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促进对话:弥合“医学之声”与“生活世界之声”之间鸿沟的现象学方法。

Fostering dialogue: a phenomenological approach to bridging the gap between the "voice of medicine" and the "voice of the lifeworld".

机构信息

College of Philosophy, Nankai University, 38 Tongyan Road, Jinnan District, Tianjin, 300350, People's Republic of China.

出版信息

Med Health Care Philos. 2024 Jun;27(2):155-164. doi: 10.1007/s11019-024-10195-x. Epub 2024 Jan 29.

DOI:10.1007/s11019-024-10195-x
PMID:38285166
Abstract

This article adopts Husserl's transcendental phenomenology to explore the complex relationship between patients and physicians. It delves into the coexistence of two distinct voices in the realm of medicine and health: the "voice of medicine" and the "voice of life-world." Divided into three sections, the article emphasizes the importance of shifting from a scientific-medical attitude to a more personalistic approach in physician-patient interactions. This shift aims to prevent depersonalization and desubjectification. Additionally, it highlights the equal and irreducible nature of patients while acknowledging the vital role physicians hold in the realm of illness. The article stresses the need for a balanced and equitable relationship between both parties, rooted in the shared life-world. Moreover, empathy is underscored as a crucial element in fostering meaningful dialogue, wherein understanding diverse perspectives and attitudes towards illness is paramount. The article argues that differences between patients and physicians are necessary for empathy, while shared similarities form its foundation. Ultimately, a harmonious relationship facilitates empathy and enables the constitution of a new sense of life for both patients and physicians.

摘要

本文采用胡塞尔的先验现象学来探讨患者与医生之间复杂的关系。它深入探讨了医学和健康领域中两种截然不同的声音的共存:“医学的声音”和“生活世界的声音”。文章分为三个部分,强调了在医患互动中从科学-医学态度向更人本主义方法转变的重要性。这种转变旨在防止去人性化和去主体化。此外,它强调了患者的平等和不可简化的性质,同时承认医生在疾病领域中的重要作用。文章强调需要在共同的生活世界中建立双方之间平衡和公平的关系。此外,同理心被强调为促进有意义对话的关键因素,其中理解对疾病的不同观点和态度至关重要。文章认为,患者和医生之间的差异对于同理心是必要的,而共同的相似之处则构成了同理心的基础。最终,和谐的关系促进了同理心,并使患者和医生都能建立新的生活感。

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Fostering dialogue: a phenomenological approach to bridging the gap between the "voice of medicine" and the "voice of the lifeworld".促进对话:弥合“医学之声”与“生活世界之声”之间鸿沟的现象学方法。
Med Health Care Philos. 2024 Jun;27(2):155-164. doi: 10.1007/s11019-024-10195-x. Epub 2024 Jan 29.
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The desired moral attitude of the physician: (I) empathy.医生应有的道德态度:(一)同理心。
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The "things themselves": challenging heuristics and inciting empathy via Husserlian phenomenology.“事物本身”:通过胡塞尔现象学挑战启发式和激发同理心。
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