Nadelson C C
Department of Psychiatry, Cambridge Hospital, MA 02139.
Am J Psychiatry. 1993 Sep;150(9):1309-14. doi: 10.1176/ajp.150.9.1309.
The changes that have taken place in medicine over the past few decades have challenged our views about the responsibilities and obligations of those providing health care and about their relationships with their patients. The demands brought by technologic advances and economic concerns have tested our ability to practice humane, empathic, and ethical medicine. This paper addresses the connection between ethics and empathy in the context of our current health care system. The author reviews the concept of empathy and argues that ethical medicine is empathic medicine. Since gender differences in health care needs and disparities in treatment have been identified, gender serves to focus some of the issues and exemplify some concerns about empathic and ethical practice.
在过去几十年里,医学领域发生的变化对我们有关医疗保健提供者的责任与义务以及他们与患者关系的看法提出了挑战。技术进步和经济因素带来的种种要求考验了我们践行人道、共情和符合伦理的医学的能力。本文探讨了在当前医疗保健体系背景下伦理与共情之间的联系。作者回顾了共情的概念,并认为符合伦理的医学就是共情的医学。鉴于已发现医疗保健需求方面的性别差异以及治疗上的差距,性别有助于聚焦一些问题,并例证一些有关共情和符合伦理的医疗实践的关切。