Department of Nuclear Medicine, The University of Western Australia, Fiona Stanley Fremantle Hospitals Group, Murdoch, Australia.
Cancer Biother Radiopharm. 2023 Sep;38(7):425-430. doi: 10.1089/cbr.2023.0009. Epub 2023 Mar 24.
The scourge of cancer mortally wounds the soul. From the time of diagnosis, the spiritual shock should be recognized, acknowledged, and addressed in concert with the personalized management strategy for the tumor. Optimal cancer care treats both body and soul. Psycho-oncology theory defines existential issues and spirituality in conceptually ambiguous terms but, in reality, such afflictions of the spirit cause great suffering in cancer patients. Patients often seek reassurance that their life has purpose and meaning, and the provision of emotional and soulful support from their oncologist is of inestimable importance to spiritual well-being. In addition to the time and resource constraints of daily clinical practice, recent challenges to the personal doctor-patient relationship include e-medicine and virtual clinical encounters, and the potential disruption to be wrought by new generation artificial intelligence. These obstacles are addressed with a view to the physician being able to continue to provide empathic compassionate care. The art of Kintsugi is invoked to offer a metaphor for restoration of the soul afflicted by cancer.
癌症的肆虐严重地伤害了灵魂。从诊断之时起,就应该认识到、承认并处理精神上的冲击,同时制定针对肿瘤的个性化管理策略。最佳的癌症治疗应同时关注身体和灵魂。精神肿瘤学理论用概念上模糊的术语来定义存在问题和精神性,但实际上,这些精神上的折磨给癌症患者带来了巨大的痛苦。患者常常寻求安慰,希望自己的生命有目的和意义,而肿瘤医生提供情感和精神上的支持对他们的精神健康至关重要。除了日常临床实践中的时间和资源限制外,个人医患关系最近还面临着电子医疗和虚拟临床接触的挑战,以及新一代人工智能可能带来的破坏。本文旨在探讨这些障碍,以帮助医生能够继续提供富有同情心的关怀。金缮艺术被援引,为被癌症折磨的灵魂提供了修复的隐喻。