Schimmoeller Ethan M, Rothhaar Timothy W
The University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Center for Bioethics, The Ohio State University, Columbus, OH, USA.
Linacre Q. 2021 Feb;88(1):94-104. doi: 10.1177/0024363920948316. Epub 2020 Aug 13.
Patients present to physicians searching for more than scientific names to call their maladies. They rather enter examination rooms with value-laden narratives of illness, suffering, hopes, and worries. One potentially helpful paradigm, inspired in part by existentialism, is to see patients on a search for meaning. This perspective is particularly important in the seemingly meaningless ruins of modernity. Here, we will summarize Victor Frankl's account of logotherapy found in his much-circulated book and assess the limitations imposed by his religious agnosticism. At best he can offer patients a finite, impersonal meaning this side of the grave. Following Kierkegaard's depiction of the religious sphere of existence, American novelist Walker Percy will be shown to supplement logotherapy with a theological mooring. The spiritual crisis of the modern world is treatable only by Christian faith supplying ultimate meaning. Taken together, Frankl and Percy show how Catholic physicians can be guides in their patients' personal searches for meaning. This paradigm may prove chiefly beneficial in goals of care conversations, encountering "aesthetic" patients living only for pleasure, and engaging patients amidst tragedy-ridden circumstances. Although only Christian faith will ultimately satisfy the search for meaning, we first of all need encouragement to take responsibility for seeking meaning, and confidence that even the most hopeless situation can become meaningful.
Victor Frankl's Man's Search for Meaning can enlighten clinical encounters for physicians to see patients on a search for meaning, particularly amidst suffering and tragedy in a post-modern world lacking transcendence. As shown in Walker Percy's literature, however, ultimate meaning can only be found in Christian faith where the Word became flesh and continues to dwell among us.
患者向医生诉说病情时,寻求的不仅仅是病症的学名。他们带着充满价值观念的病痛、苦难、希望和忧虑的叙述走进检查室。一种可能有所帮助的范式,部分受存在主义启发,是将患者视为在寻求意义。这种观点在现代性看似毫无意义的废墟中尤为重要。在此,我们将总结维克多·弗兰克尔在其广为流传的著作中对意义疗法的阐述,并评估其宗教不可知论所带来的局限性。充其量,他只能为患者提供此生有限的、非个人化的意义。继克尔凯郭尔对存在的宗教领域的描述之后,美国小说家沃克·珀西将被展示为意义疗法补充一个神学基础。现代世界的精神危机只有通过提供终极意义的基督教信仰才能得到治疗。综合来看,弗兰克尔和珀西展示了天主教医生如何能够成为患者个人意义探寻的引导者。这种范式在护理目标对话、面对只为享乐而活的“审美”患者以及在充满悲剧的环境中与患者接触时可能证明是主要有益的。尽管只有基督教信仰最终能满足对意义的探寻,但我们首先需要受到鼓励去为寻求意义承担责任,并相信即使是最绝望的情况也能变得有意义。
维克多·弗兰克尔的《活出生命的意义》可以启发临床医生在诊疗过程中将患者视为在寻求意义,尤其是在一个缺乏超越性的后现代世界中的苦难和悲剧之中。然而,正如沃克·珀西的文学作品所示,终极意义只能在基督教信仰中找到,在那里道成了肉身并继续与我们同在。