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在瘟疫和流行病中意识到相互的、对等的需求:早期基督教医疗保健的起源。

Awaking to Mutual, Reciprocal Need in Plague and Epidemic Disease: The Origins of Early Christian Health Care.

作者信息

Becker Sarah E

机构信息

Oakland University William Beaumont School of Medicine in Rochester, MI, USA.

出版信息

Linacre Q. 2021 May;88(2):163-174. doi: 10.1177/0024363920962958. Epub 2020 Oct 13.

Abstract

While the early Christian Church demonstrates a deep desire to relieve physical suffering, the Greco-Roman world in which it developed lacked the same impetus to respond to human need, especially in the context of epidemic or communicable disease. Christianity's dedication to health care, and its belief that assisting the sick constituted an absolute obligation, distinguished early Christianity from its contemporary cultural milieu which regularly ignored and excluded the sick. The novelty of the Christian approach to healing can be traced to the early church's unique recognition of human need. This vision of human need, which ultimately replaced the secular Greco-Roman emphasis on reciprocal philanthropy and providing assistance only to the worthy, is clearly exemplified in the life of Christ, in responses to plague and in the writings of John Chrysostom and the Cappadocian Fathers Basil the Great, Gregory of Nyssa, and Gregory of Nazianzus. An analysis of these sources demonstrates that the early Christian Church viewed the sick not only as persons to be assisted insofar as they shared a common human nature but also individuals necessary for the salvation of the broader community as a whole. The early church's emphasis on reciprocal interdependence between healthy and sick eliminated the boundaries traditionally established between these two groups and transformed long-standing notions of contagious disease. Ultimately, the development of these attitudes toward the sick originates in a deeper truth which underlies the Christian healthcare tradition both in the ancient world and in the modern era: humanity's profound and mutual need of God, before whom all are spiritually ill.

摘要

虽然早期基督教教会表现出缓解身体痛苦的深切愿望,但它所处的希腊罗马世界却缺乏回应人类需求的同样动力,尤其是在流行病或传染病的背景下。基督教对医疗保健的奉献,以及其认为帮助病人是一项绝对义务的信念,使早期基督教有别于其经常忽视和排斥病人的当代文化环境。基督教治疗方法的新颖之处可以追溯到早期教会对人类需求的独特认识。这种对人类需求的看法最终取代了世俗希腊罗马对互惠慈善以及只向有价值的人提供援助的强调,在基督的生平、对瘟疫的应对以及约翰·克里索斯托和卡帕多西亚教父巴西尔大帝、尼撒的格列高利和纳西盎的格列高利的著作中都有明显体现。对这些资料的分析表明,早期基督教教会不仅将病人视为因其共同人性而需要帮助的人,而且视为整个更广泛社区得救所必需的个体。早期教会对健康者与病人之间相互依存关系的强调消除了这两类人之间传统上设定的界限,并改变了关于传染病的长期观念。最终,这些对病人态度的发展源于一个更深层次的真理,这个真理在古代和现代都是基督教医疗传统的基础:人类对上帝的深刻而相互的需求,在上帝面前,所有人在精神上都是患病的。

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