Center for Medical Humanities, Uppsala University, Uppsala, Sweden.
School of Biomedical Sciences, University of West London, London, UK.
J Eval Clin Pract. 2023 Oct;29(7):1161-1170. doi: 10.1111/jep.13871. Epub 2023 May 26.
Grounded in ideas about sense-making and whole-person care with a long intellectual heritage, the movement for Philosophical Health-with its specific conceptions of philosophical care and counselling-is a relatively recent addition to the ongoing debate about understanding better the perspectives of patients to improve health practice. This article locates the development of this movement within the context of broader discussions of person-centred care (PCC), arguing that the approach advocated by defenders of philosophical health can provide a straightforward method for implementing PCC in actual cases. This claim is explained and defended with reference to the SMILE_PH method created by Luis de Miranda (Sense-Making Interviews Looking at Elements of Philosophical Health), an approach recently trialled convincingly with people living with traumatic spinal cord injury.
以意义建构和全人关怀为基础,具有悠久的知识传统,哲学健康运动及其对哲学关怀和咨询的具体概念,是正在进行的关于更好地理解患者观点以改善健康实践的辩论中的一个相对较新的补充。本文将这一运动的发展置于以患者为中心的护理(PCC)的更广泛讨论的背景下,认为哲学健康的捍卫者所倡导的方法可以为在实际案例中实施 PCC 提供一种直接的方法。这一主张是通过 Luis de Miranda(SMILE_PH 方法)来解释和辩护的,该方法最近在患有创伤性脊髓损伤的人群中进行了令人信服的试验。