Centre for Human Anatomy Education, Monash University, Clayton, Victoria, Australia.
Monash Centre for Scholarship in Health Education, Monash University, Clayton, Victoria, Australia.
Anat Sci Educ. 2024 Nov;17(8):1556-1568. doi: 10.1002/ase.2431. Epub 2024 Apr 28.
Clinical anatomy education is meant to prepare students for caring for the living, often by working with the dead. By their nature many clinical anatomy education programs privilege topographical form over the donor's humanity. This inbalance between the living and the dead generates tensions between the tangible and the spiritual insofar as semblances of the humanity of donors endure even in depictions and derivatives. This article argues that considering the relevance of spirituality, and what endures of a donor's humanity after death, would enhance contemporary anatomy education and the ethical treatment of human body donors (and derivatives). In developing this argument, we (the authors) address the historical connection between spirituality and anatomy, including the anatomical locations of the soul. This serves as a basis for examining the role of the mimetic-or imitative-potential of deceased human donors as representations of the living. We deliberate on the ways in which the depersonalization and anonymization of those donating challenge the mimetic purpose of human body donors and the extent to which such practices are misaligned with the health care shift from a biomedical to a biopsychosocial model. Weighing up the risks and opportunities of anonymization versus personalization of human body donors, we propose curricula that could serve to enhance the personalization of human donors to support students learning topographical form. In doing so, we argue that the personalization of human donors and depictions could prevent the ill effects of digital representations going "viral," and enhance opportunities for donors to help the general public learn more about the human form.
临床解剖学教育旨在为学生照顾生者做准备,通常是通过与死者一起工作来实现。由于其性质,许多临床解剖学教育项目偏向于局部形态,而忽略了供体的人性。这种生与死之间的不平衡,在有形与无形之间产生了紧张关系,因为供体人性的表象即使在描绘和衍生品中也会持续存在。本文认为,考虑到灵性的相关性以及供体死后人性的持久存在,将增强当代解剖学教育和对人体供体(及其衍生品)的伦理待遇。在提出这个论点时,我们(作者)探讨了灵性与解剖学之间的历史联系,包括灵魂的解剖位置。这为研究已故人类供体的模仿或模仿潜力作为生者的代表的作用提供了基础。我们仔细研究了那些捐赠者的非人格化和匿名化挑战人体供体模仿目的的方式,以及这种做法在多大程度上与从生物医学到生物心理社会模式的医疗保健转变不一致。权衡人体供体匿名化与个性化的风险和机会,我们提出了可以增强人体供体个性化以支持学生学习局部形态的课程。通过这样做,我们认为人体供体和描绘的个性化可以防止数字表示“传播”的不良影响,并为供体提供更多机会帮助公众更多地了解人体形态。