Jennings B
Hastings Center, Briarcliff Manor, NY 10510.
Am J Phys Med Rehabil. 1993 Dec;72(6):401-4.
Ethical issues in rehabilitation include both clinical dilemmas and broader philosophic issues about the goals of rehabilitation and the nature of the provider-patient relationship. Two philosophic issues are explored in this paper. One involves the social conceptions of the human good that necessarily underlie rehabilitative care and provide its ethical context. The second is the way in which the clinical reality of rehabilitation challenges the ideals of autonomy and individualism central to mainstream bioethics. This paper argues that only with a moral vocabulary of relationships and transformative healing, rather than with a vocabulary of individualistic autonomy, can rehabilitation convincingly express its social goals and professional mission in an era of scarce resources.
康复中的伦理问题既包括临床困境，也包括有关康复目标以及医患关系本质的更广泛的哲学问题。本文探讨了两个哲学问题。一个涉及人类福祉的社会观念，这些观念必然构成康复护理的基础并提供其伦理背景。第二个问题是康复的临床现实对主流生物伦理学核心的自主性和个人主义理想构成挑战的方式。本文认为，在资源稀缺的时代，只有借助关系和变革性治愈的道德词汇，而非个人主义自主性的词汇，康复才能令人信服地表达其社会目标和专业使命。
