Medical Ethics and Humanities Unit, LKS Medical Faculty, Hong Kong University, Hong Kong, Hong Kong
International Center of Health, Law, and Ethics, University of Haifa, Haifa, Israel.
J Med Ethics. 2023 Sep;49(9):649-654. doi: 10.1136/jme-2022-108540. Epub 2022 Dec 9.
Loneliness has been a major concern for philosophers, poets and psychologists for centuries. In the past several decades, it has concerned clinicians and public health practitioners as well. The research on loneliness is urgent for several reasons. First, loneliness has been and still is extremely ubiquitous, potentially affecting people across multiple demographics and geographical areas. Second, it is philosophically intriguing, and its analysis delves into different branches of philosophy including phenomenology, existentialism, philosophy of mind, etc. Third, empirical research has shown that loneliness is a significant health risk factor. Loneliness may thus be defined as a (negative) social determinant of health.Having that said, COVID-19 has demonstrated how little we as members of humanity have been prepared to face the loneliness resulting from the global response to the virus. As people worldwide are literally dying from loneliness, we still do not know what makes one feel lonely while making another feel being in solitude, or how is it that one feels lonely in the heart of London.In this essay, I first review loneliness in general and specifically in the context of COVID-19. I then argue that loneliness should be understood as a social determinant of health. Lastly, I argue that individuals have a right not to be lonely. Such right stems in turn from the right to healthcare or even a right to health.
孤独感是几个世纪以来哲学家、诗人和心理学家关注的主要问题。在过去的几十年里,临床医生和公共卫生工作者也开始关注孤独感。研究孤独感有几个原因。首先,孤独感无处不在,过去是,现在仍然是,可能会影响到来自不同人口统计数据和地理区域的人。其次,它在哲学上很有趣,其分析涉及到包括现象学、存在主义、心灵哲学等不同哲学分支。第三,实证研究表明,孤独感是一个重要的健康风险因素。因此,可以将孤独感定义为(负面)健康的社会决定因素。话虽如此,COVID-19 表明,人类作为一个物种,我们在面对因应对病毒而产生的孤独感方面准备得多么不足。当世界各地的人们真的因为孤独感而死亡时,我们仍然不知道是什么让一个人感到孤独,而让另一个人感到独处,或者是什么让一个人在伦敦市中心感到孤独。在这篇文章中,我首先回顾了一般意义上的孤独感,特别是在 COVID-19 背景下的孤独感。然后,我认为孤独感应该被理解为健康的社会决定因素。最后,我认为个人有权不感到孤独。这种权利反过来又源于医疗保健权,甚至是健康权。