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走向匿名:严格的新冠疫情隔离方案对重症监护病房患者的影响

Becoming anonymous: how strict COVID-19 isolation protocols impacted ICU patients.

作者信息

Køster Allan

机构信息

The Danish National Center for Grief, Kejsergade 2, 1155 Copenhagen, Denmark.

Department of Anaesthesia and Intensive Care, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Entrance 7A. Nielsine Nielsens Vej 41A, 2400 Copenhagen, Denmark.

出版信息

Phenomenol Cogn Sci. 2022 Dec 31:1-21. doi: 10.1007/s11097-022-09882-y.

DOI:10.1007/s11097-022-09882-y
PMID:36620180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9805343/
Abstract

In this article, I provide phenomenological reflections on patients' experiences of undergoing extreme isolation protocols while admitted to Intensive Care Units [ICU] during the first wave of COVID-19. Based on observation studies from within the patient isolation rooms and retrospective, in-depth phenomenological interviews with patients, I characterize this exceptional experience as one of becoming anonymous. To illustrate this, I start by establishing a perspective on embodied existence as constituted on a scale between anonymous embodiment and being enrooted into a . Against the backdrop of this framework, I illustrate how being admitted to the ICU under strict isolation protocols produced extraordinary experiences of becoming anonymous. Sources of the anonymization were: (1) Mechanical expropriation, pacification and disownership of the visceral-kinaesthetic body; (2) Objectification; (3) Spatial and intercorporeal anonymity (4) Surrealism: the intermingling of objective impressions and dream-like interpretations. Finally, I illustrate how anonymization induced an experience of embodiment as raw materiality, confronting the patient with what Martin Heidegger called the facticity of naked existence. This experience is discussed against Levinas' critique of Heidegger, while I propose that insights from this exceptional case may substantiate Heidegger's account.

摘要

在本文中,我对新冠疫情第一波期间入住重症监护病房(ICU)时经历极端隔离方案的患者体验进行了现象学反思。基于在患者隔离病房内的观察研究以及对患者的回顾性、深入现象学访谈,我将这种特殊体验描述为一种变得匿名的体验。为了说明这一点,我首先确立了一种关于具身存在的观点,即具身存在是在匿名具身和扎根于某种情境之间的一个尺度上构成的。在此框架背景下,我阐述了在严格隔离方案下入住ICU是如何产生非凡的匿名化体验的。匿名化的来源包括:(1)对内脏动觉身体的机械剥夺、安抚和去所有权;(2)客体化;(3)空间和身体间的匿名性;(4)超现实主义:客观印象与梦幻般诠释的交织。最后,我阐述了匿名化是如何引发一种作为原始物质性的具身体验,使患者面对马丁·海德格尔所说的赤裸存在的事实性。在列维纳斯对海德格尔的批判背景下讨论了这种体验,同时我提出,这个特殊案例的见解可能会证实海德格尔的观点。