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[作为一项心理健康责任的生命终点]

[The end of life as a mental health responsibility].

作者信息

Barolin G S

机构信息

Ludwig-Boltzmann-Institut für Neuro-Rehabilitation und -Prophylaxe, Feldkirch.

出版信息

Wien Med Wochenschr. 1995;145(10):241-4.

PMID:7660670
Abstract

Terminal phase of human life must be regarded as one of the critical life phases as well for the dying himself as for his relatives.--Psychohygienic accompanying should start not just in the latest phase but from the first knowledge of incurable illness. We must regard herewith an important ethical task that on the one hand should be taught psychotherapeutically. On the other hand must not left alone to psychotherapeutic specialists. All our health professions must be familiar with it. We see this as integrative part of a holistic schooling for communication that should run from our medical studies on through postgraduate education. We do not consider "death-accompanying" an isolated territory, however even think it contraproductive if it is treated too isolated. It would support tendencies existing in medicine and in society, to segregate incurable and old people, our endevour should be counterbalancing.

摘要

人类生命的终末期对于濒死者及其亲属而言,都必须被视为关键生命阶段之一。心理卫生陪伴不应仅在最后阶段开始,而应从知晓身患绝症之时就启动。我们在此面临一项重要的伦理任务,一方面应以心理治疗的方式传授,另一方面绝不能仅交由心理治疗专家处理。我们所有的医疗专业人员都必须熟悉这一任务。我们将其视为全面沟通教育的一部分,这种教育应贯穿我们的医学学习直至研究生教育阶段。我们不认为“临终陪伴”是一个孤立的领域,相反,如果将其处理得过于孤立,甚至会产生适得其反的效果。这会助长医学和社会中存在的将绝症患者和老年人隔离的倾向,我们的努力应该起到平衡作用。

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