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[新冠疫情的伦理困境:险恶不祥、生存责任与医乃仁术,先治己身]

[Ethical tribulations of COVID-19: the sinister ominous, existential responsibility and Medice, Cura Te Ipsum].

作者信息

Figueroa Gustavo

机构信息

Departamento de Psiquiatría, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile.

出版信息

Rev Med Chil. 2020 Nov;148(11):1668-1673. doi: 10.4067/S0034-98872020001101668.

Abstract

The COVID-19 pandemic revealed the vulnerability of the human being in their existential and medical fields. A feeling of uncertainty of an overwhelming and ominous nature indicates that dying is inherent for the human condition, a feeling that is daily hidden behind the mask of a casual, unexpected, random event. The possibility of dying from the viral disease revealed that the essence of man as being-in-the-world is ethical or self-assumption and is expressed through an original rather than a moral conscience, which calls for authenticity, to listen to its nihility as being-referred-to-death. The medical ethical principles based on rights and duties need to be perfected by the ethics of virtues in accordance with the current challenges, requiring a transformation of the moral self of the doctor. A moral failure of duty is inevitable for medicine, it will never reach its final realization.

摘要

新冠疫情揭示了人类在生存和医学领域的脆弱性。一种压倒性且不祥的不确定感表明,死亡是人类生存状况的固有特征,这种感觉日常隐藏在偶然、意外、随机事件的表象之下。死于这种病毒性疾病的可能性表明,人作为在世存在的本质是伦理的或自我承担的,并且通过一种本真良知而非道德良知得以表达,这种良知要求本真性,即倾听其作为被指向死亡的虚无。基于权利和义务的医学伦理原则需要依据当前挑战通过美德伦理加以完善,这要求医生的道德自我发生转变。医学中职责的道德失败不可避免,它永远无法实现最终的圆满。

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