Milford Stephen R, Lorenzini Giorgia
North-West University, Potchefstroom, South Africa & Institute for Biomedical Ethics, Basel University, Basel, Switzerland.
Institute for Biomedical Ethics, Basel University, Basel, Switzerland.
J Multidiscip Healthc. 2024 Aug 14;17:3971-3979. doi: 10.2147/JMDH.S389728. eCollection 2024.
Lévinas and Derrida speak of the ontological context of human relationships in the context of the absolute priority of the Other and the unconditional law of hospitality. This has direct implications for doctor-patient relationships in the context of health care. This paper explores these philosophical and practical implications in light of a paradox that exists in all hospitality: that hostility is inevitably intertwined with hospitality. The paper explores three ways hostility can present in doctor-patient relationships: in physical violence, through paternalism, and through the violence of categorisation. While acknowledging the paradox, and the complexity of solutions, the paper considers ways to minimize this hostility. In so doing, it encourages HCPs to overcome whatever is possible so as to do the impossible: provide unconditional hospitality.
列维纳斯和德里达在他者的绝对优先性与无条件好客法则的背景下，探讨了人际关系的本体论语境。这在医疗保健背景下对医患关系有着直接影响。本文鉴于所有好客情境中存在的一个悖论来探讨这些哲学及实践意义：即敌意不可避免地与好客交织在一起。本文探讨了敌意可能在医患关系中呈现的三种方式：身体暴力、家长作风以及分类暴力。在承认这一悖论以及解决方案的复杂性的同时，本文思考了将这种敌意降至最低的方法。这样做时，它鼓励医疗保健从业者克服一切可能克服的因素，去完成看似不可能的事情：提供无条件的好客。
