Amos Anderson Professor of Philosophy, Culture, and Management, Åbo Akademi University, Turku, Finland.
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Nurs Philos. 2022 Jul;23(3):e12385. doi: 10.1111/nup.12385. Epub 2022 Mar 24.
The aim of this article is to elaborate on how a distinct concept of the person can be implemented within person-centred care as an ethical configuration of personhood in the tension between the two predominant cultures of knowledge within health care: naturalism and phenomenology. Starting from Paul Ricoeur's 'personalism of the first, second, and third person' and his 'broken' ontology, open-ended, incomplete, and imperfect mediations, placed at the precise juncture where reality is divided up into two separate cultures of knowledge, is identified as crucial for what makes us human. Within this context, Ricoeur's distinct ethical configuration of personhood is based on the homology between the linguistic, practical, narrative, and moral determinations of selfhood-articulated as a hermeneutics of the self, without any methodological break. Person-centred care is thus recognized as an profound ethical approach to health care based on mediations of 'horizontal' (teleological) and 'vertical' (deontological) readings of an ethical configuration of personhood by the use of practical wisdom.
本文旨在阐述如何在以患者为中心的护理中实现独特的人格概念，将其作为医疗保健中两种主要知识文化（自然主义和现象学）之间的人格伦理配置。本文从保罗·利科的“第一、第二和第三人称的人格主义”和他的“破碎”本体论出发，探讨了开放性、不完整性和不完善性的中介，这些中介处于现实被分为两种知识文化的精确交界点，被认为是使我们成为人类的关键。在这种背景下，利科独特的人格伦理配置基于自我的语言、实践、叙事和道德决定之间的同形关系——表现为自我解释学，而没有任何方法论上的中断。因此，以人为中心的护理被认为是一种深刻的基于伦理配置的医疗保健方法，通过实用智慧对人格伦理配置进行“横向”（目的论）和“纵向”（义务论）的解读。
