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[健康的现象学及其对医生的影响]

[The phenomenology of health and the consequences for the physician].

作者信息

Tellenbach H

出版信息

Z Klin Psychol Psychother. 1980;28(1):57-67.

PMID:7415374
Abstract

An investigation on the basis of the phenomenology of religions brought to mind that the origin of occidental meaning of existence is contained in the word "life is: to overcome death". Christ as the originator lived it. Thus health means to overcome being ill. The structure of the phenomenon of being well "in illo tempore" is analysed. The outstanding feature of this phenomenon is the ability for "transcendation". In the experience of a physician the ability to transcend is seen as unfolding of the individual's predispositional possibilities, in the medium of communication. Going through examples of endogenous psychoses, psychosomatic illnesses, and physical illness it is pointed out, that being ill cannot be early differentiated in either being physically or mentally ill. Their intangledness becomes apparent in Nietzsche's, Goethe's and Novalis' experiences. So normality and health are not identical; and the aim of therapy is not solely defence against being ill. Being ill may even become a cause for the development of a more highly organized health. So the question of what is being health cannot be answered by a clear definition but in making visible its complexity.

摘要

基于宗教现象学的一项调查让人想到,西方存在意义的起源包含在“生命即:战胜死亡”这句话中。作为创始者的基督践行了这一点。因此,健康意味着战胜疾病。分析了“在那个时代”健康现象的结构。这种现象的突出特征是“超越”的能力。在医生的经验中,超越能力被视为个体在交流媒介中潜在可能性的展现。通过列举内源性精神病、身心疾病和身体疾病的例子指出,疾病不能过早地区分为身体疾病或精神疾病。它们的纠缠在尼采、歌德和诺瓦利斯的经历中变得明显。所以正常和健康并不等同;治疗的目的也不仅仅是抵御疾病。疾病甚至可能成为更高度组织化健康发展的一个原因。因此,关于什么是健康的问题不能通过明确的定义来回答,而要通过揭示其复杂性来回答。

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