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康复时间:应对疾病和丧失能力时的身体和时间体验。

Healing time: the experience of body and temporality when coping with illness and incapacity.

机构信息

Department of Philosophy, Loyola University Maryland, Baltimore, USA.

出版信息

Med Health Care Philos. 2021 Mar;24(1):99-111. doi: 10.1007/s11019-020-09989-6. Epub 2021 Feb 18.

Abstract

The lived body has structures of ability built up over time through habit. Serious illness, injury, and incapacity can disrupt these capacities, and thereby, one's relationship to the body, and to time itself. This paper focuses attention on a series of healing strategies individuals then employ on the "chessboard" of possibilities intrinsic to lived embodiment. This can include restoring past abilities (pointing to the future to recreate the past); and/or transforming one's bodily structure or use-patterns, or the external environment, to compensate. With many conditions, including progressive aging, no full rehabilitation is possible. Nevertheless, one can also seek consolation, richness, or hope by remembering the past; anticipating the future; or presencing, that is, living fully in the now. Insofar as past, present, and future are interwoven in one's life experience, many also meet adversity by a life-story revision, constructing a new narrative to render events meaningful. Some also access a sense of transpersonal timelessness, whether through anticipation of an afterlife, or a sense of the eternal present. There is a literature on the adaptive coping mechanism used by the chronically ill, but with its diverse patient populations, methodologies, and categories, it has proved difficult to systematize. This article suggests that the structures of lived embodiment, as explored by phenomenology, provide a way to understand the modes of wholeness individuals access over time, and in relation to time-what is here termed chronic healing.

摘要

生命体具有通过习惯随时间建立起来的能力结构。严重的疾病、伤害和丧失能力会破坏这些能力,从而影响一个人与身体以及与时间本身的关系。本文关注的是个体在内在的体现可能性的“棋盘”上所采用的一系列治疗策略。这可能包括恢复过去的能力(指向未来以再现过去);和/或改变身体结构或使用模式,或外部环境,以进行补偿。对于许多疾病,包括进行性老化,都不可能完全康复。然而,人们也可以通过回忆过去、期待未来、或当下呈现来寻求安慰、丰富或希望。由于过去、现在和未来都交织在一个人的生活经历中,许多人也通过生活故事的修订来应对逆境,构建一个新的叙事来赋予事件意义。一些人还通过对来世的期待或对永恒现在的感觉,获得一种超个人的无时间感。关于慢性病患者使用的适应性应对机制有很多文献,但由于其患者群体、方法和类别多样化,很难进行系统化。本文认为,现象学所探讨的体现结构为理解个体随着时间的推移以及与时间的关系(这里称为慢性治疗)所获得的整体性模式提供了一种途径。

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