Lolas Stepke F
Universidad de Chile, Santiago, Chile.
Acta Psiquiatr Psicol Am Lat. 1994 Dec;40(4):282-92.
Thanatotherapeutics, as "ars bene moriendi", belongs to those services that modern medicine should restore and value most. Its exercise demands examining the plurality and heterogeneity of the discourses about death: the biological, the anthropological, the sociological and the theological, among others. Each one of them has its own context of validity and a proper scope. The association between aging and dying permits a discussion of the disablement process and of social death, as paradigms for the most general features of dying. As a concrete and individual process, death occurs nowadays in hospitals and hospices, this fact being essential for examining it in terms of the actors and agents present in this institutional setting. Some principles are derived and discussed, among them three dimensions deemed relevant for appraising thanatotherapeutic work: what is proper according to art, what is good for the individuals concerned and what is just for the society to which they belong.
作为“善终之术”的临终关怀疗法,属于现代医学最应恢复和重视的服务范畴。践行临终关怀疗法需要审视关于死亡的诸多不同且各异的论述:生物学的、人类学的、社会学的以及神学的等等。它们每一种都有其自身的有效语境和适当范围。衰老与死亡之间的关联使得我们能够将失能过程和社会死亡作为死亡最普遍特征的范例来进行探讨。作为一个具体的个体过程,如今死亡发生在医院和临终关怀机构中,这一事实对于从存在于这种机构环境中的行为者和主体角度审视死亡至关重要。从中衍生并讨论了一些原则,其中包括三个被认为与评估临终关怀疗法工作相关的维度:艺术上恰当的、对相关个体有益的以及对他们所属社会公正的。