology Help?

机构信息

Psychiatry Department, Centro Hospitalar Lisboa Norte, Lisbon, Portugal,

Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal,

出版信息

Psychopathology. 2019;52(5):275-282. doi: 10.1159/000504141. Epub 2019 Nov 13.

Abstract

The illness experience encompasses not only several changes in bodily processes but also the very feeling of becoming ill. This seemingly non-scientific aspect of being sick is characterized by forms of uncanny body experiences and an unhomelike being-in-the-world. Both include disconcerting phenomena, feelings of fear, restlessness, and inexplicability. In this paper we discuss some contributions aiming to understand the illness experience, focusing on the concept of the uncanny. This life event brings changes in the familiarity of our world, revelation of what previously was and should have remained hidden, loss of control, and the certainty of mortality. The experience of uncanniness is here conceptualized as a psychopathological phenomenon that should be regarded as a general symptom of diseases and should be identified and approached. We discuss the impact of these considerations on medical practice, focusing on the role of physicians and ultimately on the purpose of medicine.

摘要

疾病体验不仅包括身体过程的几个变化,还包括生病的感觉。这种看似非科学的患病方面的特点是奇异的身体体验和陌生的在世存在方式。两者都包括令人不安的现象、恐惧、不安和无法解释的感觉。在本文中,我们讨论了一些旨在理解疾病体验的贡献,重点是奇异的概念。这种生活事件会改变我们对世界的熟悉程度,揭示以前存在且应该保持隐藏的东西,失去控制,以及对死亡的确定性。奇异感的体验在这里被概念化为一种心理病理现象,应该被视为疾病的一般症状,并加以识别和处理。我们讨论了这些考虑因素对医疗实践的影响,重点是医生的作用,最终是医学的目的。

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