Johnson P R
Yale University, New Haven, CT 06511, USA.
Theor Med Bioeth. 1998 Aug;19(4):337-52. doi: 10.1023/a:1009951813110.
The word "dignity" is frequently used both in clinical and philosophical discourse when referring to and describing the ideal conditions of the patient's treatment, particularly the dying patient. An exploration of the variety of meanings associated with the word dignity will note dignity's ambiguous usage and reveal instrumental concepts needed to better understand the discourse of the dying. When applied to a critique of recent and contemporary criticisms of the medical community's handling of the dying, such concepts might provide a more coherent notion of dignity. Rather than a separate construct, a death with dignity might be viewed as an interactive process among the dying and their caretakers. Together, this interdependent amalgam engages in humanizing communication aimed toward understanding the final needs and wants of the patient.
“尊严”一词在临床和哲学论述中经常被用来提及和描述患者治疗的理想状况,尤其是临终患者的治疗状况。对与“尊严”一词相关的各种含义进行探究会发现尊严用法的模糊性,并揭示出更好理解临终论述所需的工具性概念。当将这些概念应用于对近期及当代对医学界处理临终问题的批评的批判时,它们可能会提供一个更连贯的尊严概念。有尊严的死亡或许不应被视为一个单独的概念,而应被看作是临终者及其护理者之间的互动过程。这种相互依存的结合体共同进行旨在理解患者最终需求和愿望的人性化交流。