Rawlinson M C
J Med Philos. 1986 Feb;11(1):39-62. doi: 10.1093/jmp/11.1.39.
Medical practice is animated by the intention to cure; it aims to relieve the immense variety of sufferings to which human beings are subject in virtue of the conditions of their embodied existence. My purpose here is to demonstrate how a philosophical analysis of the formal structures and kinds of human suffering provides an essential foundation for determining certain ethical dimensions of the physician's relation to his suffering patient. Can paternalism in medical practice be justified by the aim of relieving suffering? What are the scope and limits of the patient's responsibility for his suffering, and what difference does this make in the physician's response to it? How is the suffering that medical treatment itself exacts in the name of cure to be justified? Such questions can be answered only by an analysis of the sense or value of suffering in human life.
医疗实践因治愈的意图而充满活力;其目的是减轻人类因其具体生存状况而遭受的各种各样的痛苦。我在此的目的是展示对人类痛苦的形式结构和种类进行哲学分析如何为确定医生与受苦患者关系的某些伦理维度提供重要基础。医疗实践中的家长式作风能否以减轻痛苦的目标为依据?患者对自身痛苦的责任范围和限度是什么,这对医生应对痛苦有何影响?以治愈之名进行的医疗治疗本身所带来的痛苦该如何被证明是合理的?只有通过分析人类生活中痛苦的意义或价值,才能回答这些问题。