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患者自主性、临床决策制定和现象学还原。

Patient autonomy, clinical decision making, and the Phenomenological reduction.

机构信息

The Centre for Social Ethics and Policy, Department of Law, School of Social Sciences, The University of Manchester, Oxford Road, M13 9PL, Manchester, UK.

Centre for Medical Ethics, Faculty of Medicine, University of Oslo, Oslo, Norway.

出版信息

Med Health Care Philos. 2022 Dec;25(4):615-627. doi: 10.1007/s11019-022-10102-2. Epub 2022 Jul 7.

Abstract

Phenomenology gives rise to certain ontological considerations that have far-reaching implications for standard conceptions of patient autonomy in medical ethics, and, as a result, the obligations of and to patients in clinical decision-making contexts. One such consideration is the phenomenological reduction in classical phenomenology, a core feature of which is the characterisation of our primary experiences as immediately and inherently meaningful. This paper builds on and extends the analyses of the phenomenological reduction in the works of Husserl, Heidegger, and Merleau-Ponty in order to identify and explain its implications for our current understanding of the principle of respect for patient autonomy and the norms of clinical decision making.

摘要

现象学引发了某些本体论思考,这些思考对医学伦理学中患者自主性的标准观念产生了深远的影响,进而影响到临床决策背景下对患者的义务。其中一个考虑因素是经典现象学中的现象学还原,其核心特征是将我们的主要经验描述为直接且内在有意义的。本文以胡塞尔、海德格尔和梅洛-庞蒂的著作中对现象学还原的分析为基础并加以扩展,以确定并解释其对我们当前对尊重患者自主性原则和临床决策规范的理解的影响。

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