Arnason V
Department of Philosophy, University of Iceland, Reykjavík.
Theor Med. 1994;15(3):227-42. doi: 10.1007/BF01313339.
The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.
本文旨在评估本真这一存在主义概念对医学伦理学的重要性。这是通过分析本真并审视其对医患关系以及医疗情境中伦理决策的影响来实现的。有人认为，虽然本真意味着对个人责任的重要要求，这具有治疗意义，但它延续了与医患之间真实互动以及道德困境的有效思考相对立的观念。为了抵消这些后果，引入了一种替代性的本真观念。根据这一观念，本真主要不被视为个人主权，而是被视为一种参与对话的能力，在这种对话中，双方的主体性都得到尊重。这种基于相互信任和责任的实践将加强共同决策，并克服医患之间的疏离。
